Customize and Compare Hospital Peer Groups

2020 Measure Reporting Year

Measurement Period: April 2016 - June 2019

Each year, hospital results for the Center for Medicare & Medicaid Services (CMS) hospital quality outcome and payment measures are publicly posted. This data visualization explores the entire spectrum of results, displaying overall hospital results and allowing customized comparisons among user-defined hospital profiles.

To begin exploring the data, please do the following:

  1. Select up to 6 measures (Hospital-wide readmission is selected by default).

  2. Create up to 4 hospital profiles (in addition to the default profile of all hospitals).

  3. Measure results for each measure and hospital profile are displayed on the graph below.

Choose a condition/procedure
Create Hospital Profiles

Select hospital characteristics similar to:

Select hospital characteristics:

{[{characteristic.title}]}
Profile name:
clear all

Current Profiles:

{[{profiles.length}]} of maximum {[{maxProfiles}]} profiles selected.
  • {[{profile.label}]}
    • {[{summary}]}
    editing...

Years:

2023 2022 2021 2020 2019 2018

{[{ measure.condition }]}

{[{ measure.description }]}

{[{yAxisLabel}]}
Number of Hospitals
{[{measureData.measure.description}]}

Summary of Hospital Profiles

  • All Hospitals
  • {[{p.label}]}
    • {[{summary}]}

Table View

row labels {[{p.label}]}
{[{measure.measure.condition}]}

{[{measure.measure.description}]}
  • Number of Hospitals
  • Maximum
  • 75th Percentile
  • Median
  • 25th Percentile
  • Minimum
  • {[{profile.data.rawData.length | number}]}
  • {[{profile.data.max | dataFormat: measure.measure}]}
  • {[{profile.data.p75 | dataFormat: measure.measure}]}
  • {[{profile.data.median | dataFormat: measure.measure}]}
  • {[{profile.data.p25 | dataFormat: measure.measure}]}
  • {[{profile.data.min | dataFormat: measure.measure}]}

Notes

For the publicly reported results by hospital, please visit Hospital Compare.

MEASUREMENT PERIOD

The measures included in this visualization have the following measurement period:

Table 1. Included Measures

Outcome 

Condition/Procedure

Measurement Period

Mortality

Acute Myocardial Infarction

7/2016 - 6/2019

Coronary Artery Bypass Graft Surgery

7/2016 - 6/2019

Chronic Obstructive Pulmonary Disease

7/2016 - 6/2019

Heart Failure

7/2016 - 6/2019

Pneumonia

7/2016 - 6/2019

Stroke

7/2016 - 6/2019

Complication

Total hip arthroplasty and/or total knee arthroplasty

4/2016 - 3/2019

Readmission

Acute Myocardial Infarction

7/2016 - 6/2019

Coronary Artery Bypass Graft Surgery

7/2016 - 6/2019

Chronic Obstructive Pulmonary Disease

7/2016 - 6/2019

Heart Failure

7/2016 - 6/2019

Hospital-wide

7/2016 - 6/2019

Pneumonia

7/2016 - 6/2019

Total hip arthroplasty and/or total knee arthroplasty

7/2016 - 6/2019

Payment

Acute Myocardial Infarction

7/2016 - 6/2019

Heart Failure

7/2016 - 6/2019

Pneumonia

7/2016 - 6/2019

Total hip arthroplasty and/or total knee arthroplasty

4/2016 - 3/2019

Excess Days in Acute Care

Acute Myocardial Infarction

7/2016 - 6/2019

Heart Failure

7/2016 - 6/2019

Pneumonia

7/2016 - 6/2019
 

DATA NOTES

Only hospitals with at least 25 qualifying hospitalizations for a given measure are included in the visualization.

Beginning with the 2019 reporting year, the stroke readmission measure was removed from this data visualization because this measure is no longer reported in the Inpatient Quality Reporting Program (IQR). This measure’s results are still available in reporting years prior to 2019.

 

Additional data source(s) include:

2018 IPPS IMPACT file

American Hospital Association (AHA) Survey 2016

DEFINITIONS

Table 2. Key Definitions

Term

Definition

Histogram

A graphical representation of the distribution of numerical data. Please see “Figure Explanations” in Related Research for more information.

Hospital population

The type of patient population that receives care at a hospital

Number of beds

The number of staffed beds available at a hospital

Safety-net hospital

A hospital that provides a significant level of care to low income, uninsured, and patient populations with social risk factors

Teaching Hospital

A hospital or medical center that provides clinical education and training to future or current health professionals

Proportion African-American

A hospital serving a high proportion (top 10 decile) or low proportion (bottom decile) of African-American patients

Proportion with Medicaid

A hospital serving a high proportion (top 10 decile) or low proportion (bottom decile) of African-American patients
 

Methodology Sources

AMI, COPD, Heart Failure, and Pneumonia Readmission Measures Methodology: DeBuhr J, McDowell K, Grady J, et al. 2020 Condition-Specific Measures Updates and Specifications Report Hospital-Level 30-Day Risk-Standardized Readmission Measures: Acute Myocardial Infarction – Version 13.0, Chronic Obstructive Pulmonary Disease – Version 9.0, Heart Failure – Version 13.0, Pneumonia – Version 13.0. https://qualitynet.cms.gov/files/609524402be51c001edf6195?filename=2020_Readmission_Meas_Updates_Specs.zip. Available as of Spring 2020.

