About the Quality Ratings


  • Hospital Quality Ratings

  • Childbirth:
    •
  • When both the mother and the newborn do not have injuries after childbirth then good results are achieved. Childbirth practice patterns includes quality ratings on how often and when both C-sections and vaginal births are performed.

  • Practice Patterns: Information on the types of care provided in the hospital. This type of quality rating often shows information about the numbers of surgeries or procedures that a hospital performs.
    • Lower rates are generally considered better.
    • This rating does not take into account how sick patients were before they went to the hospital (it is not risk-adjusted).
    • Ratings do not include a significance test.
    • Hospitals are not rated for this measure because there are currently no nationally agreed upon standards.
    • Hospital ratings are events per 100 cases.
    • Numbers in the measure details table are not scaled. These are raw statistics.
  • Clinical Title:  Cesarean Delivery Rate
    Measure Code:  IQI 21
    Statistics Available:  Numerator, Denominator and Observed Rate and CI
    Measure Source: AHRQ Quality Indicator
    • Higher rates are generally considered better.
    • This rating does not take into account how sick patients were before they went to the hospital (it is not risk-adjusted).
    • Ratings do not include a significance test.
    • Hospitals are not rated for this measure because there are currently no nationally agreed upon standards.
    • Hospital ratings are events per 100 cases.
    • Numbers in the measure details table are not scaled. These are raw statistics
  • Clinical Title:  Vaginal Birth After Cesarean (VBAC) Delivery Rate, Uncomplicated
    Measure Code:  IQI 22
    Statistics Available:  Numerator, Denominator and Observed Rate and CI
    Measure Source: AHRQ Quality Indicator
    • A lower score is better.
    • This rating does not take into account how sick patients were before they went to the hospital (it is not risk-adjusted).
    • Ratings do not include a significance test.
    • Hospital ratings are events per 100 cases.
    • Numbers in the measure details table are not scaled. These are raw statistics.
  • Clinical Title:  Primary Cesarean Delivery Rate
    Measure Code:  IQI 33
    Statistics Available:  Numerator, Denominator and Observed Rate and CI
    Measure Source: AHRQ Quality Indicator
  • Vaginal birth after a previous C-section (VBAC)
    •
  • How often babies in the hospital are delivered normally - meaning with a vaginal birth - where the mother has previously delivered by cesarean section (involving an operation). This indicator and counts all VBACs, even those where a complication occurred during childbirth.
    • Higher rates are generally considered better.
    • This rating does not take into account how sick patients were before they went to the hospital (it is not risk-adjusted).
    • Ratings do not include a significance test.
    • Hospital ratings are events per 100 cases.
    • Numbers in the measure details table are not scaled. These are raw statistics.
  • Clinical Title:  Vaginal Birth After Cesarean (VBAC) Rate, All
    Measure Code:  IQI 34
    Statistics Available:  Numerator, Denominator, Observed Rate and CI
    Measure Source: AHRQ Quality Indicator
  • Results of care: Information on what happened to patients while being cared for in the hospital or after leaving the hospital. These ratings are sometimes called outcome measures.
    • A lower score is better.
    • This rating does not take into account how sick patients were before they went to the hospital (it is not risk-adjusted).
    • Ratings do not include a significance test.
    • This measure is endorsed by the National Quality Forum, an independent organization that sets standards for health care quality measurement.
    • Hospital ratings are events per 1,000 cases.
    • Numbers in the measure details table are not scaled. These are raw statistics.
  • Clinical Title:  Birth Trauma – Injury to Neonate
    Measure Code:  PSI 17
    Statistics Available:  Numerator, Denominator, Observed Rate and CI
    Measure Source: AHRQ Quality Indicator
  • Obstetric injury after a vaginal delivery with medical instruments
    •
  • How often a woman experiences a tear (trauma) to her perineum - the area between her vagina and rectum - while giving birth when a health care provider is helping to deliver her baby using a forceps or other medical instruments. Such tears are often preventable.
    • A lower score is better.
