Lown Institute Hospital Index dictionary - onetomapanalytics/Meta_Data GitHub Wiki
Lown Institute Hospital Index - dictionary
Data dictionary
| **Field Name ** | Description |
|---|---|
| RECORD_ID | CMS Certification Number for hospitals, Modified AHRQ id for systems |
| HOSPITAL_SYSTEM | Is this a hospital system, yes or no? |
| SYSTEM_ID | The system the hospital is part of (if applicable) |
| Name | Hospital Name |
| State | State |
| City | City |
| Address | Address |
| Zip | Zip |
| Size | Size |
| HRRName | Hospital Referral Region |
| HRRCode | Hospital Referral Region Code |
| COVID19_max_covid_burden_pc | Maximum covid burden percent |
| COVID19_covid_burden_thresh_wks | Covid burden threshold weeks |
| COVID19_reported_wks | Reported weeks |
| TYPE_HospTyp_ACH | Acute Care Hospital |
| TYPE_HospTyp_CAH | Critical Access Hospital |
| TYPE_AMC | Academic Medical Center |
| TYPE_isSafetyNet | Safety Net Hospital |
| TYPE_ForProfit | For-Profit Hospital |
| TYPE_NonProfit | Non-Profit Hospital |
| TYPE_chrch_affl_f | Church Affiliation |
| TYPE_urban | Urban |
| TYPE_rural | Rural |
| TIER_1_RANK_Lown_Composite | Lown Rank |
| TIER_1_GRADE_Lown_Composite | Lown Grade |
| TIER_2_RANK_Outcome | Outcomes Rank |
| TIER_2_RANK_Value | Value Rank |
| TIER_2_RANK_Civic | Equity Rank |
| TIER_2_GRADE_Outcome | Outcomes Grade |
| TIER_2_GRADE_Value | Value Grade |
| TIER_2_GRADE_Civic | Equity Grade |
| TIER_3_RANK_Outcome | Outcomes Rank |
| TIER_3_RANK_Pat_Saf | Patient Safety Rank |
| TIER_3_RANK_Pat_Exp | Patient Experience Rank |
| TIER_3_RANK_OU | Avoiding Overuse Rank |
| TIER_3_RANK_Cost_Eff | Cost Efficiency Rank |
| TIER_3_RANK_Exec_Comp | Pay Equity Rank |
| TIER_3_RANK_CB | Community Benefits Rank |
| TIER_3_RANK_Inclusivity | Inclusivity Rank |
| TIER_3_GRADE_Outcome | Outcomes Grade |
| TIER_3_GRADE_Pat_Saf | Patient Safety Grade |
| TIER_3_GRADE_Pat_Exp | Patient Experience Grade |
| TIER_3_GRADE_OU | Avoiding Overuse Grade |
| TIER_3_GRADE_Cost_Eff | Cost Efficiency Grade |
| TIER_3_GRADE_Exec_Comp | Pay Equity Grade |
| TIER_3_GRADE_CB | Community Benefits Grade |
| TIER_3_GRADE_Inclusivity | Inclusivity Grade |
| TIER_4_STARS_Outcome_30DY_MORT | 30-day Mortality Stars |
| TIER_4_STARS_Outcome_90DY_MORT | 90-day Mortality Stars |
| TIER_4_STARS_Outcome_INHOSP_MORT | In-hospital Mortality Stars |
| TIER_4_STARS_Outcome_30DY_READM | 30-day Readmission Stars |
| TIER_4_STARS_Outcome_07DY_READM | 7-day Readmission Stars |
| TIER_4_STARS_Pat_Saf_CLABSI | CLABSI Stars |
| TIER_4_STARS_Pat_Saf_CAUTI | CAUTI Stars |
| TIER_4_STARS_Pat_Saf_SSI | SSI: Colon Stars |
| TIER_4_STARS_Pat_Saf_MRSA | MRSA Stars |
| TIER_4_STARS_Pat_Saf_C_Diff | C Diff Stars |
| TIER_4_STARS_Pat_Saf_PSI_90 | PSI 90 CMS Patient Safety and Adverse Events Composite Stars |
