VALUE OF CARE AT CHOCTAW NATION HEALTH SERVICES AUTHORITY

Acute Care Hospital in Talihina, OK 74571

Payment and Value of Care

CHOCTAW NATION HEALTH SERVICES AUTHORITY
1 Choctaw Way Talihina, OK 74571
Phone: (918) 567-7000

The payment and value of care quality measures at Choctaw Nation Health Services Authority evaluate the Medicare spending per beneficiary during an inpatient hospital admission through 30 days after discharge. The following measures are price-standardized and risk-adjusted: payment for heart attack, payment for heart failure patients and payment for pneumonia patients. The measures include patients 65 years or older who were enrolled in Medicare for 12 months prior to their hospitalization and 30 days after admission.

The payment measures include: payment for heart attacks, payment for heart failure patients and payment for pneumonia patients. The value of care combines measures of payment and the patient mortality rate to assess the value of care.

Medicare spending per beneficiary

MeasureHospital AverageHow this Hospital Compares
Medicare Spending per BeneficiaryHospital Rate: 0.81 Measure: Medicare Spending per Beneficiary
Sample data was collected between 01/01/2014 and 12/31/2014
National Rate: 0.98
Medicare spends LESS per patient for an episode of care initiated at this hospital than it does per episode of care across all inpatient hospitals nationally.


Medicare spending per beneficiary performance rate.

Payment of Care

The payment of care measures add up all payments made to treat medical conditions starting the day the patient is hospitalized and continuing for the next 30 days. Patients admitted for a medical condition like a heart attack, heart failure, or pneumonia might need different tests, treatments, and services. The payment measures include payments made to the hospital, doctors, nurses, hospices and patient co-payments made during this time.

MeasureHospital AverageHow this Hospital Compares
Heart Attack PaymentsNot Available Measure: Heart Attack Payments
Sample data was collected between 07/01/2011 and 06/30/2014
Number of Cases Too Small

Payment for heart attack patients. [1]

Heart Failure PaymentsNot Available Measure: Heart Failure Payments
Sample data was collected between 07/01/2011 and 06/30/2014
Number of Cases Too Small

Payment for heart failure (HF) patients. [1]

Pneumonia Payments$11,422 Measure: Pneumonia Payments
Sample data was collected between 07/01/2011 and 06/30/2014
Less than the National Average Payment of $14,294

Payment for pneumonia (PN) patients.

Value of Care

The value of care measures consider the payment amounts and the mortality rates to evaluate the quality of care received. The value of care is evaluated for heart attack, heart failure and pneumonia patients. National benchmarks help patients compare if a hospital’s death rate was better than, no different than, or worse than the national rate. Similarly, patients can compare if a hospital’s payment per condition is less than, no different than, or greater than the national average payment.

MeasureHospital AverageHow this Hospital Compares
Value of Care for PneumoniaAvg. Mortality: 11.3%
Avg. Payment: $11,422
No Different than the National Mortality Average of 11.5%
Lower than the National Average Payment of $14,294


Value of care for pneumonia (PN) patients. Average mortality and lower payment.

Footnotes:
  • [1] The number of cases/patients is too few to report.