200 Hospital Benchmarks

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200 Hospital Benchmarks
Benchmarks 104-200
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Tags: hospital benchmarks | hospital finances | hospital operations | hospital quality | metrics | patient satisfaction | performance measures

Hospitals are constantly striving to improve their finances, operations and quality, but they need the proper metrics to turn those good intentions into measurable action. Becker's Hospital Review has collected 200 benchmarks from various healthcare organizations for hospitals to measure their performance. Where does your hospital stand? Note: Unless otherwise noted, benchmarks represent national averages.

Quality Benchmarks

Outcomes of Care Benchmarks

Mortality rates represent the percentage of patients who die within 30 days of their admission to a hospital. Readmission rates represent the percentage of patients who have had a recent hospital stay and need to go back into a hospital again within 30 days of their discharge. ^[1]

1. Heart attack mortality rate
(Sample size: 4,311 hospitals)
• 25th percentile — 14.8 percent
• Median — 15.7 percent
• Average — 15.79 percent
• 75th percentile — 16.8 percent

2. Heart attack readmission rate
(Sample size: 4,248 hospitals)
• 25th percentile — 19 percent
• Median — 19.8 percent
• Average — 19.88 percent
• 75th percentile — 20.7 percent

3. Heart failure mortality rate
(Sample size: 4,427 hospitals)
• 25th percentile — 10.4 percent
• Median — 11.3 percent
• Average — 11.39 percent
• 75th percentile — 12.3 percent

4. Heart failure readmission rate
(Sample size: 4,433 hospitals)
• 25th percentile — 23.5 percent
• Median — 24.7 percent
• Average — 24.86 percent
• 75th percentile — 26.1 percent

5. Pneumonia 30-day mortality rate
(Sample size: 4,445 hospitals)
• 25th percentile — 10.7 percent
• Median — 11.8 percent
• Average — 11.96 percent
• 75th percentile — 13 percent

6. Pneumonia readmission rate
(Sample size: 4,446 hospitals)
• 25th percentile — 17.4 percent
• Median — 18.3 percent
• Average — 18.45 percent
• 75th percentile — 19.4 percent

Process of Care Measures

Measures how often hospitals provide some of the care that is recommended for patients with a heart attack, heart failure, pneumonia, surgery and children's asthma. ^[2]

7. Outpatients having surgery who received an antibiotic at the right time (within one hour before surgery) — 93 percent

8. Outpatients having surgery who received the right kind of antibiotic — 94 percent

9. Surgery patients who were taking beta blockers before coming to the hospital who were kept on beta blockers during the periods prior and following their surgery — 93 percent

10. Surgery patients who were given an antibiotic at the right time (within one hour before surgery) — 97 percent

11. Surgery patients who were given the right kind of antibiotic to prevent infection — 97 percent

12. Surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery) — 95 percent

13. Heart surgery patients whose blood sugar was kept under control in the days immediately following surgery — 94 percent

14. Surgery patients needing their hair removed from the surgical area before surgery who underwent hair removal using a safe method (such as electric clippers or hair removal cream opposed to razors) — 100 percent

15. Surgery patients whose urinary catheters were removed on the first or second day after surgery — 91 percent

16. Surgery patients whose physicians ordered treatments to prevent blood clots after certain types of procedures — 94 percent

17. Patients who received treatment at the right time (within 24 hours before or after surgery) to help prevent blood clots after certain types of surgery — 93 percent

18. Average number of minutes before outpatients with chest pain or possible heart attack patients were transferred to another hospital — 61 minutes

19. Average number of minutes before outpatients with chest pain or possible heart attack received an ECG — 8 minutes

20. Outpatients with chest pain or possible part attack patients who received drugs to break up blood clots within 30 minutes of arrival — 55 percent

21. Outpatients with chest pain or possible heart attack who received aspirin within 24 hours of arrival — 95 percent

22. Heart attack patients given aspirin at arrival — 99 percent

23. Heart attack patients given aspirin at discharge — 99 percent

24. Heart attack patients given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction — 96 percent

25. Heart attack patients given smoking cessation advice/counseling — 100 percent

26. Heart attack patients given beta blocker at discharge — 98 percent

27. Heart attack patients given fibrinolytic medication within 30 minutes of arrival — 57 percent

28. Heart attack patients given PCI within 90 minutes of arrival — 90 percent

29. Pneumonia patients assessed and given pneumococcal vaccination — 93 percent

30. Pneumonia patients whose initial emergency room blood culture was performed prior to the administration of the first hospital dose of antibiotics — 96 percent