    • This rating does not take into account how sick patients were before they went to the hospital (it is not risk-adjusted).
    • Ratings do not include a significance test.
    • Hospital ratings are events per 1,000 cases.
    • Numbers in the measure details table are not scaled. These are raw statistics
  • Clinical Title:  Obstetric Trauma Rate - Vaginal Delivery With Instrument
    Measure Code:  PSI 18
    Statistics Available:  Numerator, Denominator, Observed Rate and CI
    Measure Source: AHRQ Quality Indicator
    • A lower score is better.
    • This rating does not take into account how sick patients were before they went to the hospital (it is not risk-adjusted).
    • Ratings do not include a significance test.
    • Hospital ratings are events per 1,000 cases.
    • Numbers in the measure details table are not scaled. These are raw statistics.
  • Clinical Title:  Obstetric Trauma Rate - Vaginal Delivery Without Instrument
    Measure Code:  PSI 19
    Statistics Available:  Numerator, Denominator, Observed Rate and CI
    Measure Source: AHRQ Quality Indicator

  • Composites:
    •
  • Measures that combine more than one measure into one score. Composite measures provide a summary of quality or performance.
  • Deaths
    • A lower score is better.
    • Hospital scores presented are risk-standardized morality ratios summed across all conditions, with an expected overall score of 1.0.
      • A score of less than 1 means that the hospital had fewer deaths due to these conditions than other hospitals with a similar case mix. For example, an overall score of 0.5 means that half as many patients died as expected.
      • A score of 1 means that the hospital had the same number of deaths due to these conditions as other hospitals with a similar case mix.
      • A score of more than 1 means the hospital had more deaths due to these conditions than other hospitals with a similar case mix. For example, an overall score of 2.0 means that twice as many patients died as expected.
    • Each individual component of this score takes into account how sick patients were before they went to the hospital (the components are risk-adjusted).
    • Ratings include a significance test.
  • Clinical Title:  Mortality for selected procedures (esophageal resection, pancreatic resection, AAA repair, CABG, craniotomy, hip replacement, percutaneous transluminal coronary angioplasty (PTCA), and carotid endarterectom)
    Measure Code:  IQI Proc
    Statistics Available:  Composite Ratio, Composite Lower/Upper Bound CI
    Measure Source: AHRQ Quality Indicator
    • A lower score is better.
    • Hospital scores presented are risk-standardized morality ratios summed across all conditions, with an expected overall score of 1.0.
      • A score of less than 1 means that the hospital had fewer deaths due to these conditions than other hospitals with a similar case mix. For example, an overall score of 0.5 means that half as many patients died as expected.
      • A score of 1 means that the hospital had the same number of deaths due to these conditions as other hospitals with a similar case mix.
      • A score of more than 1 means the hospital had more deaths due to these conditions than other hospitals with a similar case mix. For example, an overall score of 2.0 means that twice as many patients died as expected.
    • Each individual component of this score takes into account how sick patients were before they went to the hospital (the components are risk-adjusted).
    • Ratings include a significance test.
    • This measure is endorsed by the National Quality Forum, an independent organization that sets standards for health care quality.
  • Clinical Title:  Mortality for selected conditions (AMI, CHF, stroke, hemorrhage, hip fracture, and pneumonia)
    Measure Code:  IQI Cond
    Statistics Available:  Composite Ratio, Composite Lower/Upper Bound CI
    Measure Source: AHRQ Quality Indicator
  • Patient Safety
    • A lower score is better.
    • Hospital scores presented are risk-standardized ratios summed across all conditions, with an expected overall score of 1.0
      • A score of less than 1 means that the hospital had fewer selected patient safety events than other hospitals with a similar case mix. For example, an overall score of 0.5 means that half as many discharges involved complications as expected.
      • A score of 1 means that the hospital had the same number of selected patient safety events as other hospitals with a similar case mix.
      • A score of more than 1 means the hospital had more selected patient safety events than other hospitals with a similar case mix. For example, an overall score of 2.0 means that twice as many discharges involved complications as expected.
