Hospital Efficiency – Details on how much was spent on beneficiaries at each hospital during each of three periods of time: between one to three days prior to admission, during the admission and during the 30 days after discharge.Surgical Complication – The percentage of patients admitted for a hip or a knee replacement surgery that had a serious complication.Registry Participation – An expanded listing of the types of registries that each hospital participates in now includes general surgical registries." Excess readmissions," which it describes as "Excess readmissions are measured by a ratio, by dividing a hospital's number of "predicted" 30-day readmissions for heart attack, heart failure, and pneumonia by the number that would be "expected," based on an average hospital with similar patients.".The percentage of all patients admitted to the hospital for any type of care who were readmitted within 30 days, the so-called "all-cause readmission rate.".The percentage of patients who underwent hip or knee surgery who were readmitted within 30 days.The site now displays hospital data on the percentage of medically unnecessary newborn deliveries scheduled between one to three weeks early, either vaginally or by C-section. Under "healthcare and associated infection measures, Hospital Compare has started tracking two more familiar infections.Īlong with the previously reported central-line associated bloodstream and catheter-associated urinary tract, and two kinds of surgical site infections, Hospital Compare now displays hospitals' rates of Clostridium difficile and methicillin-resistant staphylococcus aureus both by number of infections and number of patient days of infection, compared with the hospital's risk-adjusted predicted rate.Įach hospital's rate of infection is characterized as being better than, the same as, or worse than a national benchmark. For example, the site shows how often stroke patients received a prescription for a drug to prevent complications caused by blood clots before discharge and how often stroke patients with a type of irregular heartbeat were given a blood thinner at discharge. Hospitals are also graded on five measures to judge effectiveness of stroke care. This was modified by the American Recovery and Reinvestment Act of 2009 and the Affordable Care Act of 2010, which provided that beginning in fiscal year (FY) 2015, the reduction would be by one-quarter of such applicable annual payment rate update if all Hospital Inpatient Quality Reporting Program requirements are not met.Īdditional information on the Hospital Inpatient Quality Reporting Program can be found at the links listed below.Hospitals are scored on three measures of timeliness of care, such as how often they treated a stroke patient with medication to break up blood clots within three hours of symptoms, how often they delivered drugs to prevent complications within two days of arriving at the hospital and how often they administered drugs to keep blood clots from forming anywhere in the body within two days of arriving at the hospital. The Deficit Reduction Act of 2005 increased that reduction to 2.0 percentage points. Initially, the MMA provided for a 0.4 percentage point reduction in the annual market basket (the measure of inflation in costs of goods and services used by hospitals in treating Medicare patients) update for hospitals that did not successfully report. This section of the MMA authorized CMS to pay hospitals that successfully report designated quality measures a higher annual update to their payment rates. The Hospital Inpatient Quality Reporting Program was originally mandated by Section 501(b) of the Medicare Prescription Drug, Improvement, and Modernization Act (MMA) of 2003. Data for selected measures are also used for paying a portion of hospitals based on the quality and efficiency of care, including the Hospital Value-Based Purchasing Program, Hospital-Acquired Condition Reduction Program, and Hospital Readmissions Reduction Program. The data collected through the program are available to consumers and providers on the Care Compare website at. It is also intended to encourage hospitals and clinicians to improve the quality and cost of inpatient care provided to all patients. Under the Hospital Inpatient Quality Reporting Program, CMS collects quality data from hospitals paid under the Inpatient Prospective Payment System, with the goal of driving quality improvement through measurement and transparency by publicly displaying data to help consumers make more informed decisions about their health care.
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