| TIER_4_STARS_Pat_Exp_Nurs_Comm | Nurse Communication Stars |
| TIER_4_STARS_Pat_Exp_Doc_Comm | Doctor Communication Stars |
| TIER_4_STARS_Pat_Exp_Resp | Responsiveness of Hospital Staff Stars |
| TIER_4_STARS_Pat_Exp_Comm_Med | Communication About Medicines Stars |
| TIER_4_STARS_Pat_Exp_Dschg | Discharge Information Stars |
| TIER_4_STARS_Pat_Exp_Care | Care Transition Stars |
| TIER_4_STARS_Pat_Exp_Clean | Cleanliness Stars |
| TIER_4_STARS_Pat_Exp_Quiet | Quietness Stars |
| TIER_4_STARS_Pat_Exp_Overall | Overall Stars |
| TIER_4_STARS_Pat_Exp_Reco | Recommendation Stars |
| TIER_4_STARS_Overuse_arth | Knee Arthroscopy Stars |
| TIER_4_STARS_Overuse_cea | Carotid Endarterectomy Stars |
| TIER_4_STARS_Overuse_ctdsync | Carotid Artery Imaging for Syncope Stars |
| TIER_4_STARS_Overuse_eeg | EEG for Headache Stars |
| TIER_4_STARS_Overuse_eegsync | EEG for Syncope Stars |
| TIER_4_STARS_Overuse_hyster | Hysterectomy Stars |
| TIER_4_STARS_Overuse_ivc | Inferior Vena Cava Filters Stars |
| TIER_4_STARS_Overuse_lamsf | Spinal Fusion Stars |
| TIER_4_STARS_Overuse_pci | Percutaneous Coronary Intervention Stars |
| TIER_4_STARS_Overuse_renlstent | Renal Artery Stenting Stars |
| TIER_4_STARS_Overuse_sync | Head Imaging for Syncope Stars |
| TIER_4_STARS_Overuse_vert | Vertebroplasty Stars |
| TIER_4_STARS_Cost_Eff_30DY | 30-day Cost Efficiency Stars |
| TIER_4_STARS_Cost_Eff_90DY | 90-day Cost Efficiency Stars |
| TIER_4_STARS_Exec_Comp_HC_worker_wg | Health Care Worker Wage Stars |
| TIER_4_STARS_CharityCare_Tot_Exp | Charity Care / Total Expenses Stars |
| TIER_4_STARS_Other_CB_Tot_Exp | Other CB Spending / Total Expenses Stars |
| TIER_4_STARS_CB_using_Medicaid | Charity Care using Medicaid / Total Expenses Stars |
| TIER_4_STARS_Inclusivity_Income | Income Stars |
| TIER_4_STARS_Inclusivity_Race | Race Stars |
| TIER_4_STARS_Inclusivity_Education | Education Stars |
| TIER_4_RANK_Outcome_30DY_MORT | 30 day mortality Rank |
| TIER_4_RANK_Outcome_90DY_MORT | 90 day mortality Rank |
| TIER_4_RANK_Outcome_INHOSP_MORT | in hospital mortality Rank |
| TIER_4_RANK_Outcome_30DY_READM | 30 day readmission Rank |
| TIER_4_RANK_Outcome_07DY_READM | 7 day readmission Rank |
| TIER_4_RANK_Pat_Saf_CLABSI | CLABSI Rank |
| TIER_4_RANK_Pat_Saf_CAUTI | CAUTI Rank |
| TIER_4_RANK_Pat_Saf_SSI | SSI: Colon Rank |
| TIER_4_RANK_Pat_Saf_MRSA | MRSA Rank |
| TIER_4_RANK_Pat_Saf_C_Diff | C Diff Rank |
| TIER_4_RANK_Pat_Saf_PSI_90 | PSI 90 CMS Patient Safety and Adverse Events Composite Rank |
| TIER_4_RANK_Pat_Exp_Nurs_Comm | Nurse Communication Rank |
| TIER_4_RANK_Pat_Exp_Doc_Comm | Doctor Communication Rank |
| TIER_4_RANK_Pat_Exp_Resp | Responsiveness of Hospital Staff Rank |
| TIER_4_RANK_Pat_Exp_Comm_Med | Communication About Medicines Rank |