 

CABG and Hip/Knee Arthroplasty Readmission Measures Methodology: DeBuhr J, McDowell K, Grady J, et al. 2020 Procedure-Specific Measures Updates and Specifications Report Hospital-Level 30-Day Risk-Standardized Readmission Measures: Isolated Coronary Artery Bypass Graft (CABG) Surgery – Version 7.0, Elective Primary Total Hip Arthroplasty (THA) and/or Total Knee Arthroplasty (TKA) – Version 9.0. https://qualitynet.cms.gov/files/609524402be51c001edf6195?filename=2020_Readmission_Meas_Updates_Specs.zip. Available as of Spring 2020.

 

AMI, COPD, Heart Failure, Pneumonia, and Stroke Mortality Measures Methodology: DeBuhr J, McDowell K, Grady J, et al. 2020 Condition-Specific Measures Updates and Specifications Report Hospital-Level 30-Day Risk-Standardized Mortality Measures: Acute Myocardial Infarction – Version 14.0, Chronic Obstructive Pulmonary Disease – Version 9.0, Heart Failure – Version 14.0, Pneumonia – Version 14.0, Stroke – Version 9.0. https://qualitynet.cms.gov/files/607333022402a2001eb9e25d?filename=2020_Mort_Meas_UpdtsSpecsResrc.zip. Available as of Spring 2020.

 

CABG Mortality Measure Methodology: DeBuhr J, McDowell K, Grady J, et al. 2020 Procedure-Specific Measure Updates and Specifications Report Hospital-Level 30-Day Risk-Standardized Mortality Measure: Isolated Coronary Artery Bypass Graft (CABG) Surgery – Version 7.0. https://qualitynet.cms.gov/files/607333022402a2001eb9e25d?filename=2020_Mort_Meas_UpdtsSpecsResrc.zip. Available as of Spring 2020.

 

Hip/Knee Arthroplasty Complication Measure Methodology: DeBuhr J, McDowell K, Grady J, et al. 2020 Procedure-Specific Measure Updates and Specifications Report Hospital-Level Risk-Standardized Complication Measure: Elective Primary Total Hip Arthroplasty (THA) and/or Total Knee Arthroplasty (TKA) – Version 9.0. https://qualitynet.cms.gov/files/60734125aba8620022335c08?filename=2020_THA_TKA%20Comp_MUS_Rpt.zip. Available as of Spring 2020.

 

AMI, Heart Failure, Pneumonia, and Elective Primary Total Hip Arthroplasty (THA) and/or Total Knee Arthroplasty (TKA) Payment Measures Methodology: DeBuhr J, McDowell K, Grady J, et al. 2020 Measure Updates and Specifications Report Hospital-Level Risk-Standardized Payment Measures: Acute Myocardial Infarction – Version 9.0, Heart Failure – Version 7.0, Pneumonia – Version 7.0, Elective Primary Total Hip Arthroplasty (THA) and/or Total Knee Arthroplasty (TKA) – Version 6.0. https://qualitynet.cms.gov/files/6092dd81fd340b002259fde6?filename=2020_Payment_AUS_Rprt.zip. Available as of Spring 2020.

 

AMI, Heart Failure, Pneumonia Excess Days in Acute Care Measure Methodology: DeBuhr J, McDowell K, Grady J, et al. 2020 Condition-Specific Measures Updates and Specification Report Hospital-Level 30-Day Risk-Standardized Excess Days in Acute Care Measures: Acute Myocardial Infarction – Version 5.0, Heart Failure – Version 5.0, Pneumonia – Version 4.0. https://qualitynet.cms.gov/files/6092b1cdfd340b002259fdaf?filename=2020_EDAC_MeasMethRpt.pdf. Available as of Spring 2020.

 

Hospital-Wide Readmission Measure Methodology: DeBuhr J, McDowell K, Grady J, et al. 2020 All-Cause Hospital-Wide Measure Updates and Specifications Report: Hospital-Level 30-Day Risk-Standardized Readmission Measure – Version 9.0 https://qualitynet.cms.gov/files/609524402be51c001edf6195?filename=2020_Readmission_Meas_Updates_Specs.zip. Available as of Spring 2020.

Related Research

Adobe Acrobat Reader

To view PDF documents you will need the Adobe Acrobat Reader.

View all Analytic Briefs