Detailed Medical Group and Clinic Level Tables
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1 APPENDIX Detailed Medical Group and Clinic Level Tables ORTHOPEDIC SURGERY MEASURES 2018 MINNESOTA HEALTH CARE QUALITY REPORT RELEASED FEBRUARY 2019 mncm.org mnhealthscores.org
2 TABLE OF CONTENTS 2 Measures by Medical Group: Spine Surgery 2 Lumbar Fusion: Patients Assessed Functional Status Before AND After Surgery Using Oswestry Disability Index (ODI) 3 Lumbar Fusion: Patients Assessed Quality Of Life Before AND After Surgery Using Promis Global Health 10 Tool 4 Lumbar Fusion: Patients Receiving Visual Analog Scale (VAS) Tool to Assess Back Pain Before AND After Surgery 5 Lumbar Fusion: Patients Receiving Visual Analog Scale (VAS) Tool to Assess Leg Pain Before AND After Surgery 6 Lumbar Fusion: Average Change in Patient Reported Functional Status at One Year After Surgery 7 Lumbar Fusion: Average Change in Patient Reported Quality of Life (Physical Health Status) at One Year After Surgery 8 Lumbar Fusion: Average Change in Patient Reported Quality of Life (Mental Health Status) at One Year After Surgery 9 Lumbar Fusion: Average Change in Patient Reported Back Pain at One Year After Surgery 10 Lumbar Fusion: Average Change in Patient Reported Leg Pain at One Year After Surgery 11 Measures by Medical Group: Total Knee Replacement 11 Total Knee Replacement: Patients Assessed Functional Status Before AND After Surgery Using Oxford Knee Scale (OKS) Tool 12 Total Knee Replacement: Patients Assessed Quality of Life Before AND After Surgery Using Promis Global Health 10 Tool 13 Total Knee Replacement: Average Change in Patient Reported Functional Status at One Year After Surgery 14 Total Knee Replacement: Average Change in Patient Reported Quality of Life (Physical Health Status) at One Year After Surgery 15 Total Knee Replacement: Average Change in Patient Reported Quality of Life (Mental Health Status) at One Year After Surgery 1 APPENDIX: ORTHOPEDIC SURGERY MEASURES
3 MEASURES BY MEDICAL GROUP: SPINE SURGERY Lumbar Fusion: Patients Assessed Functional Status Before AND After Surgery Using Oswestry Disability Index (ODI) MEDICAL GROUP Performance Patients Rate 95% Lower 95% Upper Essentia Health % 38.10% 50.51% Fairview Health Services % 11.71% 23.16% HealthPartners Clinics % 42.91% 57.65% KIM Neurosurgery PLLC % 47.09% 72.97% Mayo Clinic % 17.30% 25.00% Park Nicollet Health Services % 44.32% 62.97% Sanford Health - Fargo Region % 9.57% 17.53% The Orthopaedic & Fracture Clinic % 34.31% 58.21% Twin Cities Spine Center % 59.33% 65.46% University of Minnesota Physicians % 18.08% 40.83% 2 APPENDIX: ORTHOPEDIC SURGERY MEASURES Above Average/Expected Below
4 Lumbar Fusion: Patients Assessed Quality Of Life Before AND After Surgery Using Promis Global Health 10 Tool MEDICAL GROUP Performance Patients Rate 95% Lower 95% Upper Essentia Health % 35.30% 47.61% Fairview Health Services % 0.00% 2.32% HealthPartners Clinics % 20.05% 33.02% KIM Neurosurgery PLLC % 45.17% 71.25% Mayo Clinic % 27.45% 36.26% Park Nicollet Health Services % 28.22% 46.28% Sanford Health - Fargo Region % 5.03% 11.35% The Orthopaedic & Fracture Clinic % 35.78% 59.73% Twin Cities Spine Center % 29.64% 35.57% University of Minnesota Physicians % 16.65% 38.98% 3 APPENDIX: ORTHOPEDIC SURGERY MEASURES Above Average/Expected Below
5 Lumbar Fusion: Patients Receiving Visual Analog Scale (VAS) Tool to Assess Back Pain Before AND After Surgery MEDICAL GROUP Performance Patients Rate 95% Lower 95% Upper Essentia Health % 34.90% 47.20% Fairview Health Services % 0.00% 2.32% HealthPartners Clinics % 35.64% 50.23% KIM Neurosurgery PLLC % 49.03% 74.68% Mayo Clinic % 8.81% 14.88% Park Nicollet Health Services % 41.56% 60.26% Sanford Health - Fargo Region % 0.00% 1.37% The Orthopaedic & Fracture Clinic % 35.78% 59.73% Twin Cities Spine Center % 54.79% 61.04% University of Minnesota Physicians % 0.00% 6.31% 4 APPENDIX: ORTHOPEDIC SURGERY MEASURES Above Average/Expected Below
