Others titles
- Medicare Value Based Purchasing Outcome Scores
- Medicare Value in Healthcare
Keywords
- Value Based Purchasing Outcome Scores
- Hospital Value-Based Purchasing (HVBP)
- HCHAPS Outcome Scores
- CMS Value Based Purchasing
- Value Based Healthcare
- Clinical Process of Care Outcome Scores
- Hospital Compare Outcome Scores
Hospital Compare Clinical Process of Care Outcome Scores
This dataset contains a list of hospitals participating in the Hospital Value Based Purchasing Program and their performance rates and scores for the outcome measures.
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Description
The Hospital Value Based Purchasing (HVBP) Program is a Centers for Medicare & Medicaid Services (CMS) initiative that rewards acute-care hospitals with incentive payments for the quality of care they provide to Medicare beneficiaries.
CMS rewards hospitals based on:
• The quality of care provided to Medicare patients.
• How closely best clinical practices are followed; and
• How well hospitals enhance patients’ experiences of care during hospital stays.
Hospitals are no longer paid solely on the quantity of services they provide. Congress authorized Inpatient Hospital VBP in Section 3001(a) of the Affordable Care Act. The program uses the hospital quality data reporting infrastructure developed for the Hospital Inpatient Quality Reporting (IQR) Program, which was authorized by Section 501(b) of the Medicare Prescription Drug, Improvement, and Modernization Act of 2003.
Under the Hospital VBP Program, Medicare makes incentive payments to hospitals based on either:
• How well they perform on each measure; or
• How much they improve their performance on each measure compared to their performance during a baseline period.
CMS assesses each hospital’s total performance by comparing its Achievement and Improvement scores for each applicable Hospital Value Based Program measure. CMS uses a threshold (50th percentile) and benchmark (mean of the top decile) to determine how many points to award for the Achievement and Improvement scores. CMS compares the Achievement and Improvement scores and uses whichever is greater. To determine the domain scores, CMS adds points across all measures.
About this Dataset
Data Info
Date Created | 2013-10-15 |
---|---|
Last Modified | 2024-01-08 |
Version | 2024-01-08 |
Update Frequency |
Quarterly |
Temporal Coverage |
N/A |
Spatial Coverage |
United States |
Source | John Snow Labs; Centers for Medicare & Medicaid Services; |
Source License URL | |
Source License Requirements |
N/A |
Source Citation |
N/A |
Keywords | Value Based Purchasing Outcome Scores, Hospital Value-Based Purchasing (HVBP), HCHAPS Outcome Scores, CMS Value Based Purchasing, Value Based Healthcare, Clinical Process of Care Outcome Scores, Hospital Compare Outcome Scores |
Other Titles | Medicare Value Based Purchasing Outcome Scores, Medicare Value in Healthcare |
Data Fields
Name | Description | Type | Constraints |
---|---|---|---|
Provider_Number | CMS certification number (CCN). Identification number of the hospital within the CMS dataset. The CCN for providers and suppliers is a 6 digit number. The first 2 digits identify the State in which the provider is located. The last 4 digits identify the type of facility. | string | required : 1 |
Hospital_Name | Name of the hospital (also referred to as the provider) | string | required : 1 |
Address | Main street address information of the hospital | string | required : 1 |
City | Mailing city. The city in the main street address of the hospital. | string | required : 1 |
State_Abbreviation | Two-letter state abbreviation in the mailing address of the hospital. This includes information on hospitals in: | string | required : 1 |
ZIP_Code | 5 digit postal zip code in the mailing address of the hospital. | string | required : 1 |
County_Name | Mailing county of the hospital. | string | - |
