![]() We find that indirect standardization, as currently used by Hospital Compare, fails to adequately control for differences in patient risk factors, whereas direct standardization provides good control and is easy to interpret. Additionally, we contrast several methods for summarizing a model's predictions for use by the public. In particular, Medicares Hospital Compare webpage provides information to patients about specific hospital mortality rates for a heart attack or Acute. As opposed to Hospital Compare, our revised models incorporate information about hospital volume, nursing staff, medical residents, and the hospital's ability to perform cardiovascular procedures, information that is clearly needed if a model is to make appropriately calibrated predictions. Get information like: Quality ratings for local nursing homes and home health agencies. By checking the out of sample calibration of their individualized predictions against general empirical advice, we are led to substantial revisions of the Hospital Compare model for AMI mortality. Select the button below to find and compare nursing homes, hospitals, doctors, and other health care providers in your area that accept Medicare. ![]() Hospital Compare's current recommendations are based on a random effects logit model with a random hospital indicator and patient risk factors. The median hospital payments for the same MS-DRG can vary. Use the Hospital type' filter to find special facilities, like acute care, critical access, children’s hospitals, and more. For instance, Medicare's Hospital Compare webpage provides information to patients about specific hospital mortality rates for a heart attack or Acute Myocardial Infarction (AMI). The median payment refers to the midpoint of all payments to the hospital for a particular MS-DRG, that is, half the payments were lower and half the payments were higher than the median payment. VA facility data is shown on some quality measures found on the Centers for Medicare and Medicaid Services (CMS) Care Compare website. Find and compare hospitals that offer services like medical, surgical, and psychiatric care. George and 3 other authors Download PDF Abstract:Bayesian models are increasing fit to large administrative data sets and then used to make individualized recommendations. Beginning the public display of eCQM data on the Hospital Compare website (or its successor website) and/or, beginning with data reported by hospitals for the CY 2021 reporting period/FY 2023 payment determination and for subsequent years that would be included with the fall 2022 refresh of the website. Download a PDF of the paper titled Mortality Rate Estimation and Standardization for Public Reporting: Medicare's Hospital Compare, by E.I. The methodology for calculating the Overall Hospital Quality Star Rating was developed with input from stakeholders and members of the public and finalized in the Calendar Year (CY) 2021 Medicare Hospital Outpatient Prospective Payment System and Ambulatory Surgical Center Payment System Proposed Rule (CMS-1736-P).
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