Others titles
- RY2018 Patient Safety Data for Maryland Hospitals
- Calculating Maryland QBR Patient Safety 2018 Data Using Base and Performance Periods
Keywords
- Quality Based Reimbursement (QBR)
- Maryland Quality Based Reimbursement Program
- Quality Based Reimbursement Program
- Value-Based Purchasing (VBP)
- VBP Program
- Clinical Care
- Patient Safety
- Person and Community Engagement
- Hospital Performance
Maryland QBR Patient Safety Measures Data
This dataset contains different Patient Safety Measures from Quality Based Reimbursement (QBR) Program for hospitals in Maryland. The Patient Safety measures include data for the base and performance periods for six different measures.
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Description
Maryland’s Quality-Based Reimbursement (QBR) program is in place since July 2009, it uses similar measures with the federal Medicare Value-Based Purchasing (VBP) program, which is in place since October 2012. Because of Maryland’s long-standing Medicare waiver for its all-payer hospital rate-setting system and the implementation of the QBR program, the Centers for Medicare & Medicaid Services (CMS) has given Maryland various special considerations, including annual exemption from the Medicare VBP program. The QBR program incentivizes quality improvement across a wide variety of quality measurement domains, including:
– Person and Community Engagement
– Clinical Care
– Patient Safety
On January 1, 2014 the State of Maryland entered into a new All-Payer Model demonstration contract with the Center for Medicare and Medicaid Innovation (CMMI). Among other provisions of the Model, the Centers for Medicare & Medicaid Services (CMS) will waive the VBP program requirements for Maryland hospitals, provided that the Maryland program “submits an annual report to the Secretary that provides satisfactory evidence that a similar program in the State for Regulated Maryland Hospitals achieves or surpasses the measured results in terms of patient health outcomes and cost savings.” The State must apply annually for this exemption from the national VBP program. The exemption from the CMS VBP program grants Maryland the continued flexibility to adapt its quality-based payment programs to focus on areas specific to Maryland hospitals. This exemption additionally enables Maryland to maintain its all-payer approach to quality-based payments to hospitals and continue to align the all-payer QBR program with the operational realities of the all-payer rate setting system.
Maryland’s QBR program, like the federal VBP program, holds 2% of hospital revenue at risk based on performance, and measures performance in clinical care, patient safety, and person and community engagement (previously “experience of care”) domains. Hospital performance is scored, as is done with VBP, by comparing performance period results for each measure to historical performance, and by using a threshold and benchmark to calculate points earned by each hospital; both improvement and points are calculated for each measure, and the better of the two scores are used to calculate each hospital’s total score for the program.
In this dataset, hospitals with less than 1 Predicted Case do not have a calculated Standardized Infection Ratio (SIR). Also, Dorchester and Easton were combined to calculate the SIR. The relative Benchmark and Threshold values for each of the Patient Safety measures are mentioned as follows:
