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:

Select up to 6 measures (Hospital-wide readmission is selected by default).
Create up to 4 hospital profiles (in addition to the default profile of all hospitals).
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:

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Profile name:

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Current Profiles:

{[{profiles.length}]} of maximum {[{maxProfiles}]} profiles selected.

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- {[{summary}]}
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{[{ measure.condition }]}

{[{ measure.description }]}

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Number of Hospitals

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Other Years

2022 2021 2020 2019 2018

Summary of Hospital Profiles

All Hospitals
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- {[{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	7/2018 - 6/2021
	Coronary Artery Bypass Graft Surgery	7/2018 - 6/2021
	Chronic Obstructive Pulmonary Disease	7/2018 - 6/2021
	Heart Failure	7/2018 - 6/2021
	Pneumonia	7/2018 - 6/2021
	Stroke	7/2018 - 6/2021
Complication	Total hip arthroplasty and/or total knee arthroplasty	4/2018 - 3/2021
Readmission	Acute Myocardial Infarction	7/2018 - 6/2021
	Coronary Artery Bypass Graft Surgery	7/2018 - 6/2021
	Chronic Obstructive Pulmonary Disease	7/2018 - 6/2021
	Heart Failure	7/2018 - 6/2021
	Hospital-wide	7/2018 - 6/2021
	Pneumonia	7/2018 - 6/2021
	Total hip arthroplasty and/or total knee arthroplasty	7/2018 - 6/2021
Payment	Acute Myocardial Infarction	7/2018 - 6/2021
	Heart Failure	7/2018 - 6/2021
	Pneumonia	7/2018 - 6/2021
	Total hip arthroplasty and/or total knee arthroplasty	4/2018 - 3/2021
Excess Days in Acute Care	Acute Myocardial Infarction	7/2018 - 6/2021
	Heart Failure	7/2018 - 6/2021
	Pneumonia	7/2018 - 6/2021

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

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

Hospital-Wide Readmission: Hospital Variation

[PDF, 223.66 KB]

Variation in 30-day hospital-wide readmission rates across hospitals (July 2014 - June 2015)
AMI, COPD, Heart Failure, Pneumonia, and Stroke Readmission: Hospital Variation

[PDF, 250.5 KB]

Variation in 30-day readmission rates across hospitals following admission for AMI, COPD, Heart Failure, Pneumonia, and Stroke (July 2013 -…
AMI, Heart Failure, and Pneumonia Payment: Hospital Variation

[PDF, 246.56 KB]

Trends in national 30-day standardized payments across hospitals following admission for AMI, heart failure, and pneumonia (July 2013 -…