Mount Sinai Medical Center in Miami Beach, Florida is the only hospital in Miami-Dade County recognized as one of the nation’s 50 Top Cardiovascular Hospitals® by Truven Health Analytics. This recognition reinforces The Mount Sinai Heart Institute as Florida’s premiere cardiovascular program, offering patients the best cardiac surgery survival rate in Florida, and the best heart attack survival rate in South Florida.*
The Truven Health 50 Top Cardiovascular Hospitals study evaluates performance and outcomes in key areas such as acute myocardial infraction (AMI), heart failure, coronary artery bypass graft (CABG) and percutaneous coronary intervention (PCI), as well as mortality rates, 30- day readmission rates, average length of stay, and average cost. Unlike other rating agencies that utilize subjective measures in their recognitions, Truven’s study – now in its 16th year- analyzes results-based, reliable and unbiased metrics by looking at Medicare Provider Analysis and Review (MedPAR) data, 2013 Medicare cost reports, and 2014 Centers for Medicare and Medicaid Services (CMS) Hospital Compare data.
“This recognition reaffirms that Mount Sinai is meeting its mission to provide high quality care to our community while setting industry standards and keeping costs down for patients and caregivers,” said Steven D. Sonenreich, Mount Sinai President and CEO. “Achieving this benchmark for cardiovascular service has the potential to make a large and lasting impact on the quality and cost of care for heart patients across the state, and country, during a time when health care costs are becoming a major focus.”
Cardiovascular care is a service line that affects hundreds of thousands of patients’ lives annually, and adds billions of dollars to our nation’s overall health care costs. Currently $1 out of every $6 spent on health care in the U.S. is attributed to heart disease. If all cardiovascular providers in the U.S. performed at the level of this year’s winners, more than $1 billion dollars could be saved in health care costs.
On average, the 50 Top Cardiovascular hospitals showed a $750 to $4,000 average lower cost per patient case. Mount Sinai has a significantly lower cost per case in CABG patients ($22,977) when compared to the benchmark ($34,220) and peer ($37,369) medians; and, an average lower cost per case in PCI patients ($12,814) when compared to benchmark ($13,600) and peer ($16,621) medians.
This level of efficiency translates to better patient outcomes and quicker recoveries.
In fact, Mount Sinai has a shorter length of stay for CABG patients (7.7) when compared to benchmark (8.3) and peer (9.1) medians. And, with minimally invasive cardiac surgery techniques pioneered by Mount Sinai’s chief of cardiac surgery, Dr. Joseph Lamelas – who performs the most valve surgeries in Florida – patients have less physical trauma and better long-term outcomes. In addition, heart attack patients at Mount Sinai benefit from the organization’s high reliability organization model.
“When you are having a heart attack, you rely on an efficient team of operators to save your life,” said Dr. Gervasio Lamas, chief of the Columbia University Division of Cardiology at Mount Sinai. “At Mount Sinai, we have a wellorganized, high reliability system in place where everyone who interacts with the patient – from the paramedics, to the ER secretary, to the ER doctor all the way to the vascular internationalist in the cath lab – is highly trained to provide the most efficient and highest level of care when time is of the essence.”
In contrast to hospitals that were not recognized, overall, the 2015 Top 50 Cardiovascular Hospitals also had:
• Significantly higher inpatient survival than non-winning cardiovascular hospitals (19- to 30-percent higher)
• Far fewer patient complications (6- to 13- percent fewer)
• Higher 30-day survival rates for heart attack and heart failure patients (0.4 to 0.9 percentage points higher)
• Lower readmissions rates for heart attack and heart failure patients (0.3 to 0.5 percentage points lower)
• Better Centers for Medicare & Medicaid Services Core Measures scores (1.1 to 1.7 percentage points higher)
• ? – to 1-day lower average lengths of stay
If the level of expertise displayed by the 2015 Top 50 Cardiovascular hospitals was replicated, nearly 9,500 additional lives could be saved and, about 3,000 more bypass and angioplasty procedures could be complication-free.
More information about the 50 Top Cardiovascular hospitals is available here. For more information about the Mount Sinai Heart Institute, visit Miami-cardiology.com or call 305-674-2273.
*Source: AHCA data from 3Q 2013-2Q 2014 among adult Florida hospitals performing more than 733 cases annually/ CMS Hospital Compare December 2014.