– Central Line Associated Blood Stream Infection (CLABSI) – (Benchmark: N/A), (Threshold: 0.369)
– Catheter Associated Urinary Tract Infection (CAUTI) – (Benchmark: N/A), (Threshold: 0.497)
– Surgical Site Infection Colon (SSI Colon) – (Benchmark: N/A), (Threshold: 0.824)
– Surgical Site Infection Hysterectomy (SSI Hyst) – (Benchmark: N/A), (Threshold: 0.710)
– Clostridium Difficile (C.Diff.) – (Benchmark: 0.004), (Threshold: 0.805)
– Methicillin Resistant Staphylococcus Aureus (MRSA) – (Benchmark: N/A), (Threshold: 0.767)
About this Dataset
Data Info
Date Created | 2014 |
---|---|
Last Modified | 2017-06-01 |
Version | 2017-06-01 |
Update Frequency |
Annual |
Temporal Coverage |
N/A |
Spatial Coverage |
Maryland |
Source | John Snow Labs; The Maryland Health Services Cost Review Commission; |
Source License URL | |
Source License Requirements |
N/A |
Source Citation |
N/A |
Keywords | Quality Based Reimbursement (QBR), Maryland Quality Based Reimbursement Program, Quality Based Reimbursement Program, Value-Based Purchasing (VBP), VBP Program, Clinical Care, Patient Safety, Person and Community Engagement, Hospital Performance |
Other Titles | RY2018 Patient Safety Data for Maryland Hospitals, Calculating Maryland QBR Patient Safety 2018 Data Using Base and Performance Periods |
Data Fields
Name | Description | Type | Constraints |
---|---|---|---|
Hospital_ID | 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. | integer | level : Nominalrequired : 1 |
Hospital_Name | Name of the hospital (also referred to as the provider) | string | required : 1 |
CLABSI_Base_Period_SIR_CY2014 | Refers to the Central Line Associated Blood Stream Infection (CLABSI) Standardized Infection Ratio (SIR) for Base Period 2014. | number | level : Ratio |
CLABSI_Base_Period_Predicted_Cases_CY2014 | Includes the Central Line Associated Blood Stream Infection (CLABSI) Base Period 2014 data for predicted cases. | number | level : Ratio |
CLABSI_Performance_SIR_2015Q4_2016Q3 | It refers to the Central Line Associated Blood Stream Infection (CLABSI) Performance Period (October 2015 - September 2016) data for Standardized Infection Ratio (SIR). | number | level : Ratio |
CLABSI_Performance_Predicted_Infections_2015Q4_2016Q3 | It refers to the Central Line Associated Blood Stream Infection (CLABSI) Performance Period (October 2015 - September 2016) data for Predicted Infections. | number | level : Ratio |
CAUTI_Base_Period_SIR_CY2015 | Refers to the Catheter Associated Urinary Tract Infection (CAUTI) Standardized Infection Ratio (SIR) for Base Period 2015. | number | level : Ratio |
CAUTI_Base_Predicted_Cases_CY2015 | Includes the Catheter Associated Urinary Tract Infection (CAUTI) Base Period 2015 data for predicted cases. | number | level : Ratio |
CAUTI_Performance_Period_SIR_2015Q4_2016Q3 | It refers to the Catheter Associated Urinary Tract Infection (CAUTI) Performance Period (October 2015 - September 2016) data for Standardized Infection Ratio (SIR). | number | level : Ratio |
CAUTI_Performance_Period_Predicted_Infections_2015Q4_2016Q3 | It refers to the Catheter Associated Urinary Tract Infection (CAUTI) Performance Period (October 2015 - September 2016) data for Predicted Infections. | number | level : Ratio |
SSI_Colon_Base_Period_SIR_CY2014 | Refers to the Surgical Site Infection Colon (SSI Colon) Standardized Infection Ratio (SIR) for Base Period 2014. | number | level : Ratio |