| TIER_4_RANK_Pat_Exp_Dschg | Discharge Information Rank |
| TIER_4_RANK_Pat_Exp_Care | Care Transition Rank |
| TIER_4_RANK_Pat_Exp_Clean | Cleanliness Rank |
| TIER_4_RANK_Pat_Exp_Quiet | Quietness Rank |
| TIER_4_RANK_Pat_Exp_Overall | Overall Rank |
| TIER_4_RANK_Pat_Exp_Reco | Recommendation Rank |
| TIER_4_RANK_Overuse_arth | Knee Arthroscopy Rank |
| TIER_4_RANK_Overuse_cea | Carotid Endarterectomy Rank |
| TIER_4_RANK_Overuse_ctdsync | Carotid Artery Imaging for Syncope Rank |
| TIER_4_RANK_Overuse_eeg | EEG for Headache Rank |
| TIER_4_RANK_Overuse_eegsync | EEG for Syncope Rank |
| TIER_4_RANK_Overuse_hyster | Hysterectomy Rank |
| TIER_4_RANK_Overuse_ivc | Inferior Vena Cava Filters Rank |
| TIER_4_RANK_Overuse_lamsf | Spinal Fusion Rank |
| TIER_4_RANK_Overuse_pci | Percutaneous Coronary Intervention Rank |
| TIER_4_RANK_Overuse_renlstent | Renal Artery Stenting Rank |
| TIER_4_RANK_Overuse_sync | Head Imaging for Syncope Rank |
| TIER_4_RANK_Overuse_vert | Vertebroplasty Rank |
| TIER_4_RANK_Cost_Eff_30DY | 30-day Cost Efficiency Rank |
| TIER_4_RANK_Cost_Eff_90DY | 90-day Cost Efficiency Rank |
| TIER_4_RANK_Exec_Comp_HC_worker_wg | Health Care Worker Wage Rank |
| TIER_4_RANK_CharityCare_Tot_Exp | Charity Care / Total Expenses Rank |
| TIER_4_RANK_Other_CB_Tot_Exp | Other CB Spending / Total Expenses Rank |
| TIER_4_RANK_CB_using_Medicaid | Charity Care using Medicaid / Total Expenses Rank |
| TIER_4_RANK_Inclusivity_Income | Income Rank |
| TIER_4_RANK_Inclusivity_Race | Race Rank |
| TIER_4_RANK_Inclusivity_Education | Education Rank |
| NOTES | Notes about the hospital or system record to be used in tooltips |
Source(s) used for each component metric in the Lown Index.
| Metric | Year(s) | Source(s) |
|---|---|---|
| Pay Equity | 2019 | IRS Form 990, SEC Filings, Healthcare Cost Report Information System (HCRIS) hospital data, state databases with public employee salaries |
| Community Benefit | 2019 | IRS Form 990, Healthcare Cost Report Information System (HCRIS) hospital data |
| Inclusivity | 2020 | Bureau of Labor Statistics Census Data, CMS Medicare claims on CMS Virtual Research Data Center |
| Avoiding Overuse | 2018-2020 | Medicare inpatient, outpatient, and carrier claims data on CMS Virtual Research Data Center (VRDC) |
| Cost Efficiency | 2018-2020 | Medicare inpatient, outpatient, and carrier claims data on CMS Virtual Research Data Center (VRDC) |
| Clinical Outcomes | 2018-2020 | Medicare inpatient, outpatient, and carrier claims data on CMS Virtual Research Data Center (VRDC) |
| Patient Safety | July 2018 to March 2021 | CMS Patient Safety Indicators |
| Patient Satisfaction | July 2020 to March 2021 | CMS Hospital Consumer Assessment of Healthcare Providers and Systems (HCAHPS) survey |