6 Lumbar Fusion: Patients Receiving Visual Analog Scale (VAS) Tool to Assess Leg Pain Before AND After Surgery MEDICAL GROUP Performance Patients Rate 95% Lower 95% Upper Essentia Health % 34.90% 47.20% Fairview Health Services % 0.00% 2.32% HealthPartners Clinics % 35.64% 50.23% KIM Neurosurgery PLLC % 49.03% 74.68% Mayo Clinic % 8.81% 14.88% Park Nicollet Health Services % 43.40% 62.07% Sanford Health - Fargo Region % 0.00% 1.37% The Orthopaedic & Fracture Clinic % 35.78% 59.73% Twin Cities Spine Center % 53.43% 59.70% University of Minnesota Physicians % 0.00% 6.31% 5 APPENDIX: ORTHOPEDIC SURGERY MEASURES Above Average/Expected Below
7 Lumbar Fusion: Average Change in Patient Reported Functional Status at One Year After Surgery MEDICAL GROUP Performance Patients Actual Expected Actual / Expected Ratio Essentia Health HealthPartners Clinics KIM Neurosurgery PLLC Mayo Clinic Park Nicollet Health Services Sanford Health - Fargo Region Twin Cities Spine Center APPENDIX: ORTHOPEDIC SURGERY MEASURES Above Average/Expected Below
8 Lumbar Fusion: Average Change in Patient Reported Quality of Life (Physical Health Status) at One Year After Surgery MEDICAL GROUP Performance Patients Actual Expected Actual / Expected Ratio Essentia Health HealthPartners Clinics KIM Neurosurgery PLLC Mayo Clinic Park Nicollet Health Services The Orthopaedic & Fracture Clinic Twin Cities Spine Center APPENDIX: ORTHOPEDIC SURGERY MEASURES Above Average/Expected Below
9 Lumbar Fusion: Average Change in Patient Reported Quality of Life (Mental Health Status) at One Year After Surgery MEDICAL GROUP Performance Patients Actual Expected Actual / Expected Ratio Essentia Health HealthPartners Clinics KIM Neurosurgery PLLC Mayo Clinic Park Nicollet Health Services The Orthopaedic & Fracture Clinic Twin Cities Spine Center APPENDIX: ORTHOPEDIC SURGERY MEASURES Above Average/Expected Below
10 Lumbar Fusion: Average Change in Patient Reported Back Pain at One Year After Surgery MEDICAL GROUP Performance Patients Average Change 95% Lower 95% Upper Essentia Health HealthPartners Clinics KIM Neurosurgery PLLC Mayo Clinic Park Nicollet Health Services The Orthopaedic & Fracture Clinic Twin Cities Spine Center APPENDIX: ORTHOPEDIC SURGERY MEASURES Above Average/Expected Below
11 Lumbar Fusion: Average Change in Patient Reported Leg Pain at One Year After Surgery MEDICAL GROUP Performance Patients Average Change 95% Lower 95% Upper Essentia Health HealthPartners Clinics KIM Neurosurgery PLLC Mayo Clinic Park Nicollet Health Services The Orthopaedic & Fracture Clinic Twin Cities Spine Center APPENDIX: ORTHOPEDIC SURGERY MEASURES Above Average/Expected Below
12 MEASURES BY MEDICAL GROUP: TOTAL KNEE REPLACEMENT Total Knee Replacement: Patients Assessed Functional Status Before AND After Surgery Using Oxford Knee Scale (OKS) Tool MEDICAL GROUP Performance Patients Rate 95% Lower 95% Upper Affiliated Community Medical Centers % 52.54% 80.92% Allina Health % 21.31% 26.87% Altru Health System % 27.14% 42.76% Avera Medical Group % 37.33% 55.65% Bigfork Valley Hospital, Clinics & Communities % 0.45% 13.18% Community Memorial Hospital % 0.00% 4.48% Cuyuna Regional Medical Center % 0.00% 2.06% Essentia Health % 10.56% 14.87% Fairview Health Services % 39.43% 51.61% Grand Itasca Clinic % 58.62% 81.16% HealthPartners Clinics % 56.91% 64.79% Heartland Orthopedic Specialists % 37.01% 46.69% Hennepin County Medical Center (HCMC) Clinics % 0.54% 6.93% Hutchinson Health % 24.29% 39.90% Lake Region Healthcare % 26.16% 41.38% Little Falls Orthopedics % 60.14% 72.61% Mayo Clinic 1, % 19.29% 23.30% Mayo Clinic Health System % 39.79% 47.22% Minneapolis Orthopaedics % 0.00% 8.76% Northern Orthopedics, Ltd % 51.34% 60.84% Northfield Hospital + Clinics % 21.28% 35.63% Olmsted Medical Center % 64.06% 76.91% Park Nicollet Health Services 1, % 35.54% 40.92% RiverView Health % 0.00% 9.18% Riverwood Healthcare Center % 6.36% 19.88% Sanford Health - Fargo Region 1, % 8.50% 11.75% St. Luke's Clinics % 0.30% 3.90% Summit Orthopedics 1, % 7.28% 10.19% The Orthopaedic & Fracture Clinic % 45.08% 53.91% University of Minnesota Physicians % 5.51% 12.40% Winona Health Services % 0.55% 15.74% 11 APPENDIX: ORTHOPEDIC SURGERY MEASURES Above Average/Expected Below
