Others titles
- Payment and Value of Care
- Central Line-Associated Bloodstream Infections
- National Statistics on Unplanned Hospital Visits
- Hospital Compare Readmissions and Deaths
Keywords
- Hospital Compare
- Quality of Care
- Quality Assurance
- Hospital Survey
- Hospital Experience
- Unplanned Hospital Visits
- Hospital Compare Readmissions
- Hospital Compare Deaths
Readmissions and Deaths by National
This dataset includes national-level data for the hospital return days (or excess days in acute care) measures and the 30-day readmission measures, the unplanned readmissions measures, and the rate of unplanned hospital visits after an outpatient colonoscopy.
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Description
The 30-day unplanned readmission measures are estimates of unplanned readmission to any acute care hospital within 30 days of discharge from a hospitalization for any cause related to medical conditions, including heart attack or acute myocardial infarction (AMI), heart failure (HF), pneumonia, chronic obstructive pulmonary disease (COPD), and stroke; and surgical procedures, including hip/knee replacement and coronary artery bypass graft (CABG). The 30-day unplanned hospital-wide readmission measure focuses on whether patients who were discharged from a hospitalization were hospitalized again within 30 days. The hospital-wide readmission measure includes all medical, surgical and gynecological, neurological, cardiovascular, and cardiorespiratory patients.
The 30-day death measures are estimates of deaths within 30-days of a hospital admission from any cause related to medical conditions, including heart attack, heart failure, pneumonia, COPD, and stroke; and surgical procedures, including CABG. Hospitals’ rates are compared to the national rate to determine if hospitals’ performance on these measures is better than the national rate (lower), no different than the national rate, or worse than the national rate (higher). For some hospitals, the number of cases is too small to reliably compare their results to the national average rate. CMS chose to measure death within 30 days instead of inpatient deaths to use a more consistent measurement time window because length of hospital stay varies across patients and hospitals. Rates are provided in the downloadable databases as decimals and typically indicate information that is presented on the Hospital Compare website as percentages. Lower percentages for readmission and mortality are better. In this dataset, the State and national averages do not include Veteran Health Administration (VHA) hospital data.
About this Dataset
Data Info
Date Created | 2015-05-31 |
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Last Modified | 2023-10-17 |
Version | 2023-07-26 |
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 | Hospital Compare, Quality of Care, Quality Assurance, Hospital Survey, Hospital Experience, Unplanned Hospital Visits, Hospital Compare Readmissions, Hospital Compare Deaths |
Other Titles | Payment and Value of Care, Central Line-Associated Bloodstream Infections, National Statistics on Unplanned Hospital Visits, Hospital Compare Readmissions and Deaths |
Data Fields
Name | Description | Type | Constraints |
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Measure_Name | The name of the Measure. | string | - |
Measure_ID | The identification (ID) of the Readmission measures. | string | - |
National_Rate | The national observed readmissions rate for the performance safety indicator. | number | level : Ratio |
Number_of_Hospitals_Worse | Measure of hospital performance. To categorize hospital performance, CMS estimates each hospital’s RSCR and the corresponding 95% interval estimate. CMS assigns hospitals to a performance category by comparing each hospital’s RSCR interval estimate to the national observed readmission rate. Comparative performance for hospitals with 25 or more eligible cases is classified as follows: “Worse than US national rate” if the entire 95% interval estimate surrounding the hospital’s rate is higher than the national observed readmission rate. | integer | level : Ratio |
Number_of_Hospitals_Same | “No different than US national rate” if the 95% interval estimate surrounding the hospital’s rate includes the national readmission rate. | integer | level : Ratio |
Number_of_Hospitals_Better | “Better than US national rate” if the entire 95% interval estimate surrounding the hospital’s rate is lower than the national readmission rate. | integer | level : Ratio |
