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Hospital Quality Data Refresh on Medicare Care Compare Website

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The following is a summary of the latest quarterly data update on Medicare Care Compare – Hospitals, data updated July 2021.  As reported in November 2020 (AHT 11/18/20), Centers for Medicare & Medicaid Services (CMS) did not update the overall hospital quality star ratings at Hospital Compare in January 2021 to allow time to review public comment and finalize proposed changes to the star ratings methodology.

1. Structural measures (3 measures)
3 measures (ACS-Registry, OP-12, OP-17) reporting data as follows:

ACS-Registry reporting data 18Q4_19Q3,
** OP-12, OP-17 reporting data through 18Q1_18Q4
** (ACS-Registry data updated quarterly, OP-12, OP-17 data updated annually in January)

2. HCAPHS: (29 measures) reporting data through 19Q1_19Q4 (data updated quarterly)

3. Timely & effective care: Sepsis care (1 measure)
1 measure (SEP-1) reporting data 19Q4_20Q3 (data updated quarterly)

4. Timely & effective care: Cataract surgery outcome (1 measure)
1 measure (OP-31) reporting data through 19Q1_19Q4 (data updated annually in January)

5. Timely & effective care – Colonoscopy follow-up (1 measure)
1 measure (OP-29) reporting data through 19Q1_19Q4 (data updated annually in January)
Note: 1 measure OP-30 not reported

6. Timely & effective care: Heart Attack (2 measures)
2 measures (OP-3b, OP-2) data updated to report data through 19Q4_20Q3 (data updated quarterly)

7. Timely & effective care – Emergency Department (6 measures)
2 measures (EDV, OP-22) reporting data through 19Q1_19Q4 (data updated annually in January)
4 measures (ED-2b, OP-18b, OP-18c, OP-23) data updated to report data through 19Q4_20Q3 (data updated quarterly)
Note: 1 measure OP-18c (Average (median) time psychiatric or other mental health patients spent in the emergency department before leaving from the visit) data not posted on Hospital Compare, but available on data.medicare.gov

8. Timely & effective care – Preventive care (1 measure)
1 measure (IMM-3-FAC-ADHPCT) reporting data through 19Q4_20Q1 (data updated annually in October)

9. Timely & effective care – Pregnancy & delivery care (1 measure)
1 measure (PC-01) reporting data through 19Q4_20Q3 (data updated quarterly)

10. Timely and Effective Care – Cancer care (1 measure)
1 measure (OP-33) reporting data for 19Q1_19Q4 (data updated annually in January)

11. Timely and Effective Care – Use of medical imaging (3 measures)
3 measures (OP-8, OP-10, OP-13) reporting data through 19Q3_19Q4 (data updated annually in July)

12. Complications – Surgical complications (13 measures)
1 measure (COMP-HIP-KNEE) reporting data through 17Q2_19Q4 (data updated annually in July)
12 measures (PSI-90-SAFETY, PSI-3-ULCER, PSI-4-SURG-COMP, PSI-6-IAT-PTX, PSI-8-POST-HIP, PSI-9-POST-HEM, PSI-10-POST-KIDNEY, PSI-11-POST-RESP, PSI-12-POSTOP-PULMEMB-DVT, PSI-13-POST-SEPSIS, PSI-14-POSTOP-DEHIS, PSI-15-ACC-LAC.) data updated, reporting data through 17Q3_19Q2 (data updated annually in July)

13. Complications & deaths – Infections (6 measures)
6 measures (HAI-1, HAI-2, HAI-3, HAI-4, HAI-5, HAI-6) data updated to report data through 19Q4_20Q3 (data updated quarterly)

14. Unplanned Hospital Visits – including 30 day rates of readmission (14 measures)
1 measure (OP-32) reporting data through 17Q1_19Q4 (data updated annually in January)
3 measures (OP-35-ADM, OP-35-ED, OP-36) reporting data through 19Q1_19Q4 (data updated annually in January)
9 measures (READM-30-COPD, READM-30-AMI, READM-30-HF, READM-30-PN, READM-30-CABG, READM-30-HIP-KNEE, EDAC-30-AMI, EDAC-30-HF, EDAC-30-PN) reporting data through 17Q3_19Q4 (data updated annually in July)
1 measure (READM-30-HOSP-WIDE) reporting data through 19Q3_20Q2 (data updated annually in July)

15. Complications & deaths – 30 day death rates (6 measures)
6 measures (MORT-30-COPD, MORT-30-AMI, MORT-30-HF, MORT-30-PN, MORT-30-STK, MORT-30-CABG), reporting data through 17Q3_19Q4 (data updated annually in July)

16. Psychiatric unit services – Preventive care and screening (2 measures)
1 measure (SMD) reporting data through 19Q1_19Q4 (data updated annually in January)
1 measure (IPFQR-IMM-2) reporting data through 19Q4_20Q1 (data updated annually in January)

17. Psychiatric unit services – Substance use treatment (8 measures)
8 measures (SUB-2, SUB-2A, SUB-3, SUB-3A, TOB-2, TOB-2A, TOB-3, TOB-3A) reporting data through 19Q1_19Q4 (data updated annually in January)

18. Psychiatric unit services- Patient safety (2 measures)
2 measures (HBIPS-2, HBIPS-3) reporting data through 19Q1_19Q4 (data updated annually in January)

19. Psychiatric unit services- Follow up care (5 measures)
3 measures (TR-1, TR-2, HBIPS-5) reporting data through 19Q1_19Q4 (data updated annually in January)
2 measures (FUH-30, FUH-7) reporting data through 18Q3_19Q2 (data updated annually in January)

20. Psychiatric unit services- Unplanned readmissions (1 measure)
1 measure (READM-30-IPF) reporting data through 17Q3_19Q2 (data updated annually in January)

21. Payment & value of care – Medicare Spending Per Beneficiary (1 measure)
1 measure (MSPB-1) reporting data through 19Q1_19Q4 (data updated annually in January)

22. Payment & value of care – Payment Measures (4 measures)
3 measures (PAYM_30_AMI, PAYM_30_HF, PAYM_30_PN) reporting data through 17Q3_19Q4 (data is updated annually in July)
1 measure (PAYM-90-HIP-KNEE) reporting data through 17Q2_19Q4 (data updated annually in July)

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