Acronym Index
| Acronym |
Meaning |
| ASC |
Ambulatory Surgical Center |
| ASCQR |
Ambulatory Surgical Center Quality Reporting |
| AMI |
Acute Myocardial Infarction |
| AVG |
, Average |
| CABG |
Coronary Artery Bypass Graft |
| CAUTI |
Catheter-associated urinary tract infections |
| CDI |
Clostridium difficile Infection |
| CLABSI |
Central line-associated bloodstream infections |
| COMP |
Complications |
| COPD |
Chronic Obstructive Pulmonary Disease |
| ED |
Emergency Department |
| FTNT |
Footnote |
| HACRP |
Hospital-Acquired Conditions Reduction Program |
| HAI |
Healthcare-Associated Infections |
| HBIPS |
Hospital-Based Inpatient Psychiatric Services |
| HCAHPS |
Hospital Consumer Assessment of Healthcare Providers and Systems |
| HF |
Heart Failure |
| HIP-KNEE |
Total Hip/Knee Arthoplasty |
| HIT |
Health Information Technology |
| HRRP |
Hospital Readmissions Reduction Program |
| HVBP |
Hospital Value-Based Purchasing |
| IMG |
Imaging |
| IMM |
Immunization |
| IPFQR |
Inpatient Psychiatric Facility Quality Reporting |
| IQR |
Inpatient Quality Reporting |
| MORT |
Mortality |
| MRSA |
Methicillin-Resistant Staphylococcus aureus Bacteremia |
| MSPB |
Medicare Spending per Beneficiary (also referred to as SPP for Spending Per Patient) |
| MSR |
Measure |
| MPV |
Medicare Payment and Volume |
| NQF |
National Quality Forum |
| OCM |
Oncology Care Measures |
| OIE |
Outpatient Imaging Efficiency |
| OP |
Outpatient |
| OQR |
Outpatient Quality Reporting |
| PCHQR |
PPS-Exempt Cancer Hospital Quality Reporting |
| PN |
Pneumonia |
| PSI |
Patient Safety Indicators |
| READM |
Readmissions |
| SM |
Structural Measures |
| SPP |
Spending per Patient (also referred to as MSPB for Medicare Spending per Beneficiary) |
| STK |
Stroke |
| TPS |
Total Performance Score |
| VA |
Veterans Administration |
| VHA |
Veterans Health Administration |
| VTE |
Venous Thromboembolism |
Measure Descriptions and Reporting Cycles
General Information: Overall Rating
The hospital overall ratings are designed to assist patients, consumers, and others in comparing hospitals side-by-side. The hospital overall ratings show the quality of care a hospital may provide compared to other hospitals based on the quality measures reported on Hospital Compare. The hospital overall ratings summarize more than 60 measures reported on Hospital Compare into a single rating. The measures come from the IQR, OQR, and other programs and encompass measures in seven measure groups: mortality, safety of care, readmission, patient experience, effectiveness of care, timeliness of care, and efficient use of medical imaging. The hospitals can receive between one and five stars, with five stars being the highest rating, and the more stars, the better the hopsital performs on the quality measures. Most hospitals will display a three star rating. Reporting Cycle Data collection period will vary by measure, and will be updated quarterly.
General Information: Structural Measures
As part of the general information available through CMS, structural measures reflect the environment in which providers care for patients. Examples of structural measures can be inpatient (participation in general surgery registry) or outpatient (tracking clinical results between visits). Hospitals submit structural measure data using an online data entry tool made available to hospitals and their vendors. Structural measures include information provided by the American College of Surgeons (ACS), the Society of Thoracic Surgeons (STS), the Joint Commission (TJC), and CMS. Reporting Cycle Collection period: 12 months. Refreshed annually, except the ACS Registry which is refreshed quarterly.
General Information: Health Information Technology (HIT) Measures
As part of the general information available through CMS, hospitals submit HIT measure data which is part of the Electronic Health Record (EHR) Incentive Program. The HIT measures include hospitals’ ability to receive lab results electronically and track patients’ health information, including lab results, tests, and referrals electronically between visits. The data for hospitals who are using certified electonic health record technology to meet the requirements of meaningful use is available in the downloadable database files. Reporting Cycle Collection period: 12 months. Refreshed annually.
Hospital Consumer Assessment of Healthcare Providers and Systems (HCAHPS) Patient Survey
The HCAHPS Patient Survey, also known as the CAHPS® Hospital Survey or Hospital CAHPS, is a survey instrument and data collection methodology for measuring patients’ perceptions of their hospital experience. The survey is administered to a random sample of adult inpatients after discharge. The HCAHPS survey contains patient perspectives on care and patient rating items that encompass key topics: communication with hospital staff, responsiveness of hospital staff, pain management, communication about medicines, discharge information, cleanliness of hospital environment, quietness of hospital environment, and transition of care. The survey also includes screening questions and demographic items, which are used for adjusting the mix of patients across hospitals and for analytic purposes. See the Appendix B – HCAHPS Survey Questions Listing section for a full list of current HCAHPS Survey items included in the Hospital Compare downloadable databases. More information about the HCAHPS Survey, including a complete list of survey questions, can be found on the official HCAHPS website. Reporting Cycle Collection period: 12 months. Refreshed quarterly.
Timely and Effective Care: Process of Care Measures
The measures of timely and effective care (also known as “process of care” measures) show the percentage of hospital patients who got treatments known to get the best results for certain common, serious medical conditions or surgical procedures; how quickly hospitals treat patients who come to the hospital with certain medical emergencies; and how well hospitals provide preventive services. These measures only apply to patients for whom the recommended treatment would be appropriate. The measures of timely and effective care apply to adults and children treated at hospitals paid under the Inpatient Prospective Payment System (IPPS) or the Outpatient Prospective Payment System (OPPS), as well as those that voluntarily report data on measures for whom the recommended treatments would be appropriate including: Medicare patients, Medicare managed care patients, and non-Medicare patients. Timely and effective care measures include cataract care follow-up, colonoscopy follow-up, heart attack care, emergency department care, preventive care, , stroke care, blood clot prevention and treatment, and pregnancy and delivery care measures. IMM-3 and OP-27 are combined and reported as one measure rather than listing the measures separately. The Measure ID IMM-3_OP- 27 includes data from both the inpatient measure IMM-3, and the outpatient measure OP-27. Reporting Cycle Collection period: Approximately 12 months. Refreshed quarterly, except EDV-1, OP- 22 , OP-29, OP-30, OP-
31, IMM-2, and IMM- 3 which are refreshed annually.
