The following is a summary of the latest quality data updated on CMS Hospital Compare. Data was updated on July 26, 2017.
Note:
– CMS did not update the Overall Hospital Quality Star Rating in July 2017. It will be refreshed in October 2017.
– Due to data issues, data for the following measures were suppressed for the July 2017 update:
• Healthcare Associated Infection (HAI)-1 and HAI-2 (for all hospitals)
• HAI-6 measure data (for hospitals with inaccurate data)
– Patient Safety Indicator (PSI)-90 data were not refreshed in July 2017. The data will be updated in October 2017.
1. Structural measures (7 measures)
- 1 measure (ACS Registery) data updated to report data for reporting time period 15Q3_16Q2. (Data updated quarterly)
- 6 measures (SS_SS_CHECK, SM-PART-NURSE, SM-PART-GEN-SURG, OP_25, OP_12, OP-17) data reporting time period remains unchanged reporting data through 15Q1_15Q4. (Data updated annually in December)
2. HCAPHS: (32 measures updated quarterly) data updated to report data through 15Q4_16Q3
3.Timely & effective care: Cataract surgery outcome (1 measure updated annually in December)
- 1 measure (OP-31) data reporting time period remains unchanged reporting data through 15Q1_15Q4
4. Timely & effective care – Colonoscopy follow-up (2 measures updated annually in December)
- 2 measures (OP-29, OP-30) data reporting time period remains unchanged reporting data through 15Q1_15Q4
5. Timely & effective care: Heart Attack (4 measures updated quarterly)
- 4 measures (OP-3b, OP-5, OP_4 OP_2) data updated to report data through 15Q4_16Q3* (*Note, in previous data release in April, only three quarters of data was displayed: 15Q3_16Q1. The first display of Q2 2016 data is included in this July release.)
6. Timely & effective care – Emergency Department (8 measures)
- 2 measures (EDV, OP-22 updated annually in December) data reporting time period remains unchanged reporting data through 15Q1_15Q4
- 2 measures (ED-1b, ED-2b updated quarterly) data updated to report data through 15Q4_16Q3
- 4 measures (OP-18b, OP-20, OP-21, OP-23 updated quarterly) data updated to report data through 15Q4_16Q3* (*Note, in previous data release in April, only three quarters of data was displayed: 15Q3_16Q1. The first display of Q2 2016 data is included in this July release.)
7. Timely & effective care – Preventive care (2 measures)
- 2 measures (IMM-2 – updated annually in December, IMM-3 – updated annually in October) data reporting time period remains unchanged reporting data through 15Q4_16Q1
8. Timely & effective care – Stroke care (1 measure updated quarterly)
- 1 measure (STK-4) data updated to report data through 15Q4_16Q3
9. Timely & effective care – Blood clot prevention & treatment (2 measures updated quarterly)
- 2 measures (VTE-6, VTE-5) data updated to report data through 15Q4_16Q3
10. Timely & effective care – Pregnancy & delivery care (1 measure updated quarterly)
- 1 measure (PC-01) data updated to report data through 15Q4_16Q3
11. Complications – Surgical complications (11 measures updated annually in July)
- 1 measure (COMP-HIP-KNEE) data updated to report data through 13Q2_16Q1
- 10 measures (PSI-90-SAFETY, PSI-3-ULCER, PSI-4-SURG-COMP, PSI-6-IAT-PTX, PSI-7-CVCBI, PSI-8-POST-HIP, PSI-12-POSTOP-PULMEMB-DVT, PSI-13-POST-SEPSIS, PSI-14-POSTOP-DEHIS, PSI-15-ACC-LAC) data updated to report data through 13Q3_15Q2
12. Complications – HAI (6 measures updated quarterly)
- 6 measures (HAI-1, HAI-2, HAI-3, HAI-4, HAI-5, HAI-6) data updated to report data through 15Q4_16Q3
13. Hospital returns – 30 day unplanned readmissions & hospital return days (10 measures updated annually in July )
- 2 measures* – (*new measures EDAC-30-AMI, EDAC-30-HF) reporting data through 13Q3_16Q2
- 7 measures (READM-30-COPD, READM-30-AMI, READM-30-HF, READM-30-PN, READM-30-STK, READM-30-CABG, READM-30-HIP-KNEE) data updated to report data through 13Q3_16Q2
- 1 measure (READM-30-HOSP-WIDE) data updated to report data through 15Q3_16Q2
14. Complications & deaths – 30 day death rates (6 measures updated annually in July)
- 6 measures (MORT-30-COPD, MORT-30-AMI, MORT-30-HF, MORT-30-PN, MORT-30-STK, MORT-30-CABG) data updated to report data through 13Q3_16Q2
15. Use of medical imaging – Outpatient imaging efficiency (6 measures updated annually in July)
- 6 measures (OP-8, OP-9, OP-10, OP-11, OP-13, OP-14) data updated to report data through 15Q3_16Q2
16. Payment & value of care (5 measures)
- 1 measure (MSPB-1 updated annually in December) data reporting time period remains unchanged reporting data through 15Q1_15Q4
- 3 measures (PAYM-30-AMI, PAYM-30-HF, PAYM-30-PN updated annually in July) data updated to report data through 13Q3_16Q2
- 1 measure (PAYM-90-HIP-KNEE updated annually in July) data updated to report data through 13Q2_16Q1
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Data Update for VHA Hospitals
Note: VA hospitals have a different data collection period for some measures
1. Complications – Surgical complications (12 measures updated quarterly (until 36 months of data) then Annually July )
- 12 measures (PSI-4-SURG-COMP, PSI-6-IAT-PTX, PSI-7-CVCBI, PSI-8-POST-HIP, PSI-12-POSTOP-PULMEMB-DVT, PSI-13-POST-SEPSIS, PSI-14-POSTOP-DEHIS, PSI-15-ACC-LAC, PSI-3, PSI-9, PSI-10, PSI-11) reporting data through 15Q4_16Q4
2. Readmissions & deaths- 30 day rates of readmission (4 measures updated annually in July)
- 4 measures (READM-30-COPD, READM-30-AMI, READM-30-HF, READM-30-PN) reporting data through 12Q4_15Q3
3. Readmissions & deaths- 30-day death (mortality) rates (4 measures updated annually in July)
- 4 measures (MORT-30-COPD, MORT-30-AMI, MORT-30-HF, MORT-30-PN) reporting data through 12Q4_15Q3