Related Blog Is your CMS star rating wrong? Here’s what hospitals need to know.ĬMS in the request said the proposal is a "long-term" consideration, and any potential changes would not take effect until the 2020 quality reporting year or later. Remove measures with a statistically significant negative loading from the ratings.Release the star ratings annually using a user-friendly tool and.Launch a customized star-rating tool for users to view ratings based on what they value.Assign hospitals to peer groups based on their sizes or statuses and compare hospitals within those peer groups.Assign weights to each of the model's measures rather than using a separate model to select the weights.Specifically, CMS said it is considering whether to: The agency wrote that it is considering replacing its current model with a more explicit approach, such as using an average of the quality measurements on which the ratings are based. Separately, CMS in a 48-page request for comment asked for feedback on the agency's plan to revamp how hospitals are rated. 282 received a one-star rating, compared with 121 hospitals that received a five-star rating in December 2017.ĬMS did not assign star ratings to 1,060 hospitals for which it lacked sufficient data, Modern Healthcare reports.799 received a two-star rating, compared with 723 hospitals that received a five-star rating in December 2017 and.1,263 received a three-star rating, compared with 1,770 hospitals that received a five-star rating in December 2017.1,087 received a four-star rating, compared with 970 hospitals that received a five-star rating in December 2017.293 hospitals received a five-star rating, compared with 112 hospitals that received a five-star rating in December 2017.Of the more than 3,724 eligible for a star rating: Two ways to identify clinical variation-and improve outcomes Mortality, safety of care, readmissions, and patient experience each accounted for 22% of a hospital's overall score, while measures of effectiveness of care, timeliness of care, and efficient use of medical imaging each accounted for 4% of the overall rating. CMS this year also did not apply the winsorization method to limit "extreme hospital outliers" in the data and "minimize their effect on the overall ratings." Instead, CMS used k-means clustering under which the agency repeatedly categorized hospitals into the five star-rating groups until the hospitals in each group were sufficiently similar to each other and distinct from hospitals categorized in other groups.ĬMS said it continued to weigh each hospital's average score for each of the seven quality categories in the same way as in previous methodologies. Cheat Sheets Understand how CMS calculates their star ratingsĬMS for this year's ratings curbed the ratings' reliance on patient experience and put more weight on prompt care and readmission rates.
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