Complications: Surgical Complications – Hip/Knee Measure
The hip/knee complication rate is an estimate of complications within an applicable time period, for patients electively admitted for primary total hip and/or knee replacement.CMS measures the likelihood that at least 1 of 8 complications occurs within a specified time period: heart attack, (acute myocardial infarction [AMI]), pneumonia, or sepsis/septicemia/shock during the index admission or within 7 days of admission, surgical site bleeding, pulmonary embolism, or death during the index admission or within 30 days of admission, or mechanical complications or periprosthetic joint infection/wound infection during the index admission or within 90 days of admission. Hospitals’ rates of hip/knee complications are compared to the national rate to determine if hospitals’ performance on this measure is better than the national rate (lower), no different than the national rate, or worse than the national rate (higher). Rates are provided in the downloadable databases as decimals and typically indicate information that is presented on the Hospital Compare website as percentages. Lower rates for surgical complications are better. CMS chose to measure these complications within the specified times because complications over a longer period may be impacted by factors outside the hospitals’ control like other complicating illnesses, patients’ own behavior, or care provided to patients after discharge. This measure is separate from the serious complications measure (also reported on Hospital Compare). Reporting Cycle Collection period: 36 months. Refreshed annually.
Complications: Surgical Complications – AHRQ Patient Safety Indicators (PSIs)
Measures of serious complications are drawn from the Agency for Healthcare Research and Quality (AHRQ) Patient Safety Indicators (PSIs). The overall score for serious complications is based on how often adult patients had certain serious, but potentially preventable, complications related to medical or surgical inpatient hospital care. The AHRQ PSIs reflect quality of care for hospitalized adults and focus on potentially avoidable complications and iatrogenic events. AHRQ PSIs only apply to Medicare beneficiaries who were discharged from a hospital paid through the IPPS. These indicators are risk adjusted to account for differences in hospital patients’ characteristics. CMS calculates rates for AHRQ PSIs using Medicare claims data and a statitistical model that determines the interval estimates for the PSIs. CMS publicly reports data on two PSIs—PSI- 4 (death rate among surgical patients with serious treatable complications) and the composite measure PSI- 90. PSI- 90 is composed of 11 NQF-endorsed measures, including PSI-3 (pressure ulcer rate), PSI-6 (iatrogenic pneumothorax rate), PSI-7 (central venous catheter-related blood stream infection rate), PSI-8 (postoperative hip fracture rate), PSI-9 (postoperative hemorrhage or hematoma rate), PSI-10 (postoperative physiologic and metabolic derangement rate), PSI-11 (postoperative respiratory failure rate), PSI-12 (postoperative pulmonary embolism or deep vein thrombosis rate), PSI-13 (postoperative sepsis rate), PSI-14 (postoperative wound dehiscence rate), and PSI-15 (accidental puncture or laceration rate). PSI-90’s composite rate is the weighted, Average of its component indicators. Hospitals’ PSI rates are compared to the national rate to determine if hospitals’ performance on PSIs is better than the national rate (lower), no different than the national rate, or worse than the national rate (higher). Reporting Cycle Collection period: 24 months. Refreshed annually.
Complications: Healthcare-Associated Infections (HAI) Measures
To receive payment from CMS, hospitals are required to report data about some infections to the Centers for Disease Control and Prevention’s (CDC’s) National Healthcare Safety Network (NHSN). The HAI measures show how often patients in a particular hospital contract certain infections during the course of their medical treatment, when compared to like hospitals. HAI measures provide information on infections that occur while the patient is in the hospital and include: central line-associated bloodstream infections (CLABSI), catheter- associated urinary tract infections (CAUTI), surgical site infection (SSI) from colon surgery or abdominal hysterectomy, methicillin-resistant Staphylococcus Aureus (MRSA) blood laboratory-identified events (bloodstream infections), and Clostridium difficile (C.diff.) laboratory-identified events (intestinal infections). The HAI measures show how often patients in a particular hospital contract certain infections during the couse of their medical treatment, when compared to like hospitals. The CDC calculates a Standardized Infection Ratio (SIR) which may take into account the type of patient care location, number of patients with an existing infection, laboratory methods, hospital affiliation with a medical school, bed size of the hospital, patient age, and classification of patient health. SIRs are calculated for the hospital, the state, and the nation. Hospitals’ SIRs are compared to the national benchmark to determine if hospitals’ performance on these measures is better than the national benchmark (lower), no different than the national benchmark, or worse than the national benchmark (higher). The HAI measures apply to all patients treated in acute care hospitals, including adult, pediatric, neonatal, Medicare, and non-Medicare patients. Reporting Cycle Collection period: 12 months. Refreshed quarterly.
Readmissions and Deaths: 30 - Day Readmission and Death Measures
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 (PN), chronic obstructive pulmonary disease (COPD), and stroke (STK); and surgical procedures, including hip/knee replacement and cornary 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. Reporting Cycle Collection period: 36 months for all measures, except 12 months for READM- 30 - HOSP-WIDE. Refreshed annually.
Use of Medical Imaging: Outpatient Imaging Efficiency (OIE)
CMS has adopted six measures which capture the quality of outpatient care in the area of imaging. CMS notes that the purpose of these measures is to promote high-quality efficient care. Each of the measures currently utilize both the Hospital OPPS claims and Physician Part B claims in the calculations. These calculations are based on the administrative claims of the Medicare fee-for-service population. Hospitals do not submit additional data for these measures. The measures on the use of medical imaging show how often a hospital provides specific imaging tests for Medicare beneficiaries under circumstances where they may not be medically appropriate. Lower percentages suggest more efficient use of medical imaging. The purpose of reporting these measures is to reduce unnecessary exposure to contrast materials and/or radiation, to ensure adherence to evidence-based medicine and practice guidelines, and to prevent wasteful use of Medicare resources. The measures only apply to Medicare patients treated in hospital outpatient departments. Reporting Cycle Collection period: 12 months. Refreshed annually.
