National Rates over Time

Measurement Period: January 2006 - March 2023

Examining monthly national admission counts, mortality rates, readmission and observation stay rates provides information about the current quality of health care. Users can explore monthly results for acute myocardial infarction (AMI), chronic obstructive pulmonary disease (COPD), heart failure, and pneumonia cohorts starting from January 2006 through two months ago. This data visualization allows users to explore the national trends in monthly outcome rates, but also allows closer examination of customized timeframes.

To begin exploring the data:

  1. Adjust the timeframe.

  2. Add a condition (AMI is selected by default).

  3. Check the boxes above graph to add 'Readmission' and/or 'Observation Stay Rate' to the display of national admission counts.

  4. Select 'Events' to view important measure milestones

Add a condition

Add a Condition(s):

Admissions icon Projections icon icon

{[{condition.label}]}

{[{chartOptions.compare === "readmissionObservataion" ? "Readmission & Observation Stay Rate (%)" : "Mortality Rate (%)" }]}
Number of Index Admissions (per month)

Table View

Empty {[{ condition.label }]}
Empty Monthly Admission Total (N) Monthly Readmission Rate (%) Monthly Observation Stay Rate (%) Monthly Admission Total (N) Monthly Mortality Rate (%)
{[{date.label}]} {[{condition[selectedDataKey][dateIndex]['admissionsRate']}]} ± {[{condition[selectedDataKey][dateIndex]['admissionsPlusMinus']}]} {[{condition[selectedDataKey][dateIndex]['readmissionRate'].toFixed(1)}]} ± {[{condition[selectedDataKey][dateIndex]['readmissionPlusMinus']}]} {[{condition[selectedDataKey][dateIndex]['observationRate'].toFixed(1)}]} ± {[{condition[selectedDataKey][dateIndex]['observationPlusMinus']}]} {[{condition[selectedDataKey][dateIndex]['admissionsRate']}]} ± {[{condition[selectedDataKey][dateIndex]['admissionsPlusMinus']}]} {[{condition[selectedDataKey][dateIndex]['mortalityRate'].toFixed(1)}]} ± {[{condition[selectedDataKey][dateIndex]['observationPlusMinus']}]}

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.

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