Customize and Compare Hospital Peer Groups

2021 Measure Reporting Year

Measurement Period: April 2017 - June 2020

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

7/2019 - 6/2022

Coronary Artery Bypass Graft Surgery

7/2019 - 6/2022

Chronic Obstructive Pulmonary Disease

7/2019 - 6/2022

Heart Failure

7/2019 - 6/2022

Pneumonia

7/2019 - 6/2022

Stroke

7/2019 - 6/2022

Complication

Total hip arthroplasty and/or total knee arthroplasty

4/2019 - 3/2022

Readmission

Acute Myocardial Infarction

7/2019 - 6/2022

Coronary Artery Bypass Graft Surgery

7/2019 - 6/2022

Chronic Obstructive Pulmonary Disease

7/2019 - 6/2022

Heart Failure

7/2019 - 6/2022

Hospital-wide

7/2019 - 6/2022

Pneumonia

7/2019 - 6/2022

Total hip arthroplasty and/or total knee arthroplasty

7/2019 - 6/2022

Payment

Acute Myocardial Infarction

7/2019 - 6/2022

Heart Failure

7/2019 - 6/2022

Pneumonia

7/2019 - 6/2022

Total hip arthroplasty and/or total knee arthroplasty

4/2019 - 3/2022

Excess Days in Acute Care

Acute Myocardial Infarction

7/2019 - 6/2022

Heart Failure

7/2019 - 6/2022

Pneumonia

7/2019 - 6/2022
 

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. 2023 Condition-Specific Measures Updates and Specifications Report Hospital-Level 30-Day Risk-Standardized Readmission Measures: Acute Myocardial Infarction – Version 16.0, Chronic Obstructive Pulmonary Disease – Version 12.0, Heart Failure – Version 16.0, Pneumonia – Version 16.0. https://qualitynet.cms.gov/inpatient/measures/readmission/resources Available as of Spring 2023.

 

CABG and Hip/Knee Arthroplasty Readmission Measures Methodology: DeBuhr J, McDowell K, Grady J, et al. 2023 Procedure-Specific Measures Updates and Specifications Report Hospital-Level 30-Day Risk-Standardized Readmission Measures: Isolated Coronary Artery Bypass Graft (CABG) Surgery – Version 10.0, Elective Primary Total Hip Arthroplasty (THA) and/or Total Knee Arthroplasty (TKA) – Version 12.0. https://qualitynet.cms.gov/inpatient/measures/readmission/methodology  Available as of Spring 2023.

 

AMI, COPD, Heart Failure, Pneumonia, and Stroke Mortality Measures Methodology: DeBuhr J, McDowell K, Grady J, et al. 2023 Condition-Specific Measures Updates and Specifications Report Hospital-Level 30-Day Risk-Standardized Mortality Measures: Acute Myocardial Infarction – Version 17.0, Chronic Obstructive Pulmonary Disease – Version 12.0, Heart Failure – Version 17.0, Pneumonia – Version 17.0, Stroke – Version 12.0. https://qualitynet.cms.gov/inpatient/measures/mortality/resources.  Available as of Spring 2023.

 

CABG Mortality Measure Methodology: DeBuhr J, McDowell K, Grady J, et al. 2023 Procedure-Specific Measure Updates and Specifications Report Hospital-Level 30-Day Risk-Standardized Mortality Measure: Isolated Coronary Artery Bypass Graft (CABG) Surgery – Version 10.0. https://qualitynet.cms.gov/inpatient/measures/mortality/methodology. Available as of Spring 2023.

 

Hip/Knee Arthroplasty Complication Measure Methodology: DeBuhr J, McDowell K, Grady J, et al. 2023 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 12.0. https://qualitynet.cms.gov/inpatient/measures/complication/resources Available as of Spring 2023.

 

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. 2023 Measure Updates and Specifications Report Hospital-Level Risk-Standardized Payment Measures: Acute Myocardial Infarction – Version 12.0, Heart Failure – Version 10.0, Pneumonia – Version 10.0, Elective Primary Total Hip Arthroplasty (THA) and/or Total Knee Arthroplasty (TKA) – Version 9.0. https://qualitynet.cms.gov/inpatient/measures/payment/resources Available as of Spring 2023.

 

AMI, Heart Failure, Pneumonia Excess Days in Acute Care Measure Methodology: DeBuhr J, McDowell K, Grady J, et al. 2023 Condition-Specific Measures Updates and Specification Report Hospital-Level 30-Day Risk-Standardized Excess Days in Acute Care Measures: Acute Myocardial Infarction – Version 8.0, Heart Failure – Version 8.0, Pneumonia – Version 7.0. https://qualitynet.cms.gov/inpatient/measures/edac/resources Available as of Spring 2023.

 

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 12.0 https://qualitynet.cms.gov/inpatient/measures/readmission/methodology Available as of Spring 2023.

 

 

Related Research

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