Why is this report important to me?
If you are planning to have a baby in Utah, you may find this report to be very helpful as you consider where to give birth. Hospitals can vary, sometimes quite a bit, in terms of what they charge and their quality and safety for patients. Even if you have decided where to deliver your baby, this report tells you the quality and safety of the care your hospital provides for certain maternity and newborn procedures.
Why are you producing this report?
The 2007 Utah Hospital Comparison Report for Maternity and Newborns is one of a series of health care consumer reports that the Office of Health Care Statistics has developed in response to Senate Bill 132. In December 2005, we released our first Maternity and Newborn report. For this report, the Utah Health Data Committee updated the data and provided it online for Utah citizens.
What is the purpose of the Utah Health Data Committee?
The Utah Health Data Committee (HDC) 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's hospitals. The Office of Health Care Statistics serves as staff for the HDC and produces these reports.
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 to 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. Five bio-statisticians assisted in selecting the appropriate statistical method for comparing hospital performance.
About the Data
Where do the data come from?
Most of the data in this report come from hospital claim records. Utah hospitals are required by law to submit a standard set of information about each patient who spends at least one night in the hospital to the Office of Health Care Statistics, Utah Department of Health, for the Utah Hospital Discharge Database. The Agency for Healthcare Research and Quality (AHRQ), a federal agency charged with overseeing quality of care, provided national information. For further information, visit the AHRQ Web site.
Have the data been verified by others?
Yes, Utah hospitals review the data for accuracy during a review period of at least 30 days while the report is being developed. They review the completed report before it is released. Hospitals 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-hospital utilization used in this report. The IQIs allow comparison among Utah hospitals and other U.S. hospitals that treated similar patients. The report shows two IQIs and three PSIs for maternity and newborn conditions and procedures. Measures for average charges are All Patient Refined Diagnosis Related Groups (APR-DRGs) for similar, though not identical, maternity and newborn conditions and procedures. For this reason, the number of patients for APR-DRGs and similar IQIs often are not the same. Also, please keep in mind that for Birth Injuries -Injury to Newborn, three years of data are used, while a single year is used for charges, the other PSIs and IQIs. Read more on APR-DRG classifications.
Many factors affect a hospital’s performance on quality and safety measures. Such factors include the hospital’s size, the number of maternity and newborn cases, available specialists, teaching status and especially how ill the hospital’s patients are. Hospitals that treat women with high-risk pregnancies may have higher percentages of injuries to mothers and newborns and a higher percentage of newborns with problems than hospitals that transfer these patients. Hospitals may report patient diagnosis codes differently. This could impact the accuracy of quality measurement among hospitals. The quality indicators adjust for how ill each hospital’s patients are, but the adjustment may not be adequate. 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 patient illness may not be accurate. See Glossary for more about maternity and newborn indicators.
The charges shown in this report differ from “costs,” “reimbursement,” “price” and “payment.” Different payers have different arrangements with each hospital for payment. Many factors will affect the cost for your hospital stay, including whether you have health insurance, the type of insurance and the billing procedures at the hospital. This report excludes outlier (unusually high) charge cases and length of stay cases from the calculation of average charges (see Glossary). The indicators used in this report do not distinguish between newborns that were born at one hospital and transferred to another the day of their birth and those that were not transferred.