SSI_Colon_Base_Period_Predicted_Cases_CY2014 | Includes the Surgical Site Infection Colon (SSI Colon) Base Period 2014 data for predicted cases. | number | level : Ratio |
SSI_Colon_Performance_SIR_2015Q4_2016Q3 | It refers to the Surgical Site Infection Colon (SSI Colon) Performance Period (October 2015 - September 2016) data for Standardized Infection Ratio (SIR). | number | level : Ratio |
SSI_Colon_Performance_Predicted_Infections_2015Q4_2016Q3 | It refers to the Surgical Site Infection Colon (SSI Colon) Performance Period (October 2015 - September 2016) data for Predicted Infections. | number | level : Ratio |
SSI_Hyst_Base_Period_SIR_CY2014 | Refers to the Surgical Site Infection Hysterectomy (SSI Hyst) Standardized Infection Ratio (SIR) for Base Period 2014. | number | level : Ratio |
SSI_Hyst_Supplemental_Security_Income_Abdominal_Predicted_Cases_CY2014 | Includes the Surgical Site Infection Hysterectomy (SSI Hyst) Base Period 2014 data for Supplemental Security Income Abdominal predicted cases. | number | level : Ratio |
SSI_Hyst_Performance_SIR_2015Q4_2016Q3 | It refers to the Surgical Site Infection Hysterectomy (SSI Hyst) Performance Period (October 2015 - September 2016) data for Standardized Infection Ratio (SIR). | number | level : Ratio |
SSI_Hyst_Performance_Predicted_Infections_2015Q4_2016Q3 | It refers to the Surgical Site Infection Hysterectomy (SSI Hyst) Performance Period (October 2015 - September 2016) data for Predicted Infections. | number | level : Ratio |
Clostridium_Diffcile_Base_Period_SIR_CY2014 | Refers to the Clostridium Difficile (C.Diff.) Standardized Infection Ratio (SIR) for Base Period 2014. | number | level : Ratio |
Clostridium_Difficile_Predicted_Cases_CY2014 | Includes the Clostridium Difficile (C.Diff.) Base Period 2014 data for predicted cases. | number | level : Ratio |
Performance_Period_Clostridium_Difficile_SIR_2015Q4_2016Q3 | It refers to the Clostridium Difficile (C.Diff.) Performance Period (October 2015 - September 2016) data for Standardized Infection Ratio (SIR). | number | level : Ratio |
Clostridium_Difficile_Predicted_Cases_2015Q4_2016Q3 | It refers to the Clostridium Difficile (C.Diff.) Performance Period (October 2015 - September 2016) data for Predicted Infections. | number | level : Ratio |
MRSA_Base_Period_SIR_CY2014 | Refers to the Methicillin Resistant Staphylococcus Aureus (MRSA) Standardized Infection Ratio (SIR) for Base Period 2014. | number | level : Ratio |
MRSA_Base_Period_Predicted_Cases_CY2014 | Includes the Methicillin Resistant Staphylococcus Aureus (MRSA) Base Period 2014 data for predicted cases. | number | level : Ratio |
MRSA_Performance_Period_SIR_2015Q4_2016Q3 | It refers to the Methicillin Resistant Staphylococcus Aureus (MRSA) Performance Period (October 2015 - September 2016) data for Standardized Infection Ratio (SIR). | number | level : Ratio |
MRSA_Predicted_Cases_2015Q4_2016Q3 | It refers to the Methicillin Resistant Staphylococcus Aureus (MRSA) Performance Period (October 2015 - September 2016) data for Predicted Infections. | number | level : Ratio |
Data Preview
