The document provides a performance report on the 50 top cardiovascular hospitals in 2016, outlining comparisons of specific metrics across different hospital types: teaching hospitals with cardiovascular residency programs, teaching hospitals without such programs, and community hospitals. It details measures related to acute myocardial infarction, heart failure, coronary artery bypass graft, and primary percutaneous coronary intervention patients, alongside benchmark statistics and definitions for evaluating hospital performance. Additionally, it notes the criteria for hospital exclusions from the rankings based on performance outliers and missing data.

1. 50 TOP CARDIOVASCULAR HOSPITALS, 2016
A NATIONAL BENCHMARKS REPORT
Performance Report Prepared For:
Sample Hospital
City, ST
MEDICARE ID: 999999

2. 50 TOP CARDIOVASCULAR HOSPITALS, 2016 Sample Hospital
City, ST
REPORT NOTES
Comparison Groups
So that we can compare your hospital with others most like it, we assign
each hospital to one of three comparison groups according to size, teaching
status, and residency/fellowship program involvement:
• Teaching hospitals with cardiovascular residency programs
(CARDIO TEACHING)
• Teaching hospitals without cardiovascular residency programs
(TEACHING)
• Community hospitals (COMMUNITY)
Benchmark and Peer Groups
In the Truven Health Analytics 50 Top Cardiovascular Hospitals study, we
select 50 Benchmark hospitals (winners) based on overall performance in
the most recent year of data available:
CARDIO TEACHING 15
TEACHING 20
COMMUNITY 15
Peer group hospitals include all U.S. hospitals in our study database,
excluding benchmark hospitals.
In this custom report, we provide two types of comparisons:
• Profiled hospital versus comparison group Benchmark hospitals
• Profiled hospital versus comparison group Peer hospitals
Measure Categories and Patient Groups
We include data for acute myocardial infarction (AMI), heart failure (HF),
coronary artery bypass graft (CABG) and primary percutaneous coronary
intervention (PCI) patients in our analysis.
Measure Category Pt Groups Measure Category Pt Groups
Medical Mortality AMI, HF % CABG with IMA CABG
Surgical Mortality CABG, PCI 30 Day Measures AMI, HF
Complications CABG, PCI Avg Length of Stay All
Core Measures AMI, HF, SCIP, OUTPAT Cost per Case All
Public Data Sets Used
Measures Public Data Sources
Mortality, Complications MedPAR Federal Fiscal Yr 2013-2014
ALOS, Cost per Case MedPAR FFY 2014
Core Measures
CMS Hospital Compare (CMSHC)
Oct 1, 2013 - Sep 30, 2014
30-Day Mortality CMSHC July 1, 2011 - June 30, 2014
30-Day Readmissions CMSHC July 1, 2011 - June 30, 2014
Cost to Charge Ratio Medicare Cost Report 2014
Use of Median Values
When individual core measures (CMs), 30-day mortality or 30-day
readmission rates are missing or the reported value is insufficiently precise
(patient count too low), we substitute class median values for the hospital
value(s). We do this to allow overall ranking of the hospital.
Note: Hospitals missing all CMs, all 30-day mortality or all 30-day
readmission measures are excluded from the study.
Missing Data or Incalculable Data Points
• No bar is displayed for the profiled hospital if values were not
reported, are incalculable, or where the median was used.
• If a hospital was excluded from the study for missing or incalculable
performance measures, we note the details at the end of the report.
Winner Exclusions
A hospital was not eligible to be a winner if one of the following applied:
• Statistically poor performance in mortality or complications (95%
confidence).
• One or more outliers (interquartile range methodology) for wage- and
severity-adjusted cost per case.
• Less than 11 cases in any of the patient groups (AMI, HF, CABG,
PCI) for the current data year (2014).
FOR MORE INFORMATION
For a Study Abstract, with full details on performance measures,
methods used and winner list, visit www.100tophospitals.com.
©2015 Truven Health Analytics. All rights reserved. 2 of 15

