Others titles
- Payment and Value of Care
- Central Line-Associated Bloodstream Infections
- State 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 State
This dataset includes state-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 (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, State and national averages do not include Veteran Health Administration (VHA) hospital data.
About this Dataset
Data Info
Date Created | 2015-05-31 |
---|---|
Last Modified | 2023-10-17 |
Version | 2023-07-26 |
Update Frequency |
Quarterly |
Temporal Coverage |
1st July 2018 to 30th December 2021 |
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, State Statistics on Unplanned Hospital Visits, Hospital Compare Readmissions and Deaths |
Data Fields
Name | Description | Type | Constraints |
---|---|---|---|
State | Full name of the state where the hospital is located. | string | - |
State_Abbreviation | Two-letter state abbreviation in the mailing address of the hospital. This includes information on hospitals in: | string | - |
Measure_Name | The name of the Measure. | string | - |
Measure_ID | The identification (ID) of the Readmission measures. | string | - |
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 state-level observed readmission rate. Comparative performance for hospitals with 25 or more eligible cases is classified as follows: “Worse than US state 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 state rate” if the 95% interval estimate surrounding the hospital’s rate includes the state-level readmission rate. | integer | level : Ratio |
Number_of_Hospitals_Better | “Better than US state rate” if the entire 95% interval estimate surrounding the hospital’s rate is lower than the state-level 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 | - |
Measure_End_Date | The last day the data measures were collected. The date format is YYYY-MM-DD. | date | - |
Number_of_Hospitals_Fewer | Refers to the number of hospitals that are fewer in number than the U.S. state-level rate. | integer | level : Ratio |
Number_of_Hospitals_Average | Indicates the number of hospitals that are average as compared to U.S. state-level rate. | integer | level : Ratio |
Number_of_Hospitals_More | Refers to the number of hospitals that are more in number than U.S. state-level 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
State | State Abbreviation | Measure Name | Measure ID | 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 |
Alaska | AK | EDAC_30_AMI | Hospital return days for heart attack patients | 2018-07-01 | 2021-06-30 | 1.0 | 4.0 | 0.0 | 13.0 | I21.3, I21.4 | ST elevation (STEMI) myocardial infarction of unspecified site, Non-ST elevation (NSTEMI) myocardial infarction | C9606 | Percutaneous transluminal revascularization of acute total/subtotal occlusion during acute myocardial infarction, coronary artery or coronary artery bypass graft, any combination of drug-eluting intracoronary stent, atherectomy and angioplasty, including aspiration thrombectomy when performed, single vessel | ||||
Alaska | AK | EDAC_30_HF | Hospital return days for heart failure patients | 2018-07-01 | 2021-06-30 | 2.0 | 3.0 | 3.0 | 13.0 | I50.9 | Heart failure, unspecified | G9680 | This code is for onsite acute care treatment of a nursing facility resident with CHF; may only be billed once per day per beneficiary | ||||
Alaska | AK | EDAC_30_PN | Hospital return days for pneumonia patients | 2018-07-01 | 2021-06-30 | 0.0 | 8.0 | 3.0 | 11.0 | ||||||||
Alaska | AK | OP_32 | Rate of unplanned hospital visits after colonoscopy (per 1,000 colonoscopies) | 0.0 | 7.0 | 0.0 | 3.0 | 2019-01-01 | 2021-12-31 | Z12.11 | Colorectal cancer screening; colonoscopy on individual not meeting the criteria for high risk | G1021 | Encounter for screening for malignant neoplasm of colon | ||||
Alaska | AK | OP_35_ADM | Rate of inpatient admissions for patients receiving outpatient chemotherapy | 0.0 | 8.0 | 0.0 | 6.0 | 2021-01-01 | 2021-12-31 | ||||||||
Alaska | AK | OP_35_ED | Rate of emergency department (ED) visits for patients receiving outpatient chemotherapy | 0.0 | 8.0 | 0.0 | 6.0 | 2021-01-01 | 2021-12-31 | ||||||||
Alaska | AK | OP_36 | Ratio of unplanned hospital visits after hospital outpatient surgery | 1.0 | 5.0 | 0.0 | 3.0 | 2021-01-01 | 2021-12-31 | ||||||||
Alaska | AK | READM_30_AMI | Acute Myocardial Infarction (AMI) 30-Day Readmission Rate | 0.0 | 5.0 | 0.0 | 13.0 | 2018-07-01 | 2021-06-30 | I21.3, I21.4 | ST elevation (STEMI) myocardial infarction of unspecified site, Non-ST elevation (NSTEMI) myocardial infarction | C9606 | Percutaneous transluminal revascularization of acute total/subtotal occlusion during acute myocardial infarction, coronary artery or coronary artery bypass graft, any combination of drug-eluting intracoronary stent, atherectomy and angioplasty, including aspiration thrombectomy when performed, single vessel | ||||
Alaska | AK | READM_30_CABG | Rate of readmission for CABG | 0.0 | 2.0 | 0.0 | 0.0 | 2018-07-01 | 2021-06-30 | T82.21, T82.211, T82.212, T82.213, T82.218 | Mechanical complication of coronary artery bypass graft, Breakdown (mechanical) of coronary artery bypass graft, Displacement of coronary artery bypass graft, Leakage of coronary artery bypass graft, Other mechanical complication of coronary artery bypass graft | C9604 | Percutaneous transluminal revascularization of or through coronary artery bypass graft (internal mammary, free arterial, venous), any combination of drug-eluting intracoronary stent, atherectomy and angioplasty, including distal protection when performed; single vessel | ||||
Alaska | AK | READM_30_COPD | Rate of readmission for chronic obstructive pulmonary disease (COPD) patients | 0.0 | 11.0 | 0.0 | 10.0 | 2018-07-01 | 2021-06-30 | J44.0, J44.1, J44.9 | Chronic obstructive pulmon disease w acute lower resp infct, Chronic obstructive pulmonary disease w (acute) exacerbation, Chronic obstructive pulmonary disease, unspecified | G9681 | This code is for onsite acute care treatment of a resident with COPD or asthma; may only be billed once per day per beneficiary |