31. Pneumonia patients given smoking cessation advice/counseling — 97 percent

32. Pneumonia patients given initial antibiotics within six hours after arrival — 95 percent

33. Pneumonia patients given the most appropriate initial antibiotics — 92 percent

34. Pneumonia patients assessed and given influenza vaccination — 91 percent  

35. Heart failure patients given discharge instructions — 89 percent

36. Heart failure patients given an evaluation of left ventricular systolic function — 98 percent

37. Heart failure patients given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction — 95 percent

38. Heart failure patients given smoking cessation advice/counseling — 99 percent

39. Children who received reliever medication while hospitalized for asthma — 100 percent

40. Children who received systemic corticosteroid medication (oral and IV medication that reduces inflammation and controls symptoms) while hospitalized for asthma — 100 percent

41. Children and their caregivers who received a home management health plan of care document while hospitalized for asthma — 74 percent

Accountability Measures

Accountability composite measures are calculated by adding the number of times recommended care was provided over all the process measures in the given measure set, then dividing this sum by the total number of opportunities for providing this recommended care. The composite measure shows the percentage of the time the recommended care for each condition was provided. ^[3]

42. Heart attack care composite — 98.3 percent

43. Pneumonia care composite — 94.6 percent

44. Surgical care composite — 92.3 percent

45. Children's asthma care composite — 92.3 percent

Patient Experience Benchmarks

Figures reflect measures from the Hospital Consumer Assessment of Healthcare Providers and Systems. ^[4]

How do patients rate hospital overall?
Answers reflect a 1-10 scale, with 10 being the best. Sample size: 3,811 hospitals.

46. Patients who gave rating of 6 or lower
• 25th percentile — 6 percent
• Median — 8 percent
• Average — 8.91 percent
• 75th percentile — 11 percent

47. Patients who gave rating of 7 or 8
• 25th percentile — 20 percent
• Median — 24 percent
• Average — 23.65 percent
• 75th percentile — 27 percent

48. Patients who gave rating of 9 or 10
• 25th percentile — 62 percent
• Median — 68 percent
• Average — 67.44 percent
• 75th percentile — 73 percent

How often did physicians communicate well with patients?
Sample size: 3,812 hospitals

49. Physicians 'always' communicated well
• 25th percentile — 77 percent
• Median — 80 percent
• Average — 80.25 percent
• 75th percentile — 84 percent

50. Physicians 'sometimes' or 'never' communicated well
• 25th percentile — 3 percent
• Median — 4 percent
• Average — 4.58 percent
• 75th percentile — 6 percent

51. Physicians 'usually' communicated well
• 25th percentile — 13 percent
• Median — 15 percent
• Average — 15.17 percent
• 75th percentile — 18 percent

How often did nurses communicate well with patients?
Sample size: 3,812 hospitals

52. Nurses 'always' communicated well
• 25th percentile — 73 percent
• Median — 76 percent
• Average — 76.01 percent
• 75th percentile — 80 percent

53. Nurses 'sometimes' or 'never' communicated well
• 25th percentile — 3 percent
• Median — 5 percent
• Average — 5.28 percent
• 75th percentile — 7 percent

54. Nurses 'usually' communicated well
• 25th percentile — 16 percent
• Median — 19 percent
• Average — 18.71 percent
• 75th percentile — 21 percent

How often did patients receive help quickly from hospital staff?
Sample size: 3,812 hospitals

55. Patients 'always' received help as soon as they wanted
• 25th percentile — 58 percent
• Median — 63 percent
• Average — 64.08 percent
• 75th percentile — 70 percent

56. Patients 'sometimes' or 'never' received help as soon as they wanted
• 25th percentile — 7 percent
• Median — 10 percent
• Average — 10.66 percent
• 75th percentile — 14 percent

57. Patients 'usually' received help as soon as they wanted
• 25th percentile — 23 percent
• Median — 26 percent
• Average — 25.26 percent
• 75th percentile — 29 percent

How often did staff explain about medicines before giving them to patients?
Sample size: 3,808 hospitals

58. Staff 'always' explained
• 25th percentile — 57 percent
• Median — 60 percent
• Average — 60.57 percent
• 75th percentile — 64 percent

59. Staff 'sometimes' or 'never' explained
• 25th percentile — 18 percent
• Median — 21 percent
• Average — 21.1 percent
• 75th percentile — 24 percent

60. Staff 'usually' explained
• 25th percentile — 17 percent
• Median — 18 percent
• Average — 18.34 percent
• 75th percentile — 20 percent

How often was patients' pain well controlled?
Sample size: 3,811 hospitals

61. Pain was 'always' well controlled
• 25th percentile — 66 percent
• Median — 69 percent
• Average — 69.35 percent
• 75th percentile — 72 percent