13 Total Knee Replacement: Patients Assessed Quality of Life Before AND After Surgery Using Promis Global Health 10 Tool Medical Group Performance Patients Rate 95% Lower 95% Upper Affiliated Community Medical Centers % 44.72% 74.40% Allina Health % 17.73% 22.96% Altru Health System % 27.14% 42.76% Avera Medical Group % 27.98% 45.67% Bigfork Valley Hospital, Clinics & Communities % 0.45% 13.18% Community Memorial Hospital % 18.44% 37.30% Cuyuna Regional Medical Center % 0.10% 3.03% Essentia Health % 9.44% 13.57% Fairview Health Services % 35.60% 47.66% Grand Itasca Clinic % 12.04% 32.27% HealthPartners Clinics % 57.08% 64.96% Heartland Orthopedic Specialists % 33.08% 42.60% Hennepin County Medical Center (HCMC) Clinics % 0.54% 6.93% Hutchinson Health % 22.93% 38.34% Lake Region Healthcare % 26.79% 42.09% Little Falls Orthopedics % 0.00% 1.75% Mayo Clinic 1, % 23.89% 28.19% Mayo Clinic Health System % 38.35% 45.74% Minneapolis Orthopaedics % 0.00% 8.76% Northern Orthopedics, Ltd % 47.96% 57.53% Northfield Hospital + Clinics % 21.89% 36.35% Olmsted Medical Center % 57.50% 71.02% Park Nicollet Health Services 1, % 35.85% 41.24% RiverView Health % 0.00% 9.18% Riverwood Healthcare Center % 7.21% 21.24% Sanford Health - Fargo Region 1, % 4.09% 6.48% St. Luke s Clinics % 0.56% 4.71% Summit Orthopedics 1, % 0.00% 0.27% The Orthopaedic & Fracture Clinic % 41.04% 49.83% University of Minnesota Physicians % 6.48% 13.78% Winona Health Services % 0.55% 15.74% 12 APPENDIX: ORTHOPEDIC SURGERY MEASURES Above Average/Expected Below
14 Total Knee Replacement: Average Change in Patient Reported Functional Status at One Year After Surgery MEDICAL GROUP Performance Patients Actual Expected Actual / Expected Ratio Allina Health Altru Health System Avera Medical Group Essentia Health Fairview Health Services Grand Itasca Clinic HealthPartners Clinics Heartland Orthopedic Specialists Hutchinson Health Lake Region Healthcare Little Falls Orthopedics Mayo Clinic Mayo Clinic Health System Northern Orthopedics, Ltd Northfield Hospital + Clinics Olmsted Medical Center Park Nicollet Health Services Sanford Health - Fargo Region Summit Orthopedics The Orthopaedic & Fracture Clinic APPENDIX: ORTHOPEDIC SURGERY MEASURES Above Average/Expected Below
15 Total Knee Replacement: Average Change in Patient Reported Quality of Life (Physical Health Status) at One Year After Surgery MEDICAL GROUP Performance Patients Actual Expected Actual / Expected Ratio Allina Health Altru Health System Avera Medical Group Essentia Health Fairview Health Services HealthPartners Clinics Heartland Orthopedic Specialists Hutchinson Health Lake Region Healthcare Mayo Clinic Mayo Clinic Health System Northern Orthopedics, Ltd Northfield Hospital + Clinics Olmsted Medical Center Park Nicollet Health Services Sanford Health - Fargo Region The Orthopaedic & Fracture Clinic APPENDIX: ORTHOPEDIC SURGERY MEASURES Above Average/Expected Below
16 Total Knee Replacement: Average Change in Patient Reported Quality of Life (Mental Health Status) at One Year After Surgery MEDICAL GROUP Performance Patients Actual Expected Actual / Expected Ratio Allina Health Altru Health System Avera Medical Group Essentia Health Fairview Health Services HealthPartners Clinics Heartland Orthopedic Specialists Hutchinson Health Lake Region Healthcare Mayo Clinic Mayo Clinic Health System Northern Orthopedics, Ltd Northfield Hospital + Clinics Olmsted Medical Center Park Nicollet Health Services Sanford Health - Fargo Region The Orthopaedic & Fracture Clinic APPENDIX: ORTHOPEDIC SURGERY MEASURES Above Average/Expected Below
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