MORT30_AMI_Achievement_Threshold | CMS assesses a hospital's performance on each Hospital VBP measure using an achievement threshold. The achievement threshold is the minimum level of hospital performance required to receive achievement points while MORT-30-AMI Measure is Acute Myocardial Infarction (AMI) 30 day Mortality Rate. Achievement Threshold of MORT-30-AMI Measure represents the 50th percentile. | number | level : Ratiorequired : 1 |
MORT30_AMI_Benchmark | CMS also uses a benchmark to determine how many points to award for the Achievement and Improvement scores. Benchmark of MORT-30-AMI Measure represents the mean of the top decile. | number | level : Ratiorequired : 1 |
MORT30_AMI_Baseline_Rate | Indicates the hospital rates during the Baseline Period. Baseline Period Rates are used to assess if there is any improvement in performance after comparing the Achievement and Improvement scores of Performance Period Rates for all hospitals. | number | level : Ratio |
MORT30_AMI_Performance_Rate | Performance rate in response to MORT-30-AMI Measure. MORT-30-AMI Measure is Acute Myocardial Infarction (AMI) 30 day Mortality Rate. | number | level : Ratio |
MORT30_AMI_Achievement_Points | Achievement Points in response to MORT-30-AMI Measure. MORT-30-AMI Measure is Acute Myocardial Infarction (AMI) 30-day Mortality | string | - |
MORT30_AMI_Improvement_Points | Improvement Points in response to MORT-30-AMI Measure. Improvement points are awarded by comparing an individual hospital’s rates during the performance period to that same individual hospital’s rates from the baseline period. | string | - |
MORT30_AMI_Measure_Score | Hospital score in response to MORT-30-AMI Measure. | string | - |
MORT30_HF_Achievement_Threshold | CMS assesses a hospital's performance on each Hospital VBP measure using an achievement threshold. The achievement threshold is the minimum level of hospital performance required to receive achievement points while MORT-30-HF Measure is Heart Failure (HF) 30-Day Mortality Rate. Achievement Threshold of MORT-30-HF Measure represents the 50th percentile. | number | level : Ratiorequired : 1 |
MORT30_HF_Benchmark | CMS also uses a benchmark to determine how many points to award for the Achievement and Improvement scores. Benchmark of MORT-30-HF Measure represents the mean of the top decile. | number | level : Ratiorequired : 1 |
MORT30_HF_Baseline_Rate | Indicates the hospital rates during the Baseline Period. Baseline Period Rates are used to assess if there is any improvement in performance after comparing the Achievement and Improvement scores of Performance Period Rates for all hospitals. | number | level : Ratio |
MORT30_HF_Performance_Rate | Performance rate in response to MORT-30-HF Measure. MORT-30-HF Measure is Heart Failure (HF) 30-Day Mortality Rate | number | level : Ratio |
MORT30_HF_Achievement_Points | Achievement Points in response to MORT-30-HF Measure. MORT-30-HF Measure is Heart Failure (HF) 30-Day Mortality Rate.Achievement points are awarded by comparing an individual hospital’s rates during the performance period to all hospitals rates from the baseline period. | string | - |
MORT30_HF_Improvement_Points | Improvement Points in response to MORT-30-HF Measure. Improvement points are awarded by comparing an individual hospital’s rates during the performance period to that same individual hospital’s rates from the baseline period. | string | - |
MORT30_HF_Measure_Score | Hospital score in response to MORT-30-HF Measure. | string | - |
MORT30_PN_Achievement_Threshold | CMS assesses a hospital's performance on each Hospital VBP measure using an achievement threshold. The achievement threshold is the minimum level of hospital performance required to receive achievement points while MORT-30-PN Measure is Pneumonia (PN) 30-Day Mortality Rate. Achivement Threshold of MORT-30-PN Measure represents the 50th percentile. | number | level : Ratiorequired : 1 |
MORT30_PN_Benchmark | CMS also uses a benchmark to determine how many points to award for the Achievement and Improvement scores. Benchmark of MORT-30-PN Measure represents the mean of the top decile. | number | level : Ratiorequired : 1 |