Payment and Value of Care Measures
The Medicare Spending Per Beneficiary (MSPB- 1 ) Measure assesses Medicare Part A and Part B payments for services provided to a Medicare beneficiary during a spending-per-beneficiary episode that spans from three days prior to an inpatient hospital admission through 30 days after discharge. The payments included in this measure are price-standardized and risk-adjusted. The payment measures for heart attack, heart failure, and pneumonia include the payments made for Medicare beneficiaries who are 65 years and older. The measures add up payments made for care and supplies starting the day the patient enters the hospital and for the next 30 days. The measures are meant to reflect differences in the services and supplies provided to patients. Hospital results are provided in the downloadable databases for the heart attack, heart failure, and pneumonia payment measures. You can see whether the payments made for patients treated at a particular hospital is less than, no different than, or greater than the national, Average payment. For some hospitals, the number of cases is too small to reliably compare their results to the national, Average payment. Reporting Cycle Collection Period: 12 months for MSPB-1 and 36 months for the payment for heart attack (PAYM- 30 - AMI), heart failure (PAYM- 30 - HF), and pneumonia (PAYM- 30 - PN) measures. All measures refreshed annually.
Inpatient Psychiatric Facility Quality Reporting (IPFQR) Program
The IPFQR Program is a pay-for-reporting program intended to provide consumers with quality of care information to make more informed decisions about health care options. To meet the IPFQR Program requirements, Inpatient Psychiatric Facilities (IPFs) are required to submit all quality measures, tobacco use measures, and immuziations measures to CMS. The IPFQR Program measures allow consumers to find and compare the quality of care given at psychiatric facilities where patients are admitted as inpatients. Inpatient psychiatric facilities are required to report data on these measures. Facilities that are eligible for this program may have their Medicare payments reduced if they do not report. Reporting Cycle Collection period: 12 months. Refreshed annually.
Prospective Payment System (PPS)-Exempt Cancer Hospital Quality Reporting (PCHQR) Program
The PPS-Exempt Cancer Hospital Quality Reporting Program measures allow consumers to find and compare the quality of care provided at the eleven PPS-exempt cancer hospitals participating in the program. Under the PCHQR Program, cancer hospitals submit data to CMS regarding the Adjuvant Chemotherapy Colon Cancer (PCH-1), Combination Chemotherapy Breast Cancer (PCH-2), and Adjuvant Hormone Therapy Breast Cancer (PCH-3) measures. PPS-Exempt Cancer Hospitals also submit the following HCAHPS measures: Composite 1 (Q1 to Q3), Composite 2 (Q5 to Q7), Composite 3 (Q4 & Q11), Composite 4 (Q13 & Q14), Composite 5 (Q & Q17), Composite 6 (Q19 & Q20), Composite 7 (Q23 to Q25),Q21, Q 22, the star ratings and linear score PPS-Excempt Cancer Hospitals additionally submit Oncology Care Measures (PCH -14 through PCH -18). Reporting Cycle Collection period: 12 months for the PCH measures. Refreshed quarterly for the Composite measures.
Ambulatory Surgical Center Quality Reporting (ASCQR) Program
The Ambulatory Surgical Center Quality Reporting (ASCQR) Program is a quality measure data reporting program implemented by the Centers for Medicare & Medicaid Services (CMS) for care provided in the ambulatory surgical center (ASC) setting. ASCs are health care facilities that perform surgeries and procedures outside the hospital setting. The ASCQR Program exists to promote higher quality, more efficient health care for Medicare beneficiaries through data reporting, quality improvement, and measure alignment with other clinical care settings. To participate in the program, an ASC must submit quality measure data. Once an ASC submits quality measure data under the ASCQR Program for any of the ASCQR measures, the ASC is considered to be participating in the program. ASCs that participate in the program and meet program requirements are rewarded based on the quality of care that they provide to patients. The program operates by (1) awarding ASCs that meet program requirements with an annual payment, and (2) reducing the annual payment by two percent for ASCs that do not participate in the program, or fail to meet program requirements for the ten ASC measures. Reporting Cycle Collection period: 6 months (ASC-8); 12 months (ASC-6, -7, - 9 , - 10 , & 11); 24 months (ASC-1, -2, -3, -4, & - 5). Refreshed annually.
Linking Quality to Payment: Hospital-Acquired Conditions Reduction Program (HACRP)
The Hospital-Acquired Condition Reduction Program (HACRP) was established in 2010 to provide an incentive for hospitals to reduce HACs. CMS adopted the AHRQ PSI-90 composite measure, the CDC NHSN central line-associated blood stream infection (CLABSI) measure, the CDC NHSN catheter-associated urinary tract infection (CAUTI) measure, the Surgical Site Infection (SSI) (colon and hysterectomy) measure, Methicillin-Resistant Staphylococcus aureus Bacteremia (MRSA), and Clostridium difficile Infection (CDI) as part of HACRP. The overall score for serious complication is based on how adult patients who had certain serious, but potentially preventable, complications related to medical or surgical inpatient hospital care scored on the individual measures. Reporting Cycle Collection Period: 24 months. Refreshed Annually.
Linking Quality to Payment: Hospital Readmissions Reduction Program (HRRP)
In October 2012, CMS began reducing Medicare payments for IPPS hospitals with excess readmissions. Excess readmissions are measured using a ratio, by dividing a hospital’s number of “predicted” 30-day readmissions for AMI, CABG, COPD, HF, hip/knee replacement, and PN, by the number that would be “expected,” based on an, Average hospital with similar patients. A ratio greater than one indicates excess readmissions. The calculations include only acute care hospitals paid under IPPS and Maryland hospitals. Reporting Cycle Collection period: 36 months. Refreshed annually.
Linking Quality to Payment: Hospital Value-Based Purchasing (HVBP) Program
The HVBP program is part of CMS’ long-standing effort to link Medicare’s payment system to quality. The program implements value-based purchasing to the payment system that accounts for the largest share of Medicare spending, affecting payment for inpatient stays in over 3,500 hospitals across the country. Hospitals are paid for inpatient acute care services based on the quality of care, not just quantity of the services they provide. The Fiscal Year 2016 HVBP program adjusts hospitals’ payments based on their performance on five domains that reflect hospital quality. The domains consiste of measures for Safety, Patient Experience of Care, Clinical Care Outcomes, Perinatal Outcomes, Immunizations, and Efficiency. The Total Performance Score (TPS) is comprised of the scores from the following domains: Clinical Care - Process domain score (weighted as 5 % of the TPS), Clinical Care – Outcomes (weighted as 25% of the TPS), the Patient- and Caregive- Centered Experience of Care/Care Coordination domain score (weighted as 25 percent of the TPS), the Safety domain score (weighted as 20 percent of the TPS), and the Efficiency and Cost Reduction domain score (weighted as 2 5 percent of the TPS). Reporting Cycle Collection period: 12 months for Clinical Care - Process domain, Patient and Caregiver Experience of Care domain, Efficiency and Cost Reduction domain, and 21 months Clinical Care Outcomes (Mortality) domain measures and 12 months and 21 months for Patient Safety (HAI and AHRQ) domain measures. Refreshed annually.
