How Saving One AMI Mortality Per Year Can Help a Typical Hospital Move To the Top Percentile


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This article is part of the Dexur Insight, which is focused on Hospital Quality and Safety topics and is read by CEOs, CMOs, CNOs, CQOs, Quality, Safety, Compliance, Analytics & Performance teams. Please email dexurqualitysights@dexur5.com to join this newsletter and receive updates (not more than once per week).

Hospitals across the United States, from rural facilities in rural areas to large-scale Acute Care centers in urban areas, are continually striving to enhance the quality of their services. A key focus for these hospitals is to reduce mortality from AMI (Acute Myocardial Infarction), an essential goal for improving their CMS Star ratings and benefiting from the Value-based Purchasing (VBP) program. This objective is a significant indicator of care quality and heavily influences the mortality group within the CMS Star rating system.

The CMS data analysis sheds light on the significant impact that even minor changes in AMI (Acute Myocardial Infarction) mortality rates can have at healthcare institutions. A small fluctuation in mortality, such as an increase or decrease of just one AMI death per year, can lead to substantial shifts in percentile rankings. Specifically, reducing one AMI mortality annually can elevate a hospital from the 10th percentile to the 90th. Conversely, an additional mortality per year can drastically lower a hospital’s standing from high to low percentile ranks.

Data Analysis

Variable Value
Hospitals Analyzed 4848
Index AMI Patients in 3 Years for the Largest Hospital 899
Index AMI Patients in 3 Years for the Smallest Hospital 25
Index AMI Patients in 3 Years for the Median Hospital 117
Impact of Reducing 1 Mortality/Year on AMI Mortality on Largest Hospital 0.33%
Impact of Reducing 1 Mortality/Year on AMI Mortality on Median Hospital 2.56%
National Average- AMI Mortality 12.4
Median - AMI Mortality 12.4
10th Percentile - AMI Mortality 13.8
90th Percentile - AMI Mortality 11.1
Difference Between Bottom 10th to Top 90th Percentile 2.7

Hospitals operate under stringent conditions regarding the outcomes of AMI (Acute Myocardial Infarction) patients. Reducing the annual AMI mortality by just one in a median hospital results in a significant 2.56% improvement in its overall mortality statistics. This emphasizes how each patient's outcome profoundly affects the hospital’s collective mortality data. Therefore, it is crucial for healthcare providers to offer consistent and comprehensive care to every AMI patient, focusing on careful management and regular review of treatment strategies.

In the context of the CMS Star Rating program, the significance of these findings becomes even more apparent. This program, initiated by the Centers for Medicare & Medicaid Services, evaluates healthcare providers on various performance metrics, including condition-specific mortality rates, such as those for AMI. Hospitals that demonstrate excellence in these metrics receive higher star ratings, influencing patient choice, funding opportunities, and the institution’s reputation in the medical community.

Prioritizing a reduction in AMI (Acute Myocardial Infarction) mortality, even by a single case per year, can lead to significant enhancements in care quality and improvements in CMS Star Ratings. Achieving this requires a holistic approach to patient health management, incorporating early detection, effective treatment plans, comprehensive patient education, and ongoing care. Dexur’s Unified Quality, Risk, and Incident Management software serves as a strategic asset, enabling hospitals to identify areas for improvement and enact meaningful changes in each patient's care journey.