2006 Michigan Health and Safety Coalition Consumer Report

Welcome to the Michigan Health and Safety Coalition Consumer Report!


The Michigan Health and Safety Coalition (MH&SC) has prepared the MH&SC Consumer Report since 2002. All Michigan acute care general hospitals are annually invited to respond to a survey about their activities for seven serious medical conditions and care provided in the intensive care unit. The information found in this website provides you with the results of the survey. The results are reported alphabetically by hospital and by treatment area. We publish this report to give consumers an additional source of information when considering options on where to get care for certain conditions.


The MH&SC’s mission is to improve health care quality in Michigan through cost-effective improvements in patient safety. To advance this goal, we produced hospital guidelines for treatment of seven serious medical conditions and care in the intensive care unit. The guidelines are based on evidence from peer-reviewed literature and the input of Michigan based expert clinical panels (ECPs). The guidelines are updated periodically.

Using the Survey Results

The areas of care included in the survey were selected for guideline development based on evidence of a relationship between particular characteristics of a hospital and patient health outcomes and significant employer interest for useful quality indicators in these areas.

The Hospital Guidelines are multi-faceted and include indices that, taken as a whole, represent what the Coalition believes is the best currently available method to measure health care quality. Indices contained within the guidelines include volume of services, structural and process characteristics of facilities where services are provided, and outcomes of care such as mortality and morbidity. Use of any single indicator to gauge overall quality of care in any hospital is potentially misleading to those who may use the information to help guide their health care decisions. When all aspects of the guideline are assessed, however, a more complete and accurate picture of care in hospitals emerges. The Coalition, thus, sees use of the guidelines as one of many important variables to be considered in making decisions about healthcare services.

Within the guidelines, the Expert Clinical Panels included a recommendation that statewide, collaborative databases be developed and implemented so that 1) health care quality can be monitored for continuous improvement, 2) hospital performance can be comparatively measured and shared with consumers, purchasers, and payers and 3) clinicians can participate in a protected peer review process during which they can collaborate with practitioners throughout the state to improve care. These guidelines recommend that physicians and hospitals participate in a collective learning environment for quality improvement.


Hospitals will be categorized into one of the following peer groups based on similar

Peer Group 1 Hospitals with large teaching programs
- 325 or more licensed beds

Peer Groups 2 – 4 Other acute care hospitals

Peer Group 2 - 325 or more licensed beds

Peer Group 3 Meet one of the following two groups of criteria:
- Non-rural ** hospital - less than 325 licensed beds
- Rural** hospital - more than 150 licensed beds

Peer Group 4 - Rural ** hospital - 150 or less licensed beds

Peer Group 5 Rural ** hospital - 100 or less licensed beds
- Total annual admissions of less than 2000***
(*** Total acute care, psychiatric and rehabilitation admissions)

Peer Group 6 Psychiatric hospitals and units
Peer Group 7 Rehabilitation hospitals and units

** United States Census Bureau definition of rural