Linking Quality to Payment: HVBP Payment Adjustments
The Inpatient HVBP Program adjusts Medicare’s payments to reward hospitals based on the quality of care that they provide to patients. The program operates by 1) reducing participating hospitals’ Medicare payments by a specified percentage, then 2) using the estimated total amount of those payment reductions to fund value-based incentive payments to hospitals based on their performance under the program. Reporting Cycle Collection period: Approximately 12 months. Refreshed annually.
Hospital Compare Measures
Access HQI_HOSP_STRUCTURAL
| Measure ID |
Measure Name |
| SM_PART_NURSE |
Nursing care registry (alternate Measure ID: SM-3) |
| SM_PART_GEN_SURG |
General Surgery Registry (alternate Measure ID: SM-4) |
| SM_SS_CHECK |
Uses Inpatient Safe Surgery Checklist (alternate Measure ID SM-5) |
| ACS_REGISTRY |
Multispecialty Surgical Registry |
| OP-12 |
Able to receive lab results electronically (HIT measure) |
| OP-17 |
Able to track patients’ lab results; tests; and referrals electronically between visits (HIT measure) |
| OP-25 Uses outpatient safe surgery checklist |
|
Access HQI_HOSP
| Measure ID |
Measure Name |
| Meets criteria for meaningful use of EHRs |
Meets criteria for meaningful use of EHRs |
| Hospital Overall Rating |
Overall rating |
| Mortality national comparison |
Mortality |
| Safety of care national comparison |
Safety of Care |
| Readmission national comparison |
Readmission |
| Patient experience national comparison |
Patient Experience |
| Effectiveness of care national comparison |
Effectiveness of Care |
| Timeliness of care national comparison |
Timeliness of Care |
| Efficient use of medical imaging national comparison |
Effective use of Medical Imaging |
Access HQI_HOSP_HCAHPS
| Measure ID |
Measure Name |
| H-CLEAN-HSP-A-P |
Patients who reported that their room and bathroom were "Always" clean |
| H-CLEAN-HSP-SN-P |
Patients who reported that their room and bathroom were "Sometimes" or "Never" clean |
| H-CLEAN-HSP-U-P |
Patients who reported that their room and bathroom were "Usually" clean |
| H-CLEAN-HSPSTAR-RATING |
Cleanliness - star rating |
| H_CLEAN_LINEAR_SCORE |
Cleanliness - linear mean score |
| H-COMP-1-A-P |
Patients who reported that their nurses "Always" communicated well |
| H-COMP-1-SN-P |
Patients who reported that their nurses "Sometimes" or "Never" communicated well |
| H-COMP-1-U-P |
Patients who reported that their nurses "Usually" communicated well |
| H-COMP-1-STAR_RATING |
Nurse communication - star rating |
| H_COMP_1_LINEA_R_SCORE |
Nurse communication - linear mean score |
| H-COMP-2-A-P |
Patients who reported that their doctors "Always" communicated well |
| H-COMP-2-SN-P |
Patients who reported that their doctors "Sometimes" or "Never" communicated well |
| H-COMP-2-U-P |
Patients who reported that their doctors "Usually" communicated well |
| H-COMP-2-STAR-RATING |
Doctor communication - star rating |
| H_COMP_2_LINEA_R_SCORE |
Doctor communication - linear mean score |
| H-COMP-3-A-P |
Patients who reported that they "Always" received help as soon as they wanted |
| H-COMP-3-SN-P |
Patients who reported that they "Sometimes" or "Never" received help as soon as they wanted |
| H-COMP-3-U-P |
Patients who reported that they "Usually" received help as soon as they wanted |
| H-COMP-3-STARRATING |
Staff responsiveness - star rating |
| H_COMP_3_LINEA_R_SCORE |
Staff responsiveness - linear mean score |
| H-COMP-4-A-P |
Patients who reported that their pain was "Always" well controlled |
| H-COMP-4-SN-P |
Patients who reported that their pain was "Sometimes" or "Never" well controlled |
| H-COMP-4-U-P |
Patients who reported that their pain was "Usually" well controlled |
| H-COMP-4-STARRATING |
Pain management - star rating |
| H_COMP_4_LINEA_R_SCORE |
Pain management - linear mean score |
| H-COMP-5-A-P |
Patients who reported that staff "Always" explained about medicines before giving it to them |
| H-COMP-5-SN-P |
Patients who reported that staff "Sometimes" or "Never" explained about medicines before giving it to them |
| H-COMP-5-U-P |
Patients who reported that staff "Usually" explained about medicines before giving it to them |
| H-COMP-5-STAR_RATING |
Communication about medicine - star rating |
| H_COMP_5_LINEA_R_SCORE |
Communication about medicines - linear mean score |
| H-COMP-6-N-P |
Patients who reported that NO; they were not given information about what to do during their recovery at home |
| H-COMP-6-Y-P |
Patients who reported that YES; they were given information about what to do during their recovery at home |
| H-COMP-6-STAR_RATING |
Discharge information - star rating |
| H_COMP_6_LINEA_R_SCORE |
Discharge information - linear mean score |
| H-COMP-7-A |
Patients who “Agree” they understood their care when they left the hospital |
| H-COMP-7-D-SD |
Patients who “Disagree” or “Strongly Disagree” that they understood their care when they left the hospital |
| H-COMP-7-SA |
Patients who “Strongly Agree” that they understood their care when they left the hospital |
| H-COMP-7-STAR_RATING |
Care transition - star rating |
| H_COMP_7_LINEA_R_SCORE |
Care transition - linear mean score |
| H-HSP-RATING-0-6 |
Patients who gave their hospital a rating of 6 or lower on a scale from 0 (lowest) to 10 (highest) |
| H-HSP-RATING-7-8 |
Patients who gave their hospital a rating of 7 or 8 on a scale from 0 (lowest) to 10 (highest) |
| H-HSP-RATING-9-10 |
Patients who gave their hospital a rating of 9 or 10 on a scale from 0 (lowest) to 10 (highest) |
| H-HSP-RATINGSTAR-RATING Overall rating of hospital - star rating |
|
| H_HSP_RATING_LINEAR_SCORE Overall hospital rating - linear mean score |
|
