CMS Hospital Compare

2020 ◽  
pp. 138-150
Author(s):  
Kevin D. Masick ◽  
Eric Bouillon
Keyword(s):  
Hospital Compare

scholarly journals Evaluation of Initial Participation in Public Reporting of American College of Surgeons NSQIP Surgical Outcomes on Medicare's Hospital Compare Website

2014 ◽  
Vol 218 (3) ◽  
pp. 374-380.e5 ◽  
Author(s):  
Allison R. Dahlke ◽  
Jeanette W. Chung ◽  
Jane L. Holl ◽  
Clifford Y. Ko ◽  
Ravi Rajaram ◽  
...  
Keyword(s):  
Surgical Outcomes ◽  
Public Reporting ◽  
American College Of Surgeons ◽  
Hospital Compare

scholarly journals Does a Reduction in Readmissions Result in Net Savings for Most Hospitals? An Examination of Medicare’s Hospital Readmissions Reduction Program

2018 ◽  
Vol 77 (4) ◽  
pp. 334-344 ◽  
Author(s):  
Olga Yakusheva ◽  
Geoffrey J. Hoffman
Keyword(s):  
Program Effectiveness ◽  
Hospital Readmissions ◽  
Fiscal Year ◽  
Medicare Reimbursement ◽  
Data Set ◽  
Average Hospital ◽  
Reduction Program ◽  
Program Costs ◽  
Hospital Compare ◽  
The Impact

This study aimed (1) to estimate the impact of an incremental reduction in excess readmissions on a hospital’s Medicare reimbursement revenue, for hospitals subject to penalties under the Medicare’s Hospital Readmissions Reduction Program and (2) to evaluate the economic case for an investment in a readmission reduction program. For 2,465 hospitals with excess readmissions in the Fiscal Year 2016 Hospital Compare data set, we (1) used the Hospital Readmissions Reduction Program statute to estimate hospital-specific Medicare reimbursement gains per an avoided readmission and (2) carried out a pro forma analysis of investment in a broad-scale readmission reduction program under conservative assumptions regarding program effectiveness and using program costs from earlier studies. For an average hospital, avoiding one excess readmission would result in reimbursement gains of $10,000 to $58,000 for Medicare discharges. The economic case for investments in a readmission reduction effort was strong overall, with the possible exception of hospitals with low excess readmissions.

Association of Hospital Characteristics With Early SEP-1 Performance

2019 ◽  
Vol 35 (2) ◽  
pp. 110-116 ◽  
Author(s):  
Jeff Liao ◽  
Emily Aaronson ◽  
Jungyeon Kim ◽  
Xiu Liu ◽  
Colleen Snydeman ◽  
...  
Keyword(s):  
Case Mix ◽  
Linear Modeling ◽  
For Profit ◽  
Case Mix Index ◽  
Teaching Status ◽  
Acute Hospitals ◽  
Patient Complexity ◽  
Hospital Compare ◽  
Teaching Intensity ◽  
Hospital Characteristics

A variety of hospital characteristics, including teaching status, ownership, location, and size, have been shown to be associated with quality measure performance. The association of hospital characteristics, including teaching intensity, with performance on the Centers for Medicare & Medicaid Services (CMS) SEP-1 sepsis measure has not been well studied. Utilizing a statewide, all-payer database and the CMS Hospital Compare database, this study investigated the association of various hospital characteristics with early SEP-1 performance in 48 acute hospitals in Massachusetts. Hospital teaching intensity and Magnet designation did not have a statistically significant association with SEP-1 performance in multivariable linear modeling. However, SEP-1 performance was higher in smaller, for-profit hospitals with higher case mix index. This finding suggests that emergency department activity, hospital ownership, and patient complexity should be studied further across a larger geographic spectrum and longitudinally as hospitals implement efforts to reduce morbidity associated with sepsis.