Number_of_Hospitals_Too_Few | If a hospital has fewer than 25 eligible cases for a measure, CMS assigns the hospital to a separate category: “The number of cases is too small (fewer than 25) to reliably tell how well the hospital is performing;” If a hospital has fewer than 25 eligible cases, the hospital’s readmission rates and interval estimates will not be publicly reported for the measure. | integer | level : Ratio |
Measure_Start_Date | The first day the data measures were collected. The date format is YYYY-MM-DD. | date | required : 1 |
Measure_End_Date | The last day the data measures were collected. The date format is YYYY-MM-DD. | date | required : 1 |
Number_of_Hospitals_Fewer | Refers to the number of hospitals that are fewer in number than the U.S. national rate. | integer | level : Ratio |
Number_of_Hospitals_Average | Indicates the number of hospitals that are average as compared to U.S. national rate. | integer | level : Ratio |
Number_of_Hospitals_More | Refers to the number of hospitals that are more in number than U.S. national rate. | integer | level : Ratio |
Number_of_Hospitals_Too_Small | "The number of cases is too small (fewer than 25) to reliably tell how well the hospital is performing" if a hospital has fewer than 25 eligible cases. | integer | level : Ratio |
ICD10_Code | The International Classification of Diseases ICD-10 code/codes for the specific measure. | string | - |
ICD10_Description | Description used by physicians and other healthcare providers to classify and code all diagnoses, symptoms and procedures recorded in conjunction with hospital care. | string | - |
HCPCS_Code | The Healthcare Common Procedure Coding System (HCPCS) code/codes for the specific measure. | string | - |
HCPCS_Description | Description of the Level II of the HCPCS standardized coding system that is used primarily to identify products, supplies, and services not included in the CPT codes, such as ambulance services and durable medical equipment, prosthetics, orthotics, and supplies (DMEPOS) when used outside a physician's office. | string | - |
Data Preview
Measure Name | Measure ID | National Rate | Number of Hospitals Worse | Number of Hospitals Same | Number of Hospitals Better | Number of Hospitals Too Few | Measure Start Date | Measure End Date | Number of Hospitals Fewer | Number of Hospitals Average | Number of Hospitals More | Number of Hospitals Too Small | ICD10 Code | ICD10 Description | HCPCS Code | HCPCS Description |
Rate of inpatient admissions for patients receiving outpatient chemotherapy | OP_35_ADM | 12.0 | 41 | 1486 | 18 | 1906.0 | 2019-01-01 | 2019-12-01 | Z5111 | Encounter for antineoplastic chemotherapy | 96415, 96416, 96417, G0498 | Chemotherapy administration | ||||
Rate of emergency department (ED) visits for patients receiving outpatient chemotherapy | OP_35_ED | 5.9 | 27 | 1486 | 32 | 1906.0 | 2019-01-01 | 2019-12-01 | Z5111 | Encounter for antineoplastic chemotherapy | 96415, 96416, 96417, G0498 | Chemotherapy administration | ||||
Ratio of unplanned hospital visits after hospital outpatient surgery | OP_36 | 156 | 2664 | 148 | 931.0 | 2019-01-01 | 2019-12-24 | |||||||||
Rate of readmission after discharge from hospital (hospital-wide) | READM_30_HOSP_WIDE | 329.0 | 4029 | 215 | 194 | 2018-07-01 | 2019-06-30 | Z03.89 | Encounter for observation for other suspected diseases and conditions ruled out | G9310 | Unplanned hospital readmission within 30 days of principal procedure | |||||
Rate of readmission after discharge from hospital (hospital-wide) | READM_30_HOSP_WIDE | 15.6 | 329 | 4029 | 215 | 194.0 | 2018-07-01 | 2019-06-30 | Z03.89 | Encounter for observation for other suspected diseases and conditions ruled out | G9310 | Unplanned hospital readmission within 30 days of principal procedure | ||||
Rate of inpatient admissions for patients receiving outpatient chemotherapy | OP_35_ADM | 13.0 | 69 | 1467 | 23 | 1888.0 | 2018-01-01 | 2018-12-31 | Z5111 | Encounter for antineoplastic chemotherapy | 96415, 96416, 96417, G0498 | Chemotherapy administration | ||||
Rate of emergency department (ED) visits for patients receiving outpatient chemotherapy | OP_35_ED | 6.0 | 22 | 1511 | 26 | 1888.0 | 2018-01-01 | 2018-12-31 | Z5111 | Encounter for antineoplastic chemotherapy | 96415, 96416, 96417, G0498 | Chemotherapy administration | ||||
Ratio of unplanned hospital visits after hospital outpatient surgery | OP_36 | 155 | 2665 | 162 | 993.0 | 2018-01-01 | 2018-12-31 | |||||||||
Rate of emergency department (ED) visits for patients receiving outpatient chemotherapy | OP_35_ED | 6.0 | 22 | 1511 | 26 | 1888.0 | 2018-01-01 | 2018-12-31 | ||||||||
Rate of inpatient admissions for patients receiving outpatient chemotherapy | OP_35_ADM | 69.0 | 1467 | 23 | 1888 | 2018-01-01 | 2018-12-31 | Z5111 | Encounter for antineoplastic chemotherapy | 96415, 96416, 96417, G0498 | Chemotherapy administration |