| H-QUIET-HSP-A-P |
Patients who reported that the area around their room was "Always" quiet at night |
| H-QUIET-HSP-SN-P |
Patients who reported that the area around their room was "Sometimes" or "Never" quiet at night |
| H-QUIET-HSP-U-P |
Patients who reported that the area around their room was "Usually" quiet at night |
| H-QUIET-HSPSTAR-RATING Quietness - star rating |
|
| H_QUIET_LINEAR_SCORE Quietness - linear mean score |
|
| H-RECMND-DN |
Patients who reported NO; they would probably not or definitely not recommend the hospital |
| H-RECMND-DY |
Patients who reported YES; they would definitely recommend the hospital |
| H-RECMND-PY |
Patients who reported YES; they would probably recommend the hospital |
| H-RECMND-STAR_RATING |
Recommend hospital - star rating |
| H_RECMND_LINEA_R_SCORE |
Recommend hospital - linear mean score |
| H-STAR-RATING |
Summary star rating |
Access HQI_HOSP_TimelyEffectiveCare
| Measure ID |
Measure Name |
| ED-1b |
Average (median) time patients spent in the emergency department; before they were admitted to the hospital as an inpatient (alternate Measure ID: ED-1) |
| ED-2b |
Average (median) time patients spent in the emergency department; after the doctor decided to admit them as an inpatient before leaving the emergency department for their inpatient room (alternate Measure ID: ED-2) |
| EDV |
Emergency department volume (alternate Measure ID: EDV-1) |
| IMM-2 |
Patients assessed and given influenza vaccination |
| IMM-3 |
Healthcare workers given influenza vaccination (alternate Measure ID: IMM-3_OP_27_FAC_ADHPCT) |
| OP-1 |
Median time to fibrinolysis. This measure is only found in the downloadable database; it is not displayed on Hospital Compare |
| OP-2 |
Outpatients with chest pain or possible heart attack who got drugs to break up blood clots within 30 minutes of arrival |
| OP-3b |
Average (median) number of minutes before outpatients with chest pain or possible heart attack who needed specialized care were transferred to another hospital |
| OP-4 |
Outpatients with chest pain or possible heart attack who received aspirin within 24 hours of arrival or before transferring from the emergency department |
| OP-5 |
Average (median) number of minutes before outpatients with chest pain or possible heart attack got an ECG |
| OP-18b |
Average (median) time patients spent in the emergency department before leaving from the visit (alternate Measure ID: OP-18) |
| OP-20 |
Average (median) time patients spent in the emergency department before they were seen by a healthcare professional |
| OP-21 |
Average (median) time patients who came to the emergency department with broken bones had to wait before getting pain medication |
| OP-22 |
Percentage of patients who left the emergency department before being seen |
| OP-23 |
Percentage of patients who came to the emergency department with stroke symptoms who received brain scan results within 45 minutes of arrival |
| OP-29 |
Percentage of patients receiving appropriate recommendation for follow-up screening colonoscopy |
| OP-30 |
Percentage of patients with history of polyps receiving follow-up colonoscopy in the appropriate timeframe |
| OP-31 |
Percentage of patients who had cataract surgery and had improvement in visual function within 90 days following the surgery |
| PC-01 |
Percent of mothers whose deliveries were scheduled too early (1-2 weeks early); when a scheduled delivery was not medically necessary |
| STK-4 |
Ischemic stroke patients who got medicine to break up a blood clot within 3 hours after symptoms started |
| VTE-5 |
Patients with blood clots who were discharged on a blood thinner medicine and received written instructions about that medicine |
| VTE-6 |
Patients who developed a blood clot while in the hospital who did not get treatment that could have prevented it |
Access HQI_HOSP_Comp
| Measure ID |
Measure Name |
| COMP-HIP-KNEE |
Rate of complications for hip/knee replacement patients |
| PSI-90 |
Serious complications (this is a composite or summary measure; alternate Measure ID: PSI-90-SAFETY) |
| PSI-3 |
Pressure sores (alternate Measure ID: PSI_3_Ulcer) |
| PSI-4 |
Deaths among patients with serious treatable complications after surgery (alternate Measure ID: PSI-4-SURG-COMP) |
| PSI-6 |
Collapsed lung due to medical treatment (alternate Measure ID: PSI-6-IAT-PTX) |
| PSI-7 |
Infections from a large venous catheter (alternate Measure ID: PSI_7_CVCBI) |
| PSI-8 |
Broken hip from a fall after surgery (alternate Measure ID: PSI_8_POST_HIP) |
| PSI-12 |
Serious blood clots after surgery (alternate Measure ID: PSI-12-POSTOP-PULMEMB-DVT) |
| PSI-13 |
Blood stream infection after surgery (alternate Measure ID: PSI_13_POST_SEPSIS |
| PSI-14 |
A wound that splits open after surgery on the abdomen or pelvis (alternate Measure ID: PSI-14-POSTOPDEHIS) |
| PSI-15 |
Accidental cuts and tears from medical treatment (alternate Measure ID: PSI-15-ACC-LAC) |
Access HQI_HOSP_HAI
| Measure ID |
Measure Name |
| HAI-1 |
Central line-associated bloodstream infections (CLABSI) in ICUs and select wards |
| HAI-2 |
Catheter-associated urinary tract infections (CAUTI) in ICUs and select wards |
| HAI-3 |
Surgical Site Infection from colon surgery (SSI: Colon) |
| HAI-4 |
Surgical Site Infection from abdominal hysterectomy (SSI: Hysterectomy) |
| HAI-5 |
Methicillin-resistant Staphylococcus aureus (or MRSA) blood laboratory-identified events (bloodstream infections) |
| HAI-6 |
Clostridium difficile (C.diff.) laboratory identified events (intestinal infections) |
Access HQI_HOSP_ReadmDeath
| Measure ID |
Measure Name |
| MORT-30-AMI |
Death Rate for heart attack patients |
| MORT-30-CABG |
Death Rate for Coronary Artery Bypass Graft (CABG) surgery patients |
