Care Quality for Medicare Enrollees at Safety-Net and Non-Safety-Net Hospitals Is Almost Equal

August 8, 2012

Safety-net hospitals, which include urban hospitals serving large numbers of low-income, uninsured and otherwise vulnerable populations, have historically faced greater financial strains than hospitals that serve more affluent populations. These strains can affect hospitals' quality of care, perhaps resulting in worse outcomes that are commonly used as indicators of care quality -- mortality and readmission rates.

In the journal Health Affairs, researchers compared risk-standardized rates of both of these clinical outcomes among fee-for-service Medicare beneficiaries admitted for acute myocardial infarction, heart failure or pneumonia. These beneficiaries were admitted to urban hospitals within Metropolitan Statistical Areas that contained at least one safety-net and at least one non-safety-net hospital.

  • They found that outcomes varied across the urban areas for both safety-net and non-safety-net hospitals for all three conditions.
  • However, mortality and readmission rates were broadly similar, with non-safety-net hospitals outperforming safety-net hospitals on average by less than one percentage point across most conditions.
  • For heart failure mortality, there was no difference between safety-net and non-safety-net hospitals.

These findings suggest that safety-net hospitals are performing better than many would have expected.

Source: Joseph S. Ross et al., "Based On Key Measures, Care Quality for Medicare Enrollees at Safety-Net and Non-Safety-Net Hospitals Was Almost Equal," Health Affairs, August 2012.

 

Browse more articles on Health Issues