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    Home » Five Steps to an Improved CMS Star Ratings System

    Five Steps to an Improved CMS Star Ratings System

    August 1, 2018
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    The methodology CMS uses for hospital star ratings on the Hospital Compare website could be improved if the agency makes five key adjustments, suggests David Levine, MD, FACEP, senior vice president for advanced analytics and informatics with Vizient.

    Levine worked with Rush University Medical Center in Chicago to analyze how CMS weighs patient safety measures in the star ratings. He recommends these changes:

    1. Use smarter hospital groupings.

    Rather than combining community hospitals, large health systems, specialty hospitals, and teaching/academic hospitals on many key metrics, CMS should group hospitals by subtype. This could mean grouping facilities that treat advanced cancers, neurosurgical cases, and cardiology cases, for instance.

    2. Group primary procedures by specialty.

    The current system does not allow consumers to seek the best hospital for a specific need, like cardiac care or joint replacement.

    3. Use better data, and use it faster.

    Data come only from Medicare patients who don’t represent the overall patient population of a hospital, and Vizient’s analysis found that 64% of an overall star rating score is based on data that are at least two years old.

    4. Create data transparency.

    More transparency about the data used for star ratings would help hospitals focus their quality improvement resources. Today, the ratings are more like “report cards” that provide only an overall score.

    5. Revise the weighting of quality measures.

    CMS uses four major criteria to calculate star ratings: patient safety, patient experience, readmission, and mortality risk. Those criteria account for 80% of the total score. Other criteria should be incorporated to provide a more accurate picture of hospitals’ overall quality.

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    Hospital Peer Review

    View PDF
    Hospital Peer Review (Vol. 43, No. 8) - August 2018
    August 1, 2018

    Table Of Contents

    Medical Center Says CMS Star Ratings Miscalculated

    Five Steps to an Improved CMS Star Ratings System

    How a Hospital Went From ‘F’ to ‘A’ in Leapfrog Scores

    Best Career Moves in QI Involve Patient Safety, Leadership

    CPPS Credential Growing After Six Years

    Early Warning in EHR Decreases ICU Transfers After RRT

    Leapfrog Worried CMS Will Decrease Reporting on Infections Measures

    AMGA Endorses 14 Quality Measures

    New Group Seeks ‘Public Health Framework’ for Patient Safety

    Begin Test

    Buy this Issue

    Financial Disclosure: Author Greg Freeman, Editor Jesse Saffron, Editor Jill Drachenberg, Nurse Planner Jill Winkler, Editorial Group Manager Terrey L. Hatcher, and Consulting Editor Patrice Spath report no consultant, stockholder, speakers bureau, research, or other financial relationships with companies having ties to this field of study.

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