| MORT-30-COPD |
Death Rate for chronic obstructive pulmonary disease (COPD) patients |
| MORT-30-HF |
Death Rate for heart failure patients |
| MORT-30-PN |
Death Rate for pneumonia patients |
| MORT-30-STK |
Death Rate for stroke patients |
| READM-30-AMI |
Rate of readmission for heart attack patients |
| READM-30-CABG |
Rate of readmission for Coronary Artery Bypass Graft (CABG) surgery patients |
| READM-30-COPD |
Rate of readmission for chronic obstructive pulmonary disease (COPD) patients |
| READM-30-HF |
Rate of readmission for heart failure patients |
| READM-30-HIPKNEE |
Rate of readmission after hip/knee surgery |
| MORT-30-AMI |
Death Rate for heart attack patients |
| MORT-30-CABG |
Death Rate for Coronary Artery Bypass Graft (CABG) surgery patients |
| READM-30-HOSPWIDE |
Rate of readmission after discharge from hospital (hospital-wide) |
| READM-30-PN |
Rate of readmission for pneumonia patients |
| READM-30-STK |
Rate of readmission for stroke patients |
Access HQI_HOSP_IMG
| Measure ID |
Measure Name |
| OP-8 |
Outpatients with low back pain who had an MRI without trying recommended treatments first; such as physical therapy |
| OP-9 |
Outpatients who had a follow-up mammogram; ultrasound; or MRI of the breast within 45 days after a screening mammogram |
| OP-10 |
Outpatient CT scans of the abdomen that were “combination” (double) scans |
| OP-11 |
Outpatient CT scans of the chest that were “combination” (double) scans |
| OP-13 |
Outpatients who got cardiac imaging stress tests before low-risk outpatient surgery |
| OP-14 |
Outpatients with brain CT scans who got a sinus CT scan at the same time (If a number is high; it may mean that too many patients are being given both a brain scan and sinus scan; when a single scan is all they need) |
Access HQI_HOSP_MSPB
| Measure ID |
Measure Name |
| MSPB-1 |
Spending per Hospital Patient with Medicare (Medicare Spending per Beneficiary) |
Access HOSPITAL_QUARTERLY_MSPB_6_DECIMALS
| Measure ID |
Measure Name |
| MSPB-1 |
Spending per Hospital Patient with Medicare (Medicare Spending per Beneficiary) |
Access Outpatient Procedures – Volume (Alternate Access File name: HQI_OP_Procedure_Volume)
| Measure ID |
Measure Name |
| OP-26 |
Hospital Outpatient Volume Data on Selected Outpatient Surgical Procedures (This measure is only found in the downloadable database, it is not displayed on Hospital Compare |
Access HOSPITAL_QUARTERLY_QUALITYMEASURE_IPFQR_HOSPITAL
| Measure ID |
Measure Name |
| FUH-7 |
Follow-up after Hospitalization for Mental Illness 7-Days (This measure is found in the embedded datasets on the Inpatient Psychiatric Facility Quality Reporting webpages) |
| FUH-30 |
Follow-up after Hospitalization for Mental Illness 30-Days (This measure is found in the embedded datasets on the Inpatient Psychiatric Facility Quality Reporting webpages) |
| HBIPS-2 |
Hours of physical restraint use (This measure is found in the embedded datasets on the Inpatient Psychiatric Facility Quality Reporting webpages) |
| HBIPS-3 |
Hours of seclusion. This measure is found in the embedded datasets on the Inpatient Psychiatric Facility Quality Reporting webpages |
| HBIPS-5 |
Patients discharged on multiple antipsychotic medications with appropriate justification. This measure is found in the embedded datasets on the Inpatient Psychiatric Facility Quality Reporting webpages. |
| HBIPS-6 |
Post discharge continuing care plan created. This measure is only found in the downloadable database; it is not displayed on Hospital Compare |
| HBIPS-7 |
Post discharge continuing care plan transmitted to next level of care provider upon discharge. This measure is found in the embedded datasets on the Inpatient Psychiatric Facility Quality Reporting webpages. |
| IPFQR-PEoC |
Assessment of Patient Experience of Care. This measure is found in the embedded datasets on the Inpatient Psychiatric Facility Quality Reporting webpages. |
| IPFQR-EHR |
Use of an Electronic Health Record. This measure is found in the embedded datasets on the Inpatient Psychiatric Facility Quality Reporting webpages. |
| IPFQR-IMM-2 |
Influenza Immunization. This measure is found in the embedded datasets on the Inpatient Psychiatric Facility Quality Reporting webpages. |
| IPFQR-HCP-FluVac |
Healthcare Personnel Influenza Vaccination. This measure is found in the embedded datasets on the Inpatient Psychiatric Facility Quality Reporting webpages. |
| SUB-1 |
Alcohol Use Screening. This measure is found in the embedded datasets on the Inpatient PsychiatricFacility Quality Reporting webpages.. |
| TOB-1 |
Tobacco Use Screening. This measure is found in the embedded datasets on the Inpatient Psychiatric Facility Quality Reporting webpages. |
| TOB-2 |
Tobacco Use Treatment Provided or Offered. This measure is found in the embedded datasets on the Inpatient Psychiatric Facility Quality Reporting webpages. |
| TOB-2a |
Tobacco Use Treatment (during the hospital stay). This measure is found in the embedded datasets on the Inpatient Psychiatric Facility Quality Reporting webpages |
Access HOSPITAL_QUARTERLY_HAC_DOMAIN_HOSPITAL
| Measure ID |
Measure Name |
| HACRP-D1 |
Domain 1 Score |
| HACRP-PSI-90 |
AHRQ PSI-90 Score (see Appendix C – Footnote Crosswalk for * definition) |
| HACRP-D2 |
Domain 2 Score |
| HACRP-CLABSI |
CLABSI Score (see Appendix C – Footnote Crosswalk for ** definition) |
| HACRP-CAUTI |
CAUTI Score |
| HACRP-SSI |
SSI Score |
| HACRP - MRSA |
MRSA Score |
| HACRP - CDI |
CDI Score |
| HACRP-Total |
Total HAC Score (see Appendix C – Footnote Crosswalk for *definition) |
Access vwHQI_READM_REDUCTION
| Measure ID |
Measure Name |
| READM-30-AMIHRRP |