    • Each individual component of this score takes into account how sick patients were before they went to the hospital (the components are risk-adjusted).
    • Ratings include a significance test.
    • This measure is endorsed by the National Quality Forum, an independent organization that sets standards for health care quality.
  • Clinical Title:  Patient safety composite for selected indicators (decibutus ulcer, iatrogenic pneumothorax, infection due to medical care, postoperative hip fracture, postoperative PV or DVT, postoperative sepsis, postoperative wound dehiscence, accidental puncture/laceration)
    Measure Code:  PSI Comp
    Statistics Available:  Composite Ratio, Composite Lower/Upper Bound CI
    Measure Source: AHRQ Quality Indicator


  • Heart attack and chest pain:
    •
  • A heart attack (also called an AMI or an acute myocardial infarction) happens when the arteries leading to the heart become blocked and the blood supply is slowed or stops.
  • Results of care: Information on what happened to patients while being cared for in the hospital or after leaving the hospital. These ratings are sometimes called outcome measures.
    • A lower score is better.
    • The rate takes into account how sick patients were before they went to the hospital (it is a risk-adjusted rate).
    • Ratings include a significance test that makes us more confident the hospital rating is accurate.
    • This measure is endorsed by the National Quality Forum, an independent organization that sets standards for health care quality measurement.
    • Hospital ratings are events per 100 cases.
    • Numbers in the measure details table are not scaled. These are raw statistics.
  • Clinical Title:  Acute Myocardial Infarction (AMI) Mortality Rate
    Measure Code:  IQI 15
    Statistics Available:  Numerator, Denominator, Observed Rate and CI, Expected Rate, Risk-Adjusted Rate and CI
    Measure Source: AHRQ Quality Indicator
    • A lower score is better.
    • The rate takes into account how sick patients were before they went to the hospital (it is a risk-adjusted rate).
    • Ratings include a significance test that makes us more confident the hospital rating is accurate.
    • Hospital ratings are events per 100 cases.
    • Numbers in the measure details table are not scaled. These are raw statistics.
  • Clinical Title:  Acute Myocardial Infarction (AMI) Mortality Rate, Without Transfer Cases
    Measure Code:  IQI 32
    Statistics Available:  Numerator, Denominator, Observed Rate, Observed Lower-bound CI, Observed Upper-bound CI, Expected Rate, Risk-Adjusted Rate, Risk-Adjusted Lower-bound CI, Risk-Adjusted Upper-bound CI
    Measure Source: AHRQ Quality Indicator
    • A lower score is better.
    • The rate takes into account how sick patients were before they went to the hospital (it is a risk-adjusted rate).
    • Ratings include a significance test that makes us more confident the hospital rating is accurate.
    • This measure is endorsed by the National Quality Forum, an independent organization that sets standards for health care quality measurement.
    • Hospital ratings are events per 100 cases.
  • Returning to the hospital after getting care for a heart attack
    •
  • Hospitals keep track of how many of their patients had to go back to the hospital soon after getting care for a heart attack (this is called a readmission rate). These rates show how many patients had to go back to a hospital within 30 days of their original stay. The patients may have needed hospital care because of their heart attack or for a different reason.
    • A lower score is better.
    • The rate does take into account how sick patients were before they went to the hospital (it is a risk-adjusted rate).
    • Ratings include a significance test that makes us more confident the hospital rating is accurate.
    • This measure is endorsed by the National Quality Forum, an independent organization that sets standards for health care quality measurement.
    • Hospital ratings are events per 100 cases.
  • Clinical Title:  Hospital 30-Day Readmission Rates for Heart Attack Compared
    Measure Code:  30DAY_READM_HA
    Statistics Available:  Denominator, Risk-Adjusted Rate and CI
    Data Source: CMS Hospital Compare
  • Recommended care -- Inpatient: Information on how many patients got the care they needed such as the right medicine, surgery, or advice. These ratings are sometimes called process measures.
