VALUE OF CARE AT STEPHENS MEMORIAL HOSPITAL

Critical Access Hospital in Norway, ME 04268

Payment and Value of Care

STEPHENS MEMORIAL HOSPITAL
181 Main Street Norway, ME 04268
Phone: (207) 743-5933

The payment and value of care quality measures at Stephens Memorial Hospital 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.

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.

Measure	Hospital Average	How this Hospital Compares
Heart Attack Payments	$21,100 Measure: Heart Attack Payments Sample data was collected between 07/01/2011 and 06/30/2014	No Different than the National Average Payment of $21,791 Payment for heart attack patients.
Heart Failure Payments	$13,308 Measure: Heart Failure Payments Sample data was collected between 07/01/2011 and 06/30/2014	Less than the National Average Payment of $15,223 Payment for heart failure (HF) patients.
Pneumonia Payments	$13,696 Measure: Pneumonia Payments Sample data was collected between 07/01/2011 and 06/30/2014	No Different 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.

Measure	Hospital Average	How this Hospital Compares
Value of Care for Heart Attack	Avg. Mortality: 14.3% Avg. Payment: $21,100	No Different than the National Mortality Average of 14.2% No Different than the National Average Payment of $21,791 Value of care for heart attack patients. Average mortality and average payment.
Value of Care for Heart Failure	Avg. Mortality: 12.5% Avg. Payment: $13,308	No Different than the National Mortality Average of 11.6% Lower than the National Average Payment of $15,223 Value of care for heart failure (HF) patients. Average mortality and lower payment.
Value of Care for Pneumonia	Avg. Mortality: 14.6% Avg. Payment: $13,696	No Different than the National Mortality Average of 11.5% No Different than the National Average Payment of $14,294 Value of care for pneumonia (PN) patients. Average mortality and average payment.