Excess readmission ratio for heart attack patients |
| READM-30-COPDHRRP |
Excess readmission ratio for chronic obstructive pulmonary disease (COPD) patients |
| READM-30-CABGHRRP |
Excess readmission ration for Coronary Artery Bypass Graft (CABG) patients |
| READM-30-HFHRRP |
Excess readmission ratio for heart failure patients |
| READM-30-HIPKNEE-HRRP |
Excess readmission ratio for hip/knee replacement patients |
| READM-30-PNHRRP |
Excess readmission ratio for pneumonia patients |
Access HOSPITAL_QUARTERLY_QUALITYMEASURE_PCH_HOSPITAL
| Measure ID |
Measure Name |
| PCH-1 |
Adjuvant Chemotherapy for Stage III Colon Cancer |
| PCH-2 |
Combination Chemotherapy for AJCC T1c or Stage II or III Hormone Recepter-Negative Breast Cancer |
| PCH-3 |
Hormone Therapy for AJCC T1c or Stage II or III Hormone Receptor-Positive Breast Cancer |
Access HOSPITAL_QUARTERLY_QUALITYMEASURE_PCH_OCM_HOSPITAL
| Measure ID |
Measure Name |
| PCH-14 |
Oncology - Radiation Dose Limits to Normal Tissues |
| PCH-15 |
Oncology - Plan of Care for Pain – Medical Oncology and Radiation Oncology |
| PCH-16 |
Oncology - Medical and Radiation - Pain Intensity Quantified |
| PCH-17 |
Adjuvant Hormonal Therapy for High Risk Prostate Cancer Patients |
| PCH-18 |
Avoidance of Overuse Measure - Bone Scan for Staging Low Risk Prostate Cancer Patients |
Access HOSPITAL_QUARTERLY_QUALITYMEASURE_PCH_HCAHPS_HOSPITAL
| Measure ID |
Measure Name |
| Composite 1 Q1 to Q3 |
Communication with Nurses |
| Composite 2 Q5 to Q7 |
Communication with Doctors |
| Composite 3 Q4 & Q11 |
Responsiveness of Hospital Staff |
| Composite 4 Q13 & Q14 |
Pain Management |
| Composite 5 Q16 & Q17 |
Communication about Medicines |
| Q8 |
Cleanliness of Hospital Environment |
| Q9 |
Quietness of Hospital Environment |
| Composite 6 Q19 & Q20 |
Discharge Information |
| Composite 7 Q23 to 25 |
Care Transition |
| Q21 |
Overall Rating of Hospital |
| Q22 |
Willingness to Recommend this Hospital |
| Star Rating |
HCAHPS Summary Star Rating |
| Linear Score |
HCAHPS Linear Score for each measure |
Access Ambulatory Surgical Measure-Facility
| Measure ID |
Measure Name |
| ASC-1 |
Patient Burn |
| ASC-2 |
Patient Fall |
| ASC-3 |
Wrong Site; Wrong Side; Wrong Patient; Wrong Procedure; Wrong Implant |
| ASC-4 |
All Cause Hospital Transfer/Admission |
| ASC-5 |
Prophylactic Intravenous (IV) Antibiotic Timing |
| ASC-6 |
Safe Surgery Checklist Use |
| ASC-7 |
ASC Facility Volume Data on Selected ASC Surgical Procedures |
| ASC-8 |
Influenza Vaccination Coverage among Healthcare Personnel |
| ASC-9 |
Endoscopy/Polyp Surveillance: Appropriate Follow-up Interval for Normal Colonoscopy in Average Risk Patients |
| ASC-10 |
Endoscopy/Polyp Surveillance: Colonoscopy Interval for Patients with a History of Adenomatous Polyps – Avoidance of Inappropriate Use |
| ASC-11 |
Improvement in Patient’s Visual Function within 90 Days Following Cataract Surgery |
Access HQI_HOSP_ PaymentAndValueOfCare
| Measure ID |
Measure Name |
| PAYM-30-AMI |
Payment for heart attack patients |
| PAYM-30-HF |
Payment for heart failure patients |
| PAYM-30-PN |
Payment for pneumonia patients |
Access / CSV HVBP Measures Directory
| File Name |
Measure (Performance Rate - Achievement Points - Improvement Points - Measure Score) |
| hvbp_ami_11_14_2016 |
AMI-7a |
| hvbp_clinical_care_outcomes_11_10_2016 |
Payment for heart failure patients |
| PAYM-30-PN |
Payment for pneumonia patients |
| hvbp_efficiency_11_10_2016 |
MSPB-1 |
| hvbp_hcahps_11_10_2016 |
H-COMP-1-A-P; H-COMP-2-A-P; H-COMP-3-A-P; H-COMP-4-A-P; H-COMP-5-A-P; H-COMP-6-YP; H-HSP-RATING-9-10: H-CLEAN-QUIET-HSP-A-P |
| hvbp_imm2_11_10_2016 |
IMM-2 |
| hvbp_safety_11_10_2016 |
PSI-90; HAI-1; HAI-2; HAI-3; HAI-4 |
| Hvbp_tps_11_10_2016 |
TPS Scores (Weighted and Unweighted) for Clinical Process of Care; Patient Experience of Care; Outcome; and Efficiency Domains |
Access GLOBAL_April2017_09March2017
| Measure ID |
Measure Name |
| ED-1b |
Average (median) time patients spent in the emergency department; before they were admitted to the hospital as an inpatient (alternate Measure ID: ED-1) |
| ED-2b |
Average (median) time patients spent in the emergency department; after the doctor decided to admit them as an inpatient before leaving the emergency department for their inpatient room (alternate Measure ID: ED-2) |
| IMM-2 |
Patients assessed and given influenza vaccination. Measure not reported in April 2017 file but is reported in December 2016 file. |
| OP-1 |
Median time to fibrinolysis. |
| OP-2 |
Outpatients with chest pain or possible heart attack who got drugs to break up blood clots within 30 minutes of arrival |
| OP-3b |
Average (median) number of minutes before outpatients with chest pain or possible heart attack who needed specialized care were transferred to another hospital |
| OP-4 |
Outpatients with chest pain or possible heart attack who received aspirin within 24 hours of arrival or before transferring from the emergency department |
| OP-5 |
Average (median) number of minutes before outpatients with chest pain or possible heart attack got an ECG |
| OP-18b |
Average (median) time patients spent in the emergency department before leaving from the visit (alternate Measure ID: OP-18) |
| OP-20 |
Average (median) time patients spent in the emergency department before they were seen by a healthcare professional |
| OP-21 |
Average (median) time patients who came to the emergency department with broken bones had to wait before getting pain medication |
| OP-23 |
Percentage of patients who came to the emergency department with stroke symptoms who received brain scan results within 45 minutes of arrival |
| STK-4 |
Ischemic stroke patients who got medicine to break up a blood clot within 3 hours after symptoms started |