62. Pain was 'sometimes' or 'never' well controlled
• 25th percentile — 5 percent
• Median — 7 percent
• Average — 7.21 percent
• 75th percentile — 8 percent

63. Pain was 'usually' well controlled
• 25th percentile — 21 percent
• Median — 24 percent
• Average — 23.44 percent
• 75th percentile — 26 percent

How often was the area around the patient rooms kept quiet at night?
Sample size: 3,812 hospitals

64. 'Always' quiet at night
• 25th percentile — 51 percent
• Median — 58 percent
• Average — 58.11 percent
• 75th percentile — 65 percent

65. Pain was 'sometimes' or 'never' quiet at night
• 25th percentile — 7 percent
• Median — 11 percent
• Average — 11.46 percent
• 75th percentile — 15 percent

66. Room was 'usually' quiet at night
• 25th percentile — 27 percent
• Median — 31 percent
• Average — 30.43 percent
• 75th percentile — 35 percent

How often were patient rooms and bathrooms kept clean?
Sample size: 3,812 hospitals

67. Room was 'always' clean
• 25th percentile — 66 percent
• Median — 71 percent
• Average — 71.35 percent
• 75th percentile — 76 percent

68. Room was 'sometimes' or 'never' clean
• 25th percentile — 6 percent
• Median — 9 percent
• Average — 9.20 percent
• 75th percentile — 12 percent

69. Room was 'usually' clean
• 25th percentile — 17 percent
• Median — 20 percent
• Average — 19.45 percent
• 75th percentile — 23 percent

Were patients given information about what to do during their recovery at home?
Sample size: 3,809 hospitals

70. No, staff 'did not' give patients this information
• 25th percentile — 15 percent
• Median — 17 percent
• Average — 17.94 percent
• 75th percentile — 21 percent

71. Yes, staff 'did' give patients this information
• 25th percentile — 79 percent
• Median — 83 percent
• Average — 82.06 percent
• 75th percentile — 85 percent

Would patients recommend the hospital to friends and family?
Sample size: 3,811 hospitals

72. No, patients probably would not or definitely would not recommend the hospital
• 25th percentile — 3 percent
• Median — 5 percent
• Average — 5.32 percent
• 75th percentile — 7 percent

73. Yes, patients would definitely recommend the hospital
• 25th percentile — 63 percent
• Median — 70 percent
• Average — 69.46 percent
• 75th percentile — 76 percent

74. Yes, patients would probably recommend the hospital
• 25th percentile — 20 percent
• Median — 25 percent
• Average — 25.23 percent
• 75th percentile — 30 percent

Patient Satisfaction Benchmarks

Reponses are based on 100-point scales, with 100 reflecting "very good," 50 reflecting "fair" and 0 reflecting "very poor." ^[5]

75. Overall patient satisfaction score for hospital with 1-50 beds — 88.3

76. Overall patient satisfaction score for hospital with 51-149 beds — 86.1

77. Overall patient satisfaction score for hospital with 150-299 beds — 84.9

78. Overall patient satisfaction score for hospital with 300-449 beds — 84.5

79. Overall patient satisfaction score for hospital with 450-600 beds — 84.5

80. Overall patient satisfaction score for hospital with 600+ beds — 84.4

81. Overall patient satisfaction score for admission through hospital ED — 83.2

82. Overall patient satisfaction score for admission not through ED — 86.1

Physician Satisfaction Benchmarks

Reponses are based on 100-point scales, with 100 reflecting "very good," 50 reflecting "fair" and 0 reflecting "very poor." ^[6]

83. Overall physician satisfaction score — 73.4

84. Overall physician satisfaction score with patient care — 78.9

85. Overall physician satisfaction score with ease of practice — 77.3

86. Overall physician satisfaction score with relationship with leaders — 66.2

87. Overall physician satisfaction score with overall assessment — 77.6

Financial Benchmarks

Figures 88-103 are derived from a sample of 1,144 hospitals. ^[7]

88. Average net patient revenue — $244,218

89. Average operating margin —1.26

90. Average profit margin — 3.43

91. Average days cash on hand —144.8

92. Average days in accounts receivable — 46.5

93. Average number of admissions per year —11,332

94. Average number of beds in service — 216

95. Average number of patient days — 53,529

96. Average number of outpatient visits — 196,807

97. Average number of inpatient surgical operations — 3,198

98. Average number of outpatient surgical operations — 5,767

99. Average FTE employees — 1,346

100. Average hourly wage — $12

101. Net accounts receivable — $29,787

102. Long-term debt — $78,524

103. Average depreciation and amortization expense — $12,793