CMS Hospital Compare

1. 1 CMS Hospital Compare http://www.hospitalcompare.hhs.gov

2. 2 Hospital Compare Background Provides information on how well hospitals in different areas care for their adult patients with certain medical conditions. Debuted on March 31, 2005 – 10 Quality Measures Currently features 26 Measures New enhancements include Hospital Surveys and Volume and Payment Data

3. 3 Hospital Process of Care Measures Measures how often hospitals provide recommended care to get the best results for adult patients. Reporting Criteria: Voluntarily submitted by acute care and critical access hospitals All payer types reported Process of Care Measures: Eight (8) measures related to heart attack care Four (4) measures related to heart failure care Six (7) measures related to pneumonia care Five (5) measures related to surgical infection prevention

4. 4 Display of Process of Care Measures

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6. 6 Display of Process of Care Measures

7. 7 Hospital Outcome Measures Predicts patient deaths for any cause within 30 days of hospital admission for heart attack or heart failure, whether the patients die while in the hospital or after discharge. Reporting Criteria: Voluntarily submitted by acute care hospitals Original (fee-for-service) Medicare payer Outcome Measures: One (1) measure related to 30-day heart attack mortality One (1) measure related to 30-day heart failure mortality

8. 8 Hospital Outcome Measures

9. 9 Hospital Consumer Assessment and Healthcare Systems (HCAPHS) Survey Standardized survey instrument for measuring patients' perspectives of hospital care. Reporting Criteria: Voluntarily submitted by acute care and critical access hospitals All payer types reported Sample of Questions: How often did nurses communicate well with patients? How often did patients receive help quickly from hospital staff? How often did staff explain about medicines before giving them to patients? How often was patients’ pain well controlled? How often were patients room and bathrooms kept clean?

10. 10 Display of HCAPHS Survey

11. 11 Display of HCAPHS Survey

12. 12 Medicare Payment and Volume Data The data represents Medicare inpatient hospital payment information and the number of patients treated (volume) for a limited set of conditions and surgical procedures. Reporting Criteria: Submitted by acute care hospitals Medicare billing information Measures: Average Medicare Payment Number of Patients Treated

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14. 14 Discussion Points The data is submitted voluntarily from acute care and critical care access hospitals Children hospitals do not report because measures are strictly for adult populations Some measures are exclusive to Medicare population CMS query tool could be cumbersome for consumers, for example CMS divides information into North Florida and South Florida How to address CMS multi campus reporting of those hospitals sharing the same Medicare Provider Number ? Link to CMS site will take consumers off FloridaHealthFinder.gov site Difficulty in downloading data (including linking information with AHCA facilities)