3. 50 TOP CARDIOVASCULAR HOSPITALS, 2016 Sample Hospital
City, ST
HOSPITAL RANK PERCENTILES COMPARED WITH CARDIO TEACHING HOSPITALS (n=229)
0
20
40
60
80
100
AM
IM
ort
H
F
M
ortPC
IM
ortC
ABG
M
ort
PC
IC
om
p
C
ABG
C
om
p
C
ABG
IM
A
AM
IALO
SH
F
ALO
SPC
IALO
S
C
ABG
ALO
S
AM
IC
ost
H
F
C
ostPC
IC
ostC
ABG
C
ost
C
M
M
ean
AM
I30D
ay
M
ort
H
F
30D
ay
M
ort
AM
I30D
ay
R
eadm
H
F
30D
ay
R
eadm
52
77.7
90
77.7
94.3 94.8
66.4
30.6
17
72.1
29.3
94.3 95.2
92.6
80.8
76.4
90.8
70.1
97.8
82.1
PERCENTILE
©2015 Truven Health Analytics. All rights reserved. 3 of 15

4. 50 TOP CARDIOVASCULAR HOSPITALS, 2016 Sample Hospital
City, ST
HOSPITAL COMPARED WITH CARDIO TEACHING BENCHMARK1
AND PEER2
HOSPITALS
AMI PATIENTS
RISK-ADJUSTED MORTALITY INDEX 30-DAY READMISSION RATE (%)
0.00
0.20
0.40
0.60
0.80
1.00
1.20
Profiled
Hospital
Benchmark
Median
Peer
Median
0.97
0.77
0.98
INDEX
Profiled hospital is
statistically AS
expected.
(95% confidence)
▼ DESIRED
DIRECTION
0.0
2.0
4.0
6.0
8.0
10.0
12.0
14.0
16.0
18.0
Profiled
Hospital
Benchmark
Median
Peer
Median
14.9%
16.4%
17.4%
PERCENT
▼ DESIRED
DIRECTION
30-DAY MORTALITY RATE (%)
0.0
2.0
4.0
6.0
8.0
10.0
12.0
14.0
16.0
Profiled
Hospital
Benchmark
Median
Peer
Median
11.9%
12.8%
13.7%
PERCENT
▼ DESIRED
DIRECTION
1 Benchmark Hospitals are the winners in the comparison group: n=15 2 Peer Hospitals are the non-winners in the comparison group: n=214
©2015 Truven Health Analytics. All rights reserved. 4 of 15

5. 50 TOP CARDIOVASCULAR HOSPITALS, 2016 Sample Hospital
City, ST
HOSPITAL COMPARED WITH CARDIO TEACHING BENCHMARK1
AND PEER2
HOSPITALS
AMI PATIENTS
SEVERITY-ADJUSTED AVERAGE LENGTH OF STAY
0.0
1.0
2.0
3.0
4.0
5.0
Profiled
Hospital
Benchmark
Median
Peer
Median
4.70
3.70
4.40
DAYS
▼ DESIRED
DIRECTION
jjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjj
▼ DESIRED
DIRECTION
WAGE- AND SEVERITY-ADJUSTED COST PER CASE
0
2,000
4,000
6,000
8,000
10,000
12,000
Profiled
Hospital
Benchmark
Median
Peer
Median
$7,071
$7,820
$9,992
DOLLARS
▼ DESIRED
DIRECTION
▼ DESIRED
DIRECTION
1 Benchmark Hospitals are the winners in the comparison group: n=15 2 Peer Hospitals are the non-winners in the comparison group: n=214
©2015 Truven Health Analytics. All rights reserved. 5 of 15

6. 50 TOP CARDIOVASCULAR HOSPITALS, 2016 Sample Hospital
City, ST
HOSPITAL COMPARED WITH CARDIO TEACHING BENCHMARK1
AND PEER2
HOSPITALS
HF PATIENTS
RISK-ADJUSTED MORTALITY INDEX 30-DAY READMISSION RATE (%)
0.00
0.20
0.40
0.60
0.80
1.00
1.20
Profiled
Hospital
Benchmark
Median
Peer
Median
0.87
0.77
1.02
INDEX
Profiled hospital is
statistically AS
expected.
(95% confidence)
▼ DESIRED
DIRECTION
0.0
4.0
8.0
12.0
16.0
20.0
24.0
Profiled
Hospital
Benchmark
Median
Peer
Median
20.7% 21.1%
22.3%
PERCENT
▼ DESIRED
DIRECTION
30-DAY MORTALITY RATE (%)
0.0
2.0
4.0
6.0
8.0
10.0
12.0
Profiled
Hospital
Benchmark
Median
Peer
Median
9.9% 9.9%
10.7%
PERCENT
▼ DESIRED
DIRECTION
1 Benchmark Hospitals are the winners in the comparison group: n=15 2 Peer Hospitals are the non-winners in the comparison group: n=214
©2015 Truven Health Analytics. All rights reserved. 6 of 15