  • Aspirin given when patient gets to the hospital
    •
  • Doctors should give aspirin to heart attack patients when they get to the hospital because it can help keep blood clots from forming. It also helps break up blood clots that may cause another heart attack.
    • A higher score is better.
    • This rating does not take into account how sick patients were before they went to the hospital (it is not risk-adjusted).
    • Ratings do not include a significance test.
    • This measure is endorsed by the National Quality Forum, an independent organization that sets standards for health care quality measurement.
    • Hospital ratings are events per 100 cases.
  • Clinical Title:  Patients given aspirin at arrival
    Measure Code:  AMI-1
    Statistics Available:  Denominator, Observed Rate
    Data Source: CMS Hospital Compare
  • Aspirin prescribed before leaving the hospital
    •
  • Doctors should give heart attack patients a prescription for aspirin before they leave the hospital. For most patients, taking aspirin can keep blood clots from forming, improve the chances of survival, and help prevent another heart attack.
    • A higher score is better.
    • This rating does not take into account how sick patients were before they went to the hospital (it is not risk-adjusted).
    • Ratings do not include a significance test.
    • This measure is endorsed by the National Quality Forum, an independent organization that sets standards for health care quality measurement.
    • Hospital ratings are events per 100 cases.
  • Clinical Title:  Patients given aspirin at discharge
    Measure Code:  AMI-2
    Statistics Available:  Denominator, Observed Rate
    Data Source: CMS Hospital Compare
    • A higher score is better.
    • This rating does not take into account how sick patients were before they went to the hospital (it is not risk-adjusted).
    • Ratings do not include a significance test.
    • This measure is endorsed by the National Quality Forum, an independent organization that sets standards for health care quality measurement.
    • Hospital ratings are events per 100 cases.
  • Clinical Title:  Patients Given ACE Inhibitor or ARB for LVSD
    Measure Code:  AMI-3
    Statistics Available:  Denominator, Observed Rate
    Data Source: CMS Hospital Compare
  • Advice to stop smoking
    •
  • Hospital staff should talk to heart attack patients who smoke about quitting. Smoking increases the chance of another heart attack, heart disease, and stroke. Patients who get even brief advice to quit smoking are more likely to stop.
    • A higher score is better.
    • This rating does not take into account how sick patients were before they went to the hospital (it is not risk-adjusted).
    • Ratings do not include a significance test.
    • Hospital ratings are events per 100 cases.
  • Clinical Title:  Patients Given Smoking Cessation Advice/Counseling
    Measure Code:  AMI-4
    Statistics Available:  Denominator, Observed Rate
    Data Source: CMS Hospital Compare
    • A higher score is better.
    • This rating does not take into account how sick patients were before they went to the hospital (it is not risk-adjusted).
    • Ratings do not include a significance test.
    • This measure is endorsed by the National Quality Forum, an independent organization that sets standards for health care quality measurement.
    • Hospital ratings are events per 100 cases.
  • Clinical Title:  Patients Given Beta Blocker at Discharge
    Measure Code:  AMI-5
    Statistics Available:  Denominator, Observed Rate
    Data Source: CMS Hospital Compare
    • A higher score is better.
    • This rating does not take into account how sick patients were before they went to the hospital (it is not risk-adjusted).
    • Ratings do not include a significance test.
    • This measure is endorsed by the National Quality Forum, an independent organization that sets standards for health care quality measurement.
    • Hospital ratings are events per 100 cases.
  • Clinical Title:  Patients Given Fibrinolytic Medication Within 30 Minutes Of Arrival
    Measure Code:  AMI-7a
    Statistics Available:  Denominator, Observed Rate
    Data Source: CMS Hospital Compare
    • A higher score is better.
    • This rating does not take into account how sick patients were before they went to the hospital (it is not risk-adjusted).
    • Ratings do not include a significance test.
    • This measure is endorsed by the National Quality Forum, an independent organization that sets standards for health care quality measurement.
    • Hospital ratings are events per 100 cases.