Quality and Safety Performance in Teaching Hospitals

2006 ◽  
Vol 72 (11) ◽  
pp. 1051-1054
Author(s):  
Richard M. Knapp
Keyword(s):  
Pay For Performance ◽  
Surgical Care ◽  
Hospital Performance ◽  
Teaching Hospitals ◽  
Improvement Project ◽  
Specific Patient ◽  
Surgical Services ◽  
Surgical Care Improvement Project ◽  
Care Improvement ◽  
Hospital Compare

The Hospital Quality Alliance created a vehicle to display Hospital Performance data which is known as Hospital Compare. Overall, the data shows that teaching hospitals perform very well in the areas of Heart Failure and Heart Attack and not as well in Pneumonia care. Unique issues at teaching hospitals, such as timing for specific patient services, continue to be a concern in achieving high scores relative to their non-teaching peers. Most hospitals and specifically surgical services will be challenged in the upcoming years with the addition of the Surgical Care Improvement Project (SCIP) measures as we move into the pay-for-performance era.

scholarly journals Association Between Medicare Star Ratings for Patient Experience and Medicare Spending per Beneficiary for US Hospitals

2017 ◽  
Vol 4 (1) ◽  
pp. 17-21 ◽  
Author(s):  
Stephen Trzeciak ◽  
John P Gaughan ◽  
Joshua Bosire ◽  
Mark Angelo ◽  
Adam S Holzberg ◽  
...  
Keyword(s):  
Patient Experience ◽  
Hospital Patient ◽  
Medicare Beneficiaries ◽  
Hospital Level ◽  
Data Set ◽  
Case Mix Index ◽  
Episode Of Care ◽  
Lower Health ◽  
Hospital Compare ◽  
Medicare Spending

Objective: To test the association between patient experience and Centers for Medicare and Medicaid Services (CMS) spending at the hospital level. Methods: Using CMS Hospital Compare data set, we analyzed 2014 data for CMS patient experience star ratings and the hospital Medicare Spending per Beneficiary (MSPB) Measure, which assesses price-standardized, risk-adjusted payments for services provided to Medicare beneficiaries for an episode of care from 3 days before hospital admission to 30 days following discharge. We tested the association using linear regression, adjusting for complexity of care using hospital Case Mix Index (CMI) and for socioeconomic status of the hospital patient population using Disproportionate Share Hospital (DSH) status. Results: The MSPB decreased with increasing hospital patient experience ratings. After adjustment for CMI and DSH, better hospital patient experience was associated with lower spending per episode (5.6% decrease from the lowest to highest patient experience star rating). Conclusion: We found that better hospital patient experience was associated with lower health-care spending. Further research is needed to define what specific elements and phases of the episode of care are driving the association.

Correlations Among Hospital Quality Measures: What “Hospital Compare” Data Tell Us

2016 ◽  
Vol 32 (6) ◽  
pp. 605-610 ◽  
Author(s):  
Jianhui Hu ◽  
Jack Jordan ◽  
Ilan Rubinfeld ◽  
Michelle Schreiber ◽  
Brian Waterman ◽  
...  
Keyword(s):  
Health Care ◽  
Health Care Providers ◽  
Consumer Choice ◽  
Quality Measures ◽  
Global Rating ◽  
Care Providers ◽  
Rating Systems ◽  
Global Quality ◽  
Reported Data ◽  
Hospital Compare

A number of quality rating systems to rank health care providers have been developed over the years with the intention of helping consumers make informed health care purchasing decisions. Many use sets of individual quality measures to calculate a global rating. The utility of a global rating for consumer choice hinges on the relationships among included measures and the extent to which they jointly reflect an underlying dimension of quality. Publicly reported data on 4 quality domains—complication, mortality, readmission, and patient safety—from Centers for Medicare & Medicaid Services’ Hospital Compare website were used to examine correlations among individual measures within each measure group (within-group correlations) and correlations between pairs of measures across different measure groups (between-group correlations). Modest within-group correlations were found in only 2 domains (mortality and readmission), and there were no meaningful between-group associations. These findings raise questions about whether consumers can reliably depend on global quality ratings to make informed decisions.

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