Hospital ID | Hospital Name | CLABSI Base Period SIR CY2014 | CLABSI Base Period Predicted Cases CY2014 | CLABSI Performance SIR 2015Q4 2016Q3 | CLABSI Performance Predicted Infections 2015Q4 2016Q3 | CAUTI Base Period SIR CY2015 | CAUTI Base Predicted Cases CY2015 | CAUTI Performance Period SIR 2015Q4 2016Q3 | CAUTI Performance Period Predicted Infections 2015Q4 2016Q3 | SSI Colon Base Period SIR CY2014 | SSI Colon Base Period Predicted Cases CY2014 | SSI Colon Performance SIR 2015Q4 2016Q3 | SSI Colon Performance Predicted Infections 2015Q4 2016Q3 | SSI Hyst Base Period SIR CY2014 | SSI Hyst Supplemental Security Income Abdominal Predicted Cases CY2014 | SSI Hyst Performance SIR 2015Q4 2016Q3 | SSI Hyst Performance Predicted Infections 2015Q4 2016Q3 | Clostridium Diffcile Base Period SIR CY2014 | Clostridium Difficile Predicted Cases CY2014 | Performance Period Clostridium Difficile SIR 2015Q4 2016Q3 | Clostridium Difficile Predicted Cases 2015Q4 2016Q3 | MRSA Base Period SIR CY2014 | MRSA Base Period Predicted Cases CY2014 | MRSA Performance Period SIR 2015Q4 2016Q3 | MRSA Predicted Cases 2015Q4 2016Q3 |
210001 | MERITUS MEDICAL CENTER | 0.327 | 3.056 | 1.8119999999999998 | 3.3110000000000004 | 0.7490000000000001 | 4.008 | 0.248 | 4.031000000000001 | 2.798 | 0.968 | 4.133 | 0.902 | 1.109 | 0.601 | 1.6640000000000001 | 1.314 | 50.225 | 1.033 | 50.357 | 0.9490000000000001 | 3.162 | 2.5580000000000003 | 2.736 | |
210002 | UNIVERSITY OF MARYLAND | 0.552 | 85.18799999999999 | 0.7020000000000001 | 86.898 | 1.171 | 67.437 | 0.9420000000000001 | 73.227 | 2.525 | 14.255999999999998 | 2.045 | 11.735999999999999 | 0.614 | 1.629 | 0.564 | 1.7730000000000001 | 1.236 | 192.58599999999998 | 0.9640000000000001 | 178.47799999999998 | 1.619 | 19.151 | 1.535 | 17.585 |
210003 | PRINCE GEORGES HOSPITAL CENTER | 0.314 | 12.755999999999998 | 1.227 | 13.859000000000002 | 17.377 | 0.18 | 16.625999999999998 | 1.544 | 1.295 | 1.459 | 0.245 | 0.22 | 0.563 | 55.086000000000006 | 0.557 | 53.826 | 1.96 | 4.591 | 1.4180000000000001 | 3.525 | ||||
210004 | HOLY CROSS HOSPITAL | 0.87 | 20.695999999999998 | 0.813 | 18.445 | 0.384 | 20.845 | 0.619 | 22.605 | 0.214 | 9.359 | 0.39 | 7.697 | 1.614 | 6.816 | 0.324 | 6.175 | 1.3359999999999999 | 101.065 | 1.429 | 104.29799999999999 | 0.5429999999999999 | 11.058 | 0.09699999999999999 | 10.329 |
210005 | FREDERICK MEMORIAL HOSPITAL | 0.474 | 2.108 | 0.9259999999999999 | 2.16 | 0.449 | 2.225 | 1.5219999999999998 | 2.6289999999999996 | 1.364 | 5.132000000000001 | 0.953 | 4.195 | 0.484 | 0.376 | 0.677 | 41.343999999999994 | 0.736 | 48.928999999999995 | 2.6039999999999996 | 3.84 | 2.533 | 2.764 | ||
210006 | UM HARFORD MEMORIAL HOSPITAL | 0.81 | 0.852 | 2.302 | 1.3030000000000002 | 0.805 | 1.242 | 0.6920000000000001 | 0.75 | 0.502 | 13.934000000000001 | 0.575 | 15.65 | 1.3319999999999999 | 3.525 | 1.135 | |||||||||
210008 | MERCY MEDICAL CENTER | 0.439 | 4.56 | 4.833 | 3.2910000000000004 | 3.372 | 0.9740000000000001 | 7.188 | 1.528 | 5.888999999999999 | 1.4569999999999999 | 8.925 | 1.157 | 9.508 | 0.993 | 51.353 | 0.846 | 53.162 | 1.3219999999999998 | 3.782 | 0.5379999999999999 | 3.717 | |||
210009 | JOHNS HOPKINS HOSPITAL | 0.542 | 75.664 | 0.64 | 70.263 | 0.402 | 74.65 | 0.445 | 67.47399999999999 | 1.689 | 13.615 | 0.721 | 12.491 | 3.241 | 1.851 | 0.22899999999999998 | 4.363 | 1.085 | 233.13400000000001 | 1.041 | 283.482 | 1.411 | 22.674 | 1.117 | 27.755 |
210010 | DORCHESTER | 1.09 | 1.508 | 2.2430000000000003 | 0.884 | 2.262 | 1.3940000000000001 | 1.435 | 1.325 | 3.0189999999999997 | 0.536 | 18.657 | 0.948 | 26.36 | 1.825 | 1.57 | 1.911 | ||||||||
210011 | ST. AGNES HOSPITAL | 0.552 | 10.873 | 0.7090000000000001 | 9.875 | 0.927 | 12.940999999999999 | 0.607 | 9.878 | 1.521 | 1.188 | 3.366 | 0.9690000000000001 | 0.45 | 1.6030000000000002 | 49.268 | 0.9890000000000001 | 66.751 | 0.242 | 4.1339999999999995 | 0.8190000000000001 | 4.887 |