MORT30_PN_Baseline_Rate | Indicates the hospital rates during the Baseline Period. Baseline Period Rates are used to assess if there is any improvement in performance after comparing the Achievement and Improvement scores of Performance Period Rates for all hospitals. | number | level : Ratio |
MORT30_PN_Performance_Rate | Performance rate in response to MORT-30-PN Measure. MORT-30-PN Measure is Pneumonia (PN) 30-Day Mortality Rate. | number | level : Ratio |
MORT30_PN_Achievement_Points | Acheivement Points in response to MORT-30-PN Measure. MORT-30-PN Measure is Pneumonia (PN) 30-Day Mortality Rate. Achievement points are awarded by comparing an individual hospital’s rates during the performance period to all hospitals rates from the baseline period. | string | - |
MORT30_PN_Improvement_Points | Improvement Points in response to MORT-30-PN Measure. Improvement points are awarded by comparing an individual hospital’s rates during the performance period to that same individual hospital’s rates from the baseline period. | string | - |
MORT30_PN_Measure_Score | Hospital score in response to MORT-30-PN Measure. | string | - |
COMP_HIP_KNEE_Achievement_Threshold | CMS assesses a hospital's performance on each Hospital VBP measure using an achievement threshold. The achievement threshold is the minimum level of hospital performance required to receive achievement points while COMP_HIP_KNEE_Achievement_Threshold is Measure Rate of complications for hip/knee replacement patients. | number | level : Ratiorequired : 1 |
COMP_HIP_KNEE_Benchmark | CMS also uses a benchmark to determine how many points to award for the Achievement and Improvement scores. Benchmark of COMP_HIP_KNEE_Benchmark Measure represents the mean of the top decile. | number | level : Ratiorequired : 1 |
COMP_HIP_KNEE_Baseline_Rate | Indicates the hospital rates during the Baseline Period. Baseline Period Rates are used to assess if there is any improvement in performance after comparing the Achievement and Improvement scores of Performance Period Rates for all hospitals. | number | level : Ratio |
COMP_HIP_KNEE_Performance_Rate | Performance rate in response to COMP_HIP_KNEE Measure. COMP_HIP_KNEE Measure is complications for hip/knee replacement patients. | number | level : Ratio |
COMP_HIP_KNEE_Achievement_Points | Achievement points are awarded by comparing an individual hospital’s rates during the performance period to all hospitals rates from the baseline period. | string | - |
COMP_HIP_KNEE_Improvement_Points | Improvement points are awarded by comparing an individual hospital’s rates during the performance period to that same individual hospital’s rates from the baseline period. | string | - |
COMP_HIP_KNEE_Measure_Score | Hospital score in response to COMP_HIP_KNEE Measure. | string | - |
Data Preview
Provider Number | Hospital Name | Address | City | State Abbreviation | ZIP Code | County Name | MORT30 AMI Achievement Threshold | MORT30 AMI Benchmark | MORT30 AMI Baseline Rate | MORT30 AMI Performance Rate | MORT30 AMI Achievement Points | MORT30 AMI Improvement Points | MORT30 AMI Measure Score | MORT30 HF Achievement Threshold | MORT30 HF Benchmark | MORT30 HF Baseline Rate | MORT30 HF Performance Rate | MORT30 HF Achievement Points | MORT30 HF Improvement Points | MORT30 HF Measure Score | MORT30 PN Achievement Threshold | MORT30 PN Benchmark | MORT30 PN Baseline Rate | MORT30 PN Performance Rate | MORT30 PN Achievement Points | MORT30 PN Improvement Points | MORT30 PN Measure Score | COMP HIP KNEE Achievement Threshold | COMP HIP KNEE Benchmark | COMP HIP KNEE Baseline Rate | COMP HIP KNEE Performance Rate | COMP HIP KNEE Achievement Points | COMP HIP KNEE Improvement Points | COMP HIP KNEE Measure Score |
10001 | SOUTHEAST HEALTH MEDICAL CENTER | 1108 ROSS CLARK CIRCLE | DOTHAN | AL | 36301 | HOUSTON | 0.8692469999999999 | 0.887868 | 0.8567520000000001 | 0.880237 | 6 out of 10 | 7 out of 9 | 7 out of 10 | 0.882308 | 0.907733 | 0.872117 | 0.901917 | 7 out of 10 | 8 out of 9 | 8 out of 10 | 0.840281 | 0.872976 | 0.8337100000000001 | 0.815392 | 0 out of 10 | 0 out of 9 | 0 out of 10 | 0.025396000000000002 | 0.018159 | 0.030343000000000002 | 0.022313999999999997 | 4 out of 10 | 6 out of 9 | 6 out of 10 |