7. 50 TOP CARDIOVASCULAR HOSPITALS, 2016 Sample Hospital
City, ST
HOSPITAL COMPARED WITH CARDIO TEACHING BENCHMARK1
AND PEER2
HOSPITALS
HF PATIENTS
SEVERITY-ADJUSTED AVERAGE LENGTH OF STAY SEVERITY-ADJUSTED AVERAGE LENGTH OF STAY
0.0
1.0
2.0
3.0
4.0
5.0
6.0
Profiled
Hospital
Benchmark
Median
Peer
Median
5.50
4.10
4.90
DAYS
▼ DESIRED
DIRECTION
▼ DESIRED
DIRECTION
WAGE- AND SEVERITY-ADJUSTED COST PER CASE WAGE- AND SEVERITY-ADJUSTED COST PER CASE
0
2,000
4,000
6,000
8,000
10,000
Profiled
Hospital
Benchmark
Median
Peer
Median
$6,224
$7,090
$8,619
DOLLARS
▼ DESIRED
DIRECTION
▼ DESIRED
DIRECTION
1 Benchmark Hospitals are the winners in the comparison group: n=15 2 Peer Hospitals are the non-winners in the comparison group: n=214
©2015 Truven Health Analytics. All rights reserved. 7 of 15

8. 50 TOP CARDIOVASCULAR HOSPITALS, 2016 Sample Hospital
City, ST
HOSPITAL COMPARED WITH CARDIO TEACHING BENCHMARK1
AND PEER2
HOSPITALS
CABG PATIENTS
RISK-ADJUSTED MORTALITY INDEX CABG w INTERNAL MAMMARY ARTERY USE (%)
0.00
0.20
0.40
0.60
0.80
1.00
Profiled
Hospital
Benchmark
Median
Peer
Median
0.75 0.72
0.91
INDEX
Profiled hospital is
statistically AS
expected.
(95% confidence)
▼ DESIRED
DIRECTION
0.0
20.0
40.0
60.0
80.0
100.0
Profiled
Hospital
Benchmark
Median
Peer
Median
97.0% 97.8% 95.7%
PERCENT
▲ DESIRED
DIRECTION
RISK-ADJUSTED COMPLICATIONS INDEX
0.00
0.20
0.40
0.60
0.80
1.00
Profiled
Hospital
Benchmark
Median
Peer
Median
0.84 0.85
0.96
INDEX
Profiled hospital is
statistically AS
expected.
(95% confidence)
▼ DESIRED
DIRECTION
1 Benchmark Hospitals are the winners in the comparison group: n=15 2 Peer Hospitals are the non-winners in the comparison group: n=214
©2015 Truven Health Analytics. All rights reserved. 8 of 15

9. 50 TOP CARDIOVASCULAR HOSPITALS, 2016 Sample Hospital
City, ST
HOSPITAL COMPARED WITH CARDIO TEACHING BENCHMARK1
AND PEER2
HOSPITALS
CABG PATIENTS
SEVERITY-ADJUSTED AVERAGE LENGTH OF STAY
0.0
2.0
4.0
6.0
8.0
10.0
12.0
Profiled
Hospital
Benchmark
Median
Peer
Median
9.90
8.10
9.00
DAYS
▼ DESIRED
DIRECTION
WAGE- AND SEVERITY-ADJUSTED COST PER CASE
0
5,000
10,000
15,000
20,000
25,000
30,000
35,000
40,000
Profiled
Hospital
Benchmark
Median
Peer
Median
$32,015 $32,015
$38,980
DOLLARS
▼ DESIRED
DIRECTION
1 Benchmark Hospitals are the winners in the comparison group: n=15 2 Peer Hospitals are the non-winners in the comparison group: n=214
©2015 Truven Health Analytics. All rights reserved. 9 of 15

