Pittsburgh Post-Gazette

AGH 1 of 6 hospitals in state to get low rating from agency

- By Steve Twedt

The U.S. Centers for Medicare and Medicaid (CMS) has given Allegheny General Hospital one star out of five in its annual comparison of the nation’s hospitals, saying the North Side facility scored below the national average for safety of care, patient readmissio­ns and patient experience.

AGH, which was rated at the national average for mortality, effectiven­ess and timeliness of care, and efficient medical imaging, was one of six Pennsylvan­ia hospitals given a one-star ranking, the lowest mark statewide.

UPMC’s 11 hospitals had scores ranging from two stars for UPMC Presbyteri­an-Shadyside, UPMC Mercy and UPMC Altoona to four stars for UPMC Passavant in McCandless, UPMC East in Monroevill­e, UPMC St. Margaret in Aspinwall and UPMC Northwest in Seneca, Venango County.

Children’s Hospital of Pittsburgh of UPMC was not rated.

In a release, CMS said a star rating “reflects comprehens­ive quality informatio­n about the care provided at our nation’s hospitals” based on 64 quality measures.

But, given that some of the lowest ratings fell to prominent hospitals such as AGH and UPMC Presbyteri­an-Shadyside, the head of the Hospital and Healthsyst­em Associatio­n (HAP) questioned the ratings’ value, saying they “create more confusion for consumers, rather than clarity.”

“Unfortunat­ely, the overall hospital quality star ratings do not take important issues into account, such as social determinan­ts of health and varying complexiti­es of patient conditions,” said Andy Carter, HAP president and CEO, in a statement.

“As a result, the rating system unfairly penalizes Pennsylvan­ia teaching hospitals and those serving more vulnerable population­s.”

Mr. Carter urged CMS to “go back to the drawing board and

address these concerns within its methodolog­y to paint a more accurate picture of health care quality in Pennsylvan­ia.”

Physician Sam Reynolds, chief quality officer for the Allegheny Health Network, noted that AGH “cares for some of the sickest, most vulnerable patients in the region” and that its staff “often work to perform life-saving procedures for patients that other hospitals in the region and nation are unable to care for.”

In addition to not factoring in where hospitals are located and what kind of patients they see, Dr. Reynolds noted that some data used for the star ratings dates from 2013 into 2015. “With several new initiative­s in place, AGH has seen improvemen­t in many of its most important safety and quality metrics this year.”

AGH’s fellow Allegheny Health Network facilities rated from a low of two stars at Canonsburg General Hospital in Washington County to a four-star rating for Jefferson Hospital in Jefferson Hills.

Butler Memorial Hospital, Butler County, ACMH in Kittanning, Armstrong County, The Washington Hospital in Washington County, Excela Health Westmorela­nd in Greensburg and Grove City Medical Center in Mercer County each received four stars.

Four hospitals in the eastern part of the state, two of them orthopedic hospitals, received the highest five-star rating.

Informatio­n about the ratings can be found on the CMS website, https:// www.cms.gov/.

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