| VTE-5 |
Patients with blood clots who were discharged on a blood thinner medicine and received written instructions about that medicine |
| VTE-6 |
Patients who developed a blood clot while in the hospital who did not get treatment that could have prevented it |
Access VA_HBIPS_December2016_CMS_Submission
| Measure ID |
Measure Name |
| HBIPS-2 |
Hours of physical restraint use |
| HBIPS-3 |
Hours of seclusion |
| HBIPS-5 |
Patients discharged on multiple antipsychotic medications with appropriate justification |
| HBIPS-6 |
Post discharge continuing care plan created |
| HBIPS-7 |
Post discharge continuing care plan transmitted to next level of care provider upon discharge |
| SUB-1 |
Alcohol Use Screening |
| TOB-1 |
Tobacco Use Screening |
| TOB-2 |
Tobacco Use Treatment Provided or Offered |
| TOB-2a |
Tobacco Use Treatment (during the hospital stay) |
Access VA_IPSHEP_Apr2017CMS_09MAR17
| Measure ID |
Measure Name |
| VAH_CLEAN_HSP_A_P |
VA-Cleanliness of the Hospital Environment |
| VA-H_COMP_1_A_P |
VA-Communication with Nurses |
| VA-H_COMP_2_A_P |
VA-Communication with Doctors |
| VA-H_COMP_3_A_P |
VA-Responsiveness of Hospital Staff |
| VA-H_COMP_4_A_P |
VA-Pain Management |
| VA-H_COMP_5_A_P |
VA-Communication about Medication |
| VA-H_COMP_6_Y_P |
VA-Discharge Information |
| VA-H_COMP_7_SA |
VA-Care Transition |
| VAH_HSP_RATING_9_10 |
VA-Overall Rating of Hospital |
| VAH_QUIET_HSP_A_P |
VA-Quietness of the Hospital Environment |
| VA-H_RECMND_DY |
VA-Willingness to Recommend Hospital |
Access MORT_READM_April2017
| Measure ID |
Measure Name |
| VA-MORT-30-AMI |
Death rate for heart attack patients |
| VA-MORT-30-COPD |
Death rate for chronic obstructive pulmonary disease (COPD) patients |
| VA-MORT-30-HF |
Death rate for heart failure patients |
| VA-MORT-30-PN |
Death rate for pneumonia patients |
| VA-READM-30-AMI |
Rate of readmission for heart attack patients |
| VA-READM-30-COPD |
Rate of readmission for chronic obstructive pulmonary disease (COPD) patients |
| VA-READM-30-HF |
Rate of readmission for heart failure patients |
| VA-READM-30-PN |
Rate of readmission for pneumonia patients |
Access PSI_April2017
| Measure ID |
Measure Name |
| PSI-3 |
Pressure Ulcer Rate |
| PSI-4 |
Inpatient Surgical Deaths |
| PSI-6 |
Collapsed lung due to medical treatment |
| PSI-7 |
Central Venous Catheter-Related Blood Stream Infection |
| PSI-8 |
Postoperative Hip Fracture |
| PSI-9 |
Perioperative Bleeding/Bruise |
| PSI-10 |
Postoperative Kidney & Diabetic Complications |
| PSI-11 |
Postoperative Respiratory Failure |
| PSI-12 |
Perioperative Blood Clot/Embolism |
| PSI-13 |
Postoperative Sepsis |
| PSI-14 |
A wound that splits open after surgery on the abdomen or pelvis |
| PSI-15 |
Accidental puncture or laceration from medical treatment |
HCAHPS Survey Questions Listing
The HCAHPS survey is 32 questions in length and contains 21 substantive items that encompass critical aspects of the hospital experience, 4 screening items to skip patients to appropriate questions, and 7 demographic items that are used for adjusting the mix of patients across hospitals for analytical purposes. An overview of HCAHPS topics (7 composite topics, 2 individual topics, and 2 global topics) can be found on the Survey of Patients' Experiences webpage in the About the Data section of Hospital Compare.
Q1. During this hospital stay, how often did nurses treat you with courtesy and respect?
Q2. During this hospital stay, how often did nurses listen carefully to you?
Q3. During this hospital stay, how often did nurses explain things in a way you could understand?
Q4. During this hospital stay, after you pressed the call button, how often did you get help as soon as you wanted it?
Q5. During this hospital stay, how often did doctors treat you with courtesy and respect?
Q6. During this hospital stay, how often did doctors listen carefully to you?
Q7. During this hospital stay, how often did doctors explain things in a way you could understand?
Q8. During this hospital stay, how often were your room and bathroom kept clean?
Q9. During this hospital stay, how often was the area around your room quiet at night?
Q11. How often did you get help in getting to the bathroom or in using a bedpan as soon as you wanted?
Q13. During this hospital stay, how often was your pain well controlled?
Q14. During this hospital stay, how often did the hospital staff do everything they could to help you with your pain?
Q16. Before giving you any new medicine, how often did hospital staff tell you what the medicine was for?
Q17. Before giving you any new medicineunderstand? , how often did hospital staff describe possible side effects in a way you could
Q19. During this hospital stay, did doctors, nurses or other hospital staff talk with you about whether you would have the help yoneeded when you left the hospital? u
Q20. During this hospital stay, did you get information in writing about what symptoms or health problems to look out for after yoleft the hospital? u
Q21. Using any number from 0 to 10, where 0 is the worst hospital possible and 10 is the best hospitalyou use to rate this hospital during your stay? possible, what number would
Q22. Would you recommend this hospital to your friends and family?
Q23. During this hospital stay, staff took my preferences and those of my family or caregiver into account in health care needs would be when I left. deciding what my
Q24. When I left the hospital, I had a good understanding of the things I was responsible for in managing my health.
Q25. When I left the hospital, I clearly understood the purpose for taking each of my medications.
CMS - Hospital compare