10. 50 TOP CARDIOVASCULAR HOSPITALS, 2016 Sample Hospital
City, ST
HOSPITAL COMPARED WITH CARDIO TEACHING BENCHMARK1
AND PEER2
HOSPITALS
PCI PATIENTS
RISK-ADJUSTED MORTALITY INDEX SEVERITY-ADJUSTED AVERAGE LENGTH OF STAY
0.00
0.20
0.40
0.60
0.80
1.00
Profiled
Hospital
Benchmark
Median
Peer
Median
0.65
0.82
0.94
INDEX
Profiled hospital is
statistically AS
expected.
(95% confidence)
▼ DESIRED
DIRECTION
0.0
0.5
1.0
1.5
2.0
2.5
3.0
3.5
4.0
Profiled
Hospital
Benchmark
Median
Peer
Median
3.30 3.20
3.60
DAYS
▼ DESIRED
DIRECTION
RISK-ADJUSTED COMPLICATIONS INDEX WAGE- AND SEVERITY-ADJUSTED COST PER CASE
0.00
0.20
0.40
0.60
0.80
1.00
1.20
Profiled
Hospital
Benchmark
Median
Peer
Median
0.77
0.85
0.98
INDEX
Profiled hospital is
statistically AS
expected.
(95% confidence)
▼ DESIRED
DIRECTION
0
4,000
8,000
12,000
16,000
20,000
Profiled
Hospital
Benchmark
Median
Peer
Median
$12,499
$13,808
$18,372
DOLLARS
▼ DESIRED
DIRECTION
1 Benchmark Hospitals are the winners in the comparison group: n=15 2 Peer Hospitals are the non-winners in the comparison group: n=214
©2015 Truven Health Analytics. All rights reserved. 10 of 15

11. 50 TOP CARDIOVASCULAR HOSPITALS, 2016 Sample Hospital
City, ST
HOSPITAL COMPARED WITH CARDIO TEACHING BENCHMARK1
AND PEER2
HOSPITALS
CORE MEASURES
0
20
40
60
80
100
Overall CM
Mean
PCI 90
Min
LVSF
Assess
Peri-Op
Beta B
Stress
Tests*
98 98
100 99
4
98
100 100 99
5
98 98
100 99
5
PERCENT
CORE MEASURE ABBREVIATION KEY:
Overall CM
Mean
Overall Core Measures Mean Percent
PCI 90 Min Heart Attack Patients Given PCI Within 90
Minutes Of Arrival
LVSF Assess Heart Failure Patients Given an Evaluation of
Left Ventricular Systolic (LVS) Function
Peri-Op Beta B Surgery Patients Who Were Taking Heart Drugs
Called Beta Blockers Before Coming to the
Hospital, Who Were Kept on the Beta Blockers
During the Period Just Before and After their
Surgery
Stress Tests Outpatients Who Got Cardiac Imaging Stress
Tests Before Low-Risk Outpatient Surgery
*NOTE: lower percentages are better with this
measure
Profiled Hospital
Benchmark Median
Peer Median
▲ DESIRED DIRECTION
1 Benchmark Hospitals are the winners in the comparison group: n=15 2 Peer Hospitals are the non-winners in the comparison group: n=214
©2015 Truven Health Analytics. All rights reserved. 11 of 15

12. 50 TOP CARDIOVASCULAR HOSPITALS, 2016 Sample Hospital
City, ST
NEW METRICS UNDER CONSIDERATION
This section of your report contains measures that we are currently considering for
future inclusion in the study.
• Valve Patient Group - Clinical Outcome, Efficiency and Cost Measures
• Risk-adjusted mortality index
• Risk-adjusted complications index
• Severity-adjusted length of stay
• Wage- and severity-adjusted cost per case
• Extended Outcome Measures
• 30-day mortality rate for CABG patients
• 30-day readmission rate for CABG patients
• Episode of Care Payment Measures
• 30-day episode payment for AMI patients
• 30-day episode payment for HF patients
We welcome your comments and feedback on the usefulness and relevance of
these measures in assessing leadership's ability to drive high level balanced
performance.
©2015 Truven Health Analytics. All rights reserved. 12 of 15