  • Clinical Title:  Patients Given PCI Within 90 Minutes of Arrival
    Measure Code:  AMI-8a
    Statistics Available:  Denominator, Observed Rate
    Data Source: CMS Hospital Compare
  • Recommended care -- Outpatient: Information on how many patients got the care they needed such as the right medicine, surgery, or advice. These ratings are sometimes called process measures.
  • Average length of time to receive clot-dissolving medication
    •
  • The average number of minutes it takes for heart attack patients to receive a medicine after getting to the hospital. The medicine helps break up blood clots and improve blood flow to the heart. Patients should receive this medicine within 30 minutes.
    • A lower score is better.
    • This is an outpatient measure.
    • This rating does not take into account how sick patients were before they went to the hospital (it is not risk-adjusted).
    • Ratings do not include a significance test.
    • This measure is endorsed by the National Quality Forum, an independent organization that sets standards for health care quality measurement.
    • Hospital ratings presented are in minutes.
  • Clinical Title:  Median Time to Fibrinolysis
    Measure Code:  OP-1
    Statistics Available:  Denominator, Observed Rate
    Data Source: CMS Hospital Compare
    • A higher score is better.
    • This is an outpatient measure.
    • This rating does not take into account how sick patients were before they went to the hospital (it is not risk-adjusted).
    • Ratings do not include a significance test.
    • This measure is endorsed by the National Quality Forum, an independent organization that sets standards for health care quality measurement.
    • Hospital ratings are events per 100 cases.
  • Clinical Title:  Fibrinolytic Therapy Received Within 30 Minutes
    Measure Code:  OP-2
    Statistics Available:  Denominator, Observed Rate
    Data Source: CMS Hospital Compare
    • A lower score is better.
    • This is an outpatient measure.
    • This rating does not take into account how sick patients were before they went to the hospital (it is not risk-adjusted).
    • Ratings do not include a significance test.
    • This measure is endorsed by the National Quality Forum, an independent organization that sets standards for health care quality measurement.
    • Hospital ratings presented are in minutes.
  • Clinical Title:  Median Time to Transfer to Another Facility for Acute Coronary Intervention
    Measure Code:  OP-3
    Statistics Available:  Denominator, Observed Rate
    Data Source: CMS Hospital Compare
  • Received aspirin on arrival to the hospital
    •
  • Doctors should give aspirin to heart attack patients when they get to the hospital because it can help keep blood clots from forming. It also helps break up blood clots that may cause another heart attack.
    • A higher score is better.
    • This is an outpatient measure.
    • This rating does not take into account how sick patients were before they went to the hospital (it is not risk-adjusted).
    • Ratings do not include a significance test.
    • This measure is endorsed by the National Quality Forum, an independent organization that sets standards for health care quality measurement.
    • Hospital ratings are events per 100 cases.
  • Clinical Title:  Aspirin at Arrival
    Measure Code:  OP-4
    Statistics Available:  Denominator, Observed Rate
    Data Source: CMS Hospital Compare
    • A lower score is better.
    • This is an outpatient measure.
    • This rating does not take into account how sick patients were before they went to the hospital (it is not risk-adjusted).
    • Ratings do not include a significance test.
    • This measure is endorsed by the National Quality Forum, an independent organization that sets standards for health care quality measurement.
    • Hospital ratings presented are in minutes.
  • Clinical Title:  Aspirin at Arrival
    Measure Code:  OP-5
    Statistics Available:  Denominator, Observed Rate
    Data Source: CMS Hospital Compare

  • Heart failure:
    •
  • Heart Failure is a weakening of the heart's pumping power. With heart failure, your body doesn't get enough oxygen and nutrients to meet its needs.
  • Recommended care: Information on how many patients got the care they needed such as the right medicine, surgery, or advice. These ratings are sometimes called process measures.
    • A higher score is better.
    • The rate does not take into account how sick patients were before they went to the hospital (it is not risk-adjusted rate).
    • Ratings include a significance test that makes us more confident the hospital rating is accurate.
