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About the Report

 

Why is this report important to me?

If you are planning to have a baby here in Utah, you will 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 2006 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 (SB132). In December 2005, we released our first Maternity and Newborn report. For this report, we have updated the data and provided it online for Utah’s citizens.

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.

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 still need useful health care information.

About the Data

 

Where do the data come from?

Most of the data in this report comes 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 Health Care Research and Quality (AHRQ), a federal agency in charge of quality of care, provided national information.

Have the data been verified by others?

Yes, Utah hospitals have reviewed the report for accuracy.

Why use these indicators/measures?

AHRQ developed the Inpatient Quality Indicators (IQIs) for in-hospital use of certain procedures 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.

What are the limitations of quality comparisons in the report?

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 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 patient illness may not be complete. See Glossary and Technical Document for more about maternity and newborn indicators.

What are the limitations of the charge comparisons in the report?

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.

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Last updated: November 13, 2008 1:37 PM