13. 50 TOP CARDIOVASCULAR HOSPITALS, 2016 Sample Hospital
City, ST
HOSPITAL COMPARED WITH CARDIO TEACHING BENCHMARK1
AND PEER2
HOSPITALS
VALVE PATIENTS
RISK-ADJUSTED MORTALITY INDEX SEVERITY-ADJUSTED AVERAGE LENGTH OF STAY
0.00
0.20
0.40
0.60
0.80
1.00
1.20
Profiled
Hospital
Benchmark
Median
Peer
Median
0.73
0.97 0.98
INDEX
Profiled hospital is
statistically AS
expected.
(95% confidence)
▼ DESIRED
DIRECTION
0.0
2.0
4.0
6.0
8.0
10.0
12.0
Profiled
Hospital
Benchmark
Median
Peer
Median
8.60 8.50
9.80
DAYS
▼ DESIRED
DIRECTION
RISK-ADJUSTED COMPLICATIONS INDEX WAGE- AND SEVERITY-ADJUSTED COST PER CASE
0.00
0.20
0.40
0.60
0.80
1.00
1.20
Profiled
Hospital
Benchmark
Median
Peer
Median
0.93 0.91
0.99
INDEX
Profiled hospital is
statistically AS
expected.
(95% confidence)
▼ DESIRED
DIRECTION
0
10,000
20,000
30,000
40,000
50,000
60,000
Profiled
Hospital
Benchmark
Median
Peer
Median
$39,540
$43,019
$52,089
DOLLARS
▼ DESIRED
DIRECTION
1 Benchmark Hospitals are the winners in the comparison group: n=15 2 Peer Hospitals are the non-winners in the comparison group: n=214
©2015 Truven Health Analytics. All rights reserved. 13 of 15

14. 50 TOP CARDIOVASCULAR HOSPITALS, 2016 Sample Hospital
City, ST
HOSPITAL COMPARED WITH CARDIO TEACHING BENCHMARK1
AND PEER2
HOSPITALS
CABG PATIENTS
30-DAY MORTALITY RATE (%)
0.0
0.4
0.8
1.2
1.6
2.0
2.4
2.8
3.2
Profiled
Hospital
Benchmark
Median
Peer
Median
2.2%
2.7%
2.9%
PERCENT
▼ DESIRED
DIRECTION
jjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjj
▼ DESIRED
DIRECTION
30-DAY READMISSION RATE (%)
0.0
2.0
4.0
6.0
8.0
10.0
12.0
14.0
16.0
Profiled
Hospital
Benchmark
Median
Peer
Median
12.5%
15.4%
14.8%
PERCENT
▼ DESIRED
DIRECTION
▼ DESIRED
DIRECTION
1 Benchmark Hospitals are the winners in the comparison group: n=15 2 Peer Hospitals are the non-winners in the comparison group: n=214
©2015 Truven Health Analytics. All rights reserved. 14 of 15

15. 50 TOP CARDIOVASCULAR HOSPITALS, 2016 Sample Hospital
City, ST
HOSPITAL COMPARED WITH CARDIO TEACHING BENCHMARK1
AND PEER2
HOSPITALS
AMI AND HF PATIENTS
AMI 30-DAY EPISODE PAYMENT
0
4,000
8,000
12,000
16,000
20,000
24,000
Profiled
Hospital
Benchmark
Median
Peer
Median
$20,425
$22,236 $22,886
DOLLARS
▼ DESIRED
DIRECTION
jjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjj
▼ DESIRED
DIRECTION
HF 30-DAY EPISODE PAYMENT
0
2,000
4,000
6,000
8,000
10,000
12,000
14,000
16,000
18,000
Profiled
Hospital
Benchmark
Median
Peer
Median
$15,444
$16,634 $16,489
DOLLARS
▼ DESIRED
DIRECTION
▼ DESIRED
DIRECTION
1 Benchmark Hospitals are the winners in the comparison group: n=15 2 Peer Hospitals are the non-winners in the comparison group: n=214
©2015 Truven Health Analytics. All rights reserved. 15 of 15