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July 2022 Quarterly Hospital Quality Data Refresh on Medicare Care Compare

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The following is a summary of the latest quarterly data update on Medicare Care Compare – Hospitals, data updated July 27 2022. Previously, all publicly reported hospital data and overall star ratings were not refreshed in April 2022, except Value-Based Purchasing Program Data, which were updated on the Provider Data Catalog in April 2022.

Notes for July 2022 data refresh:
Some claims-based measure (CBM) data will not appear in the July 2022 public reporting refresh. The Centers for Medicare & Medicaid Services (CMS plan to release these results at a later date. CMS Patient Safety Indicator (PSI) measures will not be refreshed this year. The impacted measures are:

  1. Pneumonia 30-Day Mortality Rate (MORT-30-PN)
  2. Pneumonia (PN) 30-day Readmission Rate (READM-30-PN)
  3. Pneumonia Value of Care (PN VOC)
  4. Facility 7-Day Risk Standardized Hospital Visit Rate after Outpatient Colonoscopy (OP-32)
  5. Admissions (ADM) for Patients Receiving Outpatient Chemotherapy (OP-35 ADM)
  6. Emergency Department (ED) Visits for Patients Receiving Outpatient Chemotherapy (OP-35 ED)
  7. Facility 7-Day Risk-Standardized Hospital Visit Rate after Outpatient Colonoscopy (ASC-12)
  8. Patient Safety Indicator (PSI) measures

In this update, CMS has updated the 2021 OP-10 measure results to correct the calculation of error.
The Overall Hospital Quality Star Ratings is also updated on Care Compare in the July 2022 update.

1. HCAPHS: (29 measures) reporting data through 20Q4_21Q3 (data updated quarterly)

2. Timely & effective care: Sepsis care (1 measure)
1 measure (SEP-1) reporting data 20Q4_21Q3 (data updated quarterly)

3. Timely & effective care: Cataract surgery outcome (1 measure)
1 measure (OP-31) reporting data through 20Q1_20Q4 (data updated annually in January)

4. Timely & effective care – Colonoscopy follow-up (1 measure)
1 measure (OP-29) reporting data through 20Q1_20Q4 (data updated annually in January)

5. Timely & effective care: Heart Attack (2 measures)
2 measures (OP-3b, OP-2) data updated to report data through 20Q4_21Q3 (data updated quarterly)

6. Timely & effective care – Emergency Department (5 measures)

  • 2 measures (EDV, OP-22) reporting data through 20Q1_20Q4 (data updated annually in January)
  • 3 measures (OP-18b, OP-18c, OP-23) data updated to report data through 20Q4_21Q3 (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

7. Timely & effective care – Preventive care (1 measure)
1 measure (IMM-3-FAC-ADHPCT) reporting data through 20Q4_21Q1 (data updated annually in October)

8. Timely & effective care – Pregnancy & delivery care (1 measure)
1 measure (PC-01) reporting data through 20Q4_21Q3 (data updated quarterly)

9. Timely and Effective Care – Use of medical imaging (3 measures)
3 measures (OP-8, OP-10, OP-13) reporting data through 20Q3_21Q2 (data updated annually in July)

10. Complications – Surgical complications (13 measures)

  • 1 measure (COMP-HIP-KNEE) reporting data through 18Q2_21Q1 (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) were not updated per CMS note – normal data update annually in July.

11. 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 20Q4_21Q3 (data updated quarterly)

12. Unplanned Hospital Visits – including 30 day rates of readmission (14 measures)

  • 1 measure (OP-32) reporting data through 18Q1_20Q4 (data updated annually in January)
  • 3 measures (OP-35-ADM, OP-35-ED, OP-36) reporting data through 20Q3_20Q4 (data updated annually in January)
  • 8 measures (READM-30-COPD, READM-30-AMI, READM-30-HF, READM-30-CABG, READM-30-HIP-KNEE, EDAC-30-AMI, EDAC-30-HF, EDAC-30-PN) reporting data through 18Q3_21Q2 (data updated annually in July).
  • 1 measure (READM-30-PN) was not updated.
  • 1 measure (READM-30-HOSP-WIDE) reporting data through 20Q3_21Q2 (data updated annually in July)

13. Complications & deaths – 30 day death rates (6 measures)

  • 5 measures (MORT-30-COPD, MORT-30-AMI, MORT-30-HF, MORT-30-STK, MORT-30-CABG), reporting data through 18Q3_21Q2 (data updated annually in July)
  • 1 measure (MORT-30-PN) was not updated

14. Psychiatric unit services – Preventive care and screening (2 measures)
1 measure (SMD) reporting data through 20Q1_20Q4 (data updated annually in January)
1 measure (IPFQR-IMM-2) reporting data through 20Q4_21Q1 (data updated annually in January)

15. 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 20Q1_20Q4 (data updated annually in January)

16. Psychiatric unit services- Patient safety (2 measures)
2 measures (HBIPS-2, HBIPS-3) reporting data through 20Q1_20Q4 (data updated annually in January)

17. Psychiatric unit services- Follow up care (5 measures)
3 measures (TR-1, TR-2, HBIPS-5) reporting data through 20Q1_20Q4 (data updated annually in January)
2 measures (FUH-30, FUH-7) reporting data through 19Q3_19Q4 (data updated annually in January)

18. Psychiatric unit services- Unplanned readmissions (1 measure)
1 measure (READM-30-IPF) reporting data through 18Q3_19Q4 (data updated annually in January)

19. Payment & value of care – Medicare Spending Per Beneficiary (1 measure)
1 measure (MSPB-1) reporting data through 20Q3_20Q4 (data updated annually in January)

20. Payment & value of care – Payment Measures (4 measures)

  • 3 measures (PAYM_30_AMI, PAYM_30_HF, PAYM_30_PN) reporting data through 18Q3_21Q2 (data is updated annually in July)
  • 1 measure (PAYM-90-HIP-KNEE) reporting data through 18Q2_21Q1 (data updated annually in July)

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