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Hospital effort could reduce readmissions

By Julie Appleby
Kaiser Health News
Tuesday, December 7, 2010

One of six patients hospitalized in Maryland in the past year ended up back in the same facility within a month, a risky situation for them and a costly one for bill payers.

To keep that from happening so often, more than a dozen hospitals in the state are considering joining an experiment: Upending the traditional way they are paid and setting in motion changes that could both boost patient care and reduce preventable admissions….

…Two rural hospitals – Garrett County Memorial in Oakland and McCready Memorial in Crisfield – have already signed such contracts for three years, and at least seven more, including Calvert, are in line to do so, said Murray.

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Garrett Memorial Hospital discharges satisfied customers

Kristin Harty Barkley
Cumberland Times-News

— CUMBERLAND — Garrett County Memorial Hospital outperformed most hospitals in Maryland last year, including the two former branches of Western Maryland Regional Medical Center — at least according to patients.

In a survey of discharged patients, 74 percent said they would recommend Garrett Memorial to family and friends, compared to 60 percent for Cumberland Memorial and 67 percent for Braddock.

Statewide, about 64 percent of pa-tients surveyed said they would recommend a Maryland hospital.

The Hospital Guide data, published last week by the Maryland Health Care Commission, includes information on how each Maryland hospital performed in 14 areas of care, including treatment of patients with heart attacks, heart failure and pneumonia. It also rates how well hospitals manage surgical care, including prevention of infections and blood clots.

Collected during calendar year 2009, the surveys were completed by about 41,000 patients discharged from Maryland’s 46 acute care hospitals.

Western Maryland Health System opened its new hospital in mid-November 2009, closing the Memorial and Braddock campuses.

On the surveys, patients were asked 27 questions about their recent hospital stay, including questions about how clean and quiet the hospital was and how well doctors, nurses, and staff communicated with them.

At Garrett, 76 percent of patients said the hospital was clean, compared to 70 percent at Memorial and 66 percent at Braddock. Statewide, 63 percent of respondents gave a favorable response for cleanliness.

In communication, too, Garrett ranked well above the state averages — and above scores for Johns Hopkins University Hospital, which was the No. 1 most recommended hospital.

For example, 87 percent of patients at Garrett said doctors communicated well with them, compared to 79 percent at Memorial and 78 percent at Braddock. At Johns Hopkins, 81 percent of patients gave doctors a favorable communication score, and statewide, it was 78 percent.

Braddock and Memorial both scored at or above the state average in most categories, though their overall favorable ratings of 60 and 56 percent were below the state average of 61 percent. Garrett’s overall rating was 73 percent.

Maryland was one of three states to participate in the Hospital Consumer Assessment of Healthcare Providers and Systems Survey, a standardized national survey of patients’ perspectives of hospital care.

The data, available at http://mhcc.maryland.gov/consumerinfo/hospitalguide/index.htms, is a tool for the public to compare quality measures at the state’s hospitals, said Marilyn Moon, chair of the Maryland Health Care Commission.

“Publicly reporting timely and important information about quality will assist consumers in making informed choices about their health care and provide hospitals with performance benchmarks that can assist in their quality improvement activities,” Moon said.

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Garrett County Delegation Working Toward Solution On Local OB Situation

GC Delegation Working Toward Solution On Local OB Situation

Mar. 18, 2010

Only days after legislative measures that would provide a solution for Garrett County’s family practitioners providing obstetrical services failed to receive approval, Sen. George Edwards and Del. Wendell Beitzel have been in talks with the Maryland Department of Health and Mental Hygiene (DHMH), Garrett Memorial Hospital, and various other stakeholders to come to a solution.
“This issue is about equity,” Edwards said. “Garrett County is the only county in the state without an OB (obstetrician), and we need help on this issue.”

Prompted by the concerns expressed by both Edwards and Beitzel, DHMH Secretary John M. Colmers sent a letter addressed to Edwards.

In it, Colmers stated, “The county relies on the high quality obstetrical care provided by four family practitioners and enjoys some of the state’s best birth outcome indicators.”

Beitzel noted, “The four family practitioners have taken a unique and uncertain situation and continue to perform admirably. Others would have fled to West Virginia or Pennsylvania, but our doctors show what makes Garrett County such a great place to live.”

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