Why is this report important to me?
If you or someone you know has gallbladder problems, you may find this report helpful when considering where to receive treatment. Facilities can vary, sometimes quite a bit, in terms of charges and patient quality and safety.
This report is not intended to be anyone's sole source of information about facility charges and utilization in Utah. Rather, it is designed to provide helpful information that can play an important role in choosing facilities, along with other sources including doctor recommendations.
Why are you producing this report?
The 2007 Utah Facility Comparison Report on Gallbladder Removal for Adult Inpatients and Outpatients, is one of a series of health care consumer reports that the Office of Health Care Statistics (OHCS) has developed in response to Senate Bill 132, which was passed during the 2005 legislative session.
Consumers are encouraged to use the information in these reports to ask questions of their doctor or health care professional, facility or insurance representative. Let them know you plan to take an active role in your health care decisions!
What is the purpose of the Utah Health Data Committee?
The Utah Health Data Committee was established by the Utah Legislature in 1990 to collect, analyze and distribute state health care data. Since December 2005, the Committee has released a series of consumer reports comparing health care in Utah facilities.
Who else helped to shape this report?
Utah citizens continually review our consumer reports to make sure they are understandable and easy to read. Public input helps us create user-friendly reports for people who are not medical experts yet need useful health care information. Learn more about our evaluation methods.
Leading physicians and health educators reviewed the report's medical information. Seven Utah physicians, as part of the Cholecystectomy Task Force, provided advice and direction on the measures used in this report. Five bio-statisticians assisted in selecting the appropriate statistical method for comparing facility performance.
About the Data
Where do the data come from?
Most of the data in this report come from facility claim records. Utah facilities are required by law to submit a standard set of information about each inpatient who spends at least 24 hours in a facility and about each outpatient who spends up to 24 hours in the facility or ambulatory surgery center to the Office of Health Care Statistics, Utah Department of Health, for the Utah Hospital Discharge Database. The Agency for Health Care Research and Quality (AHRQ), a federal agency in charge of quality of care, provided national information. For further information visit the AHRQ Web site….
Have the data been verified by others?
Yes, Utah facilities review the data for accuracy during a 30-day review period while the report is being developed. They then review the completed report before it is released. Facilities may submit comments to be posted online as part of the report.
Why use these indicators/measures?
AHRQ developed the Inpatient Quality Indicators (IQIs) for in-facility deaths used in this report. The IQIs allow comparison among Utah facilities with similar patients nationwide. This report shows one IQI for inpatient laparoscopic gallbladder removal, a utilization measure.
The measure for average charge is an All Patient Refined Diagnosis Related Group (APR-DRG) for similar, though not identical, conditions and procedures among inpatients. For outpatients, the measure is the ICD-9-CM procedure code 51.23, as outpatients do not have APR-DRGs. Read more on APR-DRG classifications
Many factors affect a facility’s performance on utilization measures. Such factors include the facility’s size, the number of gallbladder patients treated, available specialists, teaching status and particularly the medical history of the facility’s patients and how ill the patients are. Facilities that treat high-risk (very ill) patients may have higher percentages of open surgeries than facilities that transfer these patients. Facilities may report patient diagnosis codes differently, which could impact the comparison of utilization measurement among facilities. Utilization indicators adjust for how ill each facility’s patients are, but the adjustment may not capture the full complexity of the patient’s condition. The Utah Hospital Discharge Database includes up to nine diagnoses and up to six procedures for each patient. Some patients have additional diagnoses and procedures that are not included in this database. As a result, the measures of inpatient illness may not be complete.
The average charge shown in this report differs from “costs,” “reimbursement,” “price,” and “payment.” Different payers (e.g. private insurance, Medicare, Medicaid) have different arrangements with each facility for payment. Many factors will affect the cost for your facility stay, including whether you have health insurance, the type of insurance and the billing procedures at the facility. This report excludes outlier (unusually high) charge cases and length of stay cases from the calculation of average charge for inpatients. It does not exclude outlier charges for outpatients (see Glossary). Outpatients do not have levels of illness, whereas inpatients do have levels of illness.