CMS defines star rating eligibility as those hospitals that have a minimum of three performance measures across at least three domains, including one measure domain of mortality, safety of care, or readmission. However, not all of these hospitals are eligible for a star rating. Hospital Compare compiles data regarding the quality of care at over 4500 Medicare-certified hospitals, excluding Veterans Health Administration and Department of Defense hospitals. Then, a weighted summary score is used to determine the overall hospital quality star rating. These adjustments include pre-existing patient characteristics which could increase patients’ risks, such as past medical history, comorbidities, and patient condition at the time of arrival. Performance measures are risk-adjusted, when necessary, to enable a fair comparison across facilities. CMS collects information regarding 57 performance measures, which are categorized into the following seven domains: mortality, safety of care, readmission, patient experience, effectiveness of care, timeliness of care, and efficient use of medical imaging. These performance measures can be obtained from Hospital Compare, a database that provides information on patient hospital care in the USA. CMS currently uses hospital-reported quality performance measures through the Hospital Inpatient Quality Reporting and Hospital Outpatient Quality Reporting programs to assess hospitals’ overall quality star ratings. Quality is a multidimensional feature for hospitals. Hospitals can build on CMS’s quality star ratings to assess areas of potential improvement and implement changes to their practices, services, or facilities with an aim to improve their overall quality rating. Most hospitals’ quality ratings are unimpressive, with the most common score being three stars as of January 2019.
Thus, the five-star quality rating system encourages hospitals to maintain and improve the quality of services they offer to their patients. While the Five-Star Quality Rating System was created for healthcare consumers, it is also vital for hospitals that want to remain profitable, since high ratings attract more patients. This rating system was designed specifically to enable individuals to select and compare hospitals through a method that is easy to comprehend. Each hospital’s overall rating shows how well that hospital has performed as compared with other hospitals in the USA. This program, developed by the Centers for Medicare and Medicaid Services (CMS) and made publicly available in 2016, evaluates the overall performance of hospitals in the USA and assigns a rating to hospitals based on a one-to-five-star scale. Patients in the United States (USA) can make decisions by using information from the Five-Star Quality Rating System for Hospitals. In general, patients often make choices based on a hospital’s perceived reputation. Hospitals can focus their efforts on a subset of model-identified measures, while healthcare consumers can predict quality star ratings for hospitals ineligible under CMS criteria.Ĭhoosing a hospital can be a difficult decision, especially when seeking a high-risk treatment or a life-saving procedure. Twenty performance measures were found to contain all the relevant information to formulate star rating predictions upon accounting for performance measure correlation. Multiple imputation allows for inference of star ratings when information on all measures is not available. Covariate selection reduces the double counting of information from highly correlated measures. An ordered logistic regression approach is proposed to assess associations between performance measures and ratings across eligible ( n = 4519) U.S.
We provide a simpler, more intuitive modeling approach, aligned with recent criticism by stakeholders.
Ratings can be used by healthcare consumers for hospital selection and hospitals for quality improvement. Centers for Medicare and Medicaid Services (CMS) assigns quality star ratings to hospitals upon assessing their performance across 57 measures.
0 kommentar(er)