10005 | MARSHALL MEDICAL CENTERS | 2505 U S HIGHWAY 431 NORTH | BOAZ | AL | 35957 | MARSHALL | 0.8692469999999999 | 0.887868 | 0.8480530000000001 | 0.864067 | 0 out of 10 | 4 out of 9 | 4 out of 10 | 0.882308 | 0.907733 | 0.8540989999999999 | 0.856339 | 0 out of 10 | 0 out of 9 | 0 out of 10 | 0.840281 | 0.872976 | 0.7892560000000001 | 0.765414 | 0 out of 10 | 0 out of 9 | 0 out of 10 | 0.025396000000000002 | 0.018159 | 0.030033999999999998 | 0.019253 | 8 out of 10 | 9 out of 9 | 9 out of 10 |
10006 | NORTH ALABAMA MEDICAL CENTER | 1701 VETERANS DRIVE | FLORENCE | AL | 35630 | LAUDERDALE | 0.8692469999999999 | 0.887868 | 0.8535809999999999 | 0.8354809999999999 | 0 out of 10 | 0 out of 9 | 0 out of 10 | 0.882308 | 0.907733 | 0.8720530000000001 | 0.866923 | 0 out of 10 | 0 out of 9 | 0 out of 10 | 0.840281 | 0.872976 | 0.824859 | 0.805453 | 0 out of 10 | 0 out of 9 | 0 out of 10 | 0.025396000000000002 | 0.018159 | 0.035949 | 0.037582 | 0 out of 10 | 0 out of 9 | 0 out of 10 |
10007 | MIZELL MEMORIAL HOSPITAL | 702 N MAIN ST | OPP | AL | 36467 | COVINGTON | 0.8692469999999999 | 0.887868 | 0.882308 | 0.907733 | 0.865767 | 0.874346 | 0 out of 10 | 2 out of 9 | 2 out of 10 | 0.840281 | 0.872976 | 0.780354 | 0.7175600000000001 | 0 out of 10 | 0 out of 9 | 0 out of 10 | 0.025396000000000002 | 0.018159 | 0.027836 | |||||||||
10011 | ST. VINCENT'S EAST | 50 MEDICAL PARK EAST DRIVE | BIRMINGHAM | AL | 35235 | JEFFERSON | 0.8692469999999999 | 0.887868 | 0.859425 | 0.8684850000000001 | 0 out of 10 | 3 out of 9 | 3 out of 10 | 0.882308 | 0.907733 | 0.872458 | 0.858843 | 0 out of 10 | 0 out of 9 | 0 out of 10 | 0.840281 | 0.872976 | 0.8305600000000001 | 0.782196 | 0 out of 10 | 0 out of 9 | 0 out of 10 | 0.025396000000000002 | 0.018159 | 0.026092 | 0.026132 | 0 out of 10 | 0 out of 9 | 0 out of 10 |
10012 | DEKALB REGIONAL MEDICAL CENTER | 200 MED CENTER DRIVE | FORT PAYNE | AL | 35968 | DEKALB | 0.8692469999999999 | 0.887868 | 0.844917 | 0.8633219999999999 | 0 out of 10 | 4 out of 9 | 4 out of 10 | 0.882308 | 0.907733 | 0.864582 | 0.871115 | 0 out of 10 | 1 out of 9 | 1 out of 10 | 0.840281 | 0.872976 | 0.77433 | 0.7787430000000001 | 0 out of 10 | 0 out of 9 | 0 out of 10 | 0.025396000000000002 | 0.018159 | 0.031643 | 0 out of 10 | 0 out of 10 | ||
10016 | SHELBY BAPTIST MEDICAL CENTER | 1000 FIRST STREET NORTH | ALABASTER | AL | 35007 | SHELBY | 0.8692469999999999 | 0.887868 | 0.841463 | 0.869585 | 1 out of 10 | 6 out of 9 | 6 out of 10 | 0.882308 | 0.907733 | 0.8664850000000001 | 0.891958 | 4 out of 10 | 6 out of 9 | 6 out of 10 | 0.840281 | 0.872976 | 0.832975 | 0.8194739999999999 | 0 out of 10 | 0 out of 9 | 0 out of 10 | 0.025396000000000002 | 0.018159 | 0.022484999999999998 | 0.032188 | 0 out of 10 | 0 out of 9 | 0 out of 10 |
10019 | HELEN KELLER HOSPITAL | 1300 SOUTH MONTGOMERY AVENUE | SHEFFIELD | AL | 35660 | COLBERT | 0.8692469999999999 | 0.887868 | 0.8600399999999999 | 0.882308 | 0.907733 | 0.8539129999999999 | 0.8345319999999999 | 0 out of 10 | 0 out of 9 | 0 out of 10 | 0.840281 | 0.872976 | 0.836303 | 0.734073 | 0 out of 10 | 0 out of 9 | 0 out of 10 | 0.025396000000000002 | 0.018159 | 0.020572999999999998 | 0.028925 | 0 out of 10 | 0 out of 9 | 0 out of 10 | ||||
10021 | DALE MEDICAL CENTER | 126 HOSPITAL AVE | OZARK | AL | 36360 | DALE | 0.8692469999999999 | 0.887868 | 0.882308 | 0.907733 | 0.873088 | 0.869553 | 0 out of 10 | 0 out of 9 | 0 out of 10 | 0.840281 | 0.872976 | 0.853535 | 0.812951 | 0 out of 10 | 0 out of 9 | 0 out of 10 | 0.025396000000000002 | 0.018159 | ||||||||||
10023 | BAPTIST MEDICAL CENTER SOUTH | 2105 EAST SOUTH BOULEVARD | MONTGOMERY | AL | 36116 | MONTGOMERY | 0.8692469999999999 | 0.887868 | 0.868692 | 0.86129 | 0 out of 10 | 0 out of 9 | 0 out of 10 | 0.882308 | 0.907733 | 0.875468 | 0.875258 | 0 out of 10 | 0 out of 9 | 0 out of 10 | 0.840281 | 0.872976 | 0.816479 | 0.796078 | 0 out of 10 | 0 out of 9 | 0 out of 10 | 0.025396000000000002 | 0.018159 | 0.024595 | 0.021246 | 6 out of 10 | 5 out of 9 | 6 out of 10 |