The following is a summary of the latest quality data updated on CMS Hospital Compare. Data was updated on December 19, 2016.
1. Structural measures
SM-PART-CARD, ACS-REGISTRY, SM-PART-NURSE, SM-PART-GEN-SURG, SM-SS-CHECK, OP-12, OP-17, OP-25 reporting 15Q1-15Q4.
2. HCAHPS measures reporting 15Q2-16Q1
3. Timely & effective care: Cataract surgery outcome reporting 15Q1_15Q4
NEW measure: OP-31 Improvement in Patient’s Visual Function within 90 Days (Following Cataract Surgery Percentage of patients who had cataract surgery and had improvement in visual function within 90 days following the surgery Higher percentages are better)
4. Timely & effective care: Colonoscopy follow-up OP-29, OP-30 reporting 15Q1_15Q4
5. Timely and effective care: AMI
AMI: OP-3b, OP-2, OP-5, OP-4 reporting to 15Q2_16Q1.
ED-1b, ED-2b, OP-18b, OP-20, OP-21, OP-23 reporting 15Q2_16Q1. OP-22, EDV reporting 15Q1_15Q4
7. Preventive care:
IMM-2 reporting 15Q4_16Q1
IMM-3 reporting 15Q4_16Q1
8. Timely & effective care – Stroke care: STK-4 reporting 15Q2_16Q1.
9. Timely & effective care – Blood clot prevention & treatment: VTE-6, VTE-5 reporting 15Q2_16Q1
10. Timely & effective care – Pregnancy & delivery care: PC01 reporting 15Q2_16Q1
11. Complications – Surgical complications
COMP-HIP-KNEE reporting 12Q2_15Q1
PSI-90-SAFETY, PSI-3-ULCER, PSI-4-SURG-COMP, PSI-6-IAT-PTX, PSI-7-CVCBI, PSI-8-POSTHIP, PSI-12-POSTP-PULMEMB-DVT, PSI-13-POST-SEPSIS, PSI-14-POSTOP-DEHIS, PSI-15-ACC-LAC reporting 13Q3_15Q2
(Note: PSI-6-IAT-PTX, PSI-7-CVCBI, PSI-8-POSTHIP, PSI-12-POSTP-PULMEMB-DVT, PSI-13-POST-SEPSIS, PSI-14-POSTOP-DEHIS, PSI-15-ACC-LAC data not posted on Hospital Compare, available only on Data.Medicare.Gov)
12. HAI Measures: HAI-1, HAI-2, HAI-3, HAI-4, HAI-5, HAI-6 reporting 15Q1_15Q4
13. 30 day Readmission Measures:
READM-30-COPD, READM-30-AMI, READM-30-HF, READM-30-PN, READM-30-STK, READM-30-CABG, READM-30-HIP-KNEE reporting 12Q3_15Q2. READM-30-HOSP-WIDE reporting 14Q3_15Q2
14. 30 day Mortality Measures: MORT-30-COPD, MORT-30-AMI, MORT-30-HF, MORT-30-PN, MORT-30-STK, MORT-30-CABG reporting 12Q3_15Q2
15. Outpatient Imaging Efficiency: OP-8, OP-9, OP-10, OP-11, OP-13, OP-14 reporting 14Q3_15Q2
16. Payment & Value of Care
PAYM-30-AMI, PAYM-30-HF, PAYM-30-PN reporting 12Q3_15Q2.
MSPB-1 reporting 15Q1_15Q4