    • This measure is endorsed by the National Quality Forum, an independent organization that sets standards for health care quality measurement.
    • Hospital ratings are events per 100 cases.
  • Clinical Title:  Patients Given Discharge Instructions
    Measure Code:  HF-1
    Statistics Available:  Denominator, Observed Rate
    Data Source: CMS Hospital Compare
  • Test of how well the heart is able to pump blood
    •
  • Doctors should give heart failure patients a test that shows how well the heart is pumping blood. The test results tell doctors which parts of the heart are not working well, and they can then treat the heart failure based on these results.
    • A higher score is better.
    • The rate does not take into account how sick patients were before they went to the hospital (it is not risk-adjusted rate).
    • Ratings include a significance test that makes us more confident the hospital rating is accurate.
    • This measure is endorsed by the National Quality Forum, an independent organization that sets standards for health care quality measurement.
    • Hospital ratings are events per 100 cases.
  • Clinical Title:  Patients Given an Evaluation of LVS Function
    Measure Code:  HF-2
    Statistics Available:  Denominator, Observed Rate
    Data Source: CMS Hospital Compare
    • A higher score is better.
    • The rate does not take into account how sick patients were before they went to the hospital (it is not risk-adjusted rate).
    • Ratings do not include a significance test.
    • This measure is endorsed by the National Quality Forum, an independent organization that sets standards for health care quality measurement.
    • Hospital ratings are events per 100 cases.
  • Clinical Title:  Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfunction (LVSD)
    Measure Code:  HF-3
    Statistics Available:  Denominator, Observed Rate
    Data Source: CMS Hospital Compare
  • Advice to stop smoking
    •
  • Hospital staff should talk to heart failure patients who smoke about quitting, smoking increases the chance of another heart attack, heart disease, and stroke. Patients who get even brief advice to quit smoking are more likely to stop.
    • A higher score is better.
    • The rate does not take into account how sick patients were before they went to the hospital (it is not risk-adjusted rate).
    • Ratings do not include a significance test.
    • Hospital ratings are events per 100 cases.
  • Clinical Title:  Patients Given Smoking Cessation Advice/Counseling
    Measure Code:  HF-4
    Statistics Available:  Denominator, Observed Rate
    Data Source: CMS Hospital Compare
  • Results of care: Information on what happened to patients while being cared for in the hospital or after leaving the hospital. These ratings are sometimes called outcome measures.
    • A lower score is better.
    • The rate takes into account how sick patients were before they went to the hospital (it is a risk-adjusted rate).
    • Ratings include a significance test that makes us more confident the hospital rating is accurate.
    • This measure is endorsed by the National Quality Forum, an independent organization that sets standards for health care quality measurement.
    • Hospital ratings are events per 100 cases.
    • Numbers in the measure details table are not scaled. These are raw statistics.
  • Clinical Title:  Congestive Heart Failure (CHF) Mortality Rate
    Measure Code:  IQI 16
    Statistics Available:  Numerator, Denominator, Observed Rate and CI, Expected Rate, Risk Adjusted Rate and CI
    Measure Source: AHRQ Quality Indicator
    • A lower score is better.
    • The rate takes into account how sick patients were before they went to the hospital (it is a risk-adjusted rate).
    • Ratings include a significance test that makes us more confident the hospital rating is accurate.
    • This measure is endorsed by the National Quality Forum, an independent organization that sets standards for health care quality measurement.
    • Hospital ratings are events per 100 cases.
  • Clinical Title:  Hospital 30-Day Death (Mortality) Rates for Heart Failure Compared to US Rate
    Measure Code:  30DAY_MORT_HF
    Statistics Available:  Denominator, Risk-Adjusted Rate and CI
    Data Source: CMS Hospital Compare
  • Returning to the hospital after getting care for heart failure
    •
  • Hospitals keep track of how many of their patients had to go back to the hospital soon after getting care for heart failure (this is called a readmission rate). These rates show how many patients had to go back to a hospital within 30 days of their original stay. The patients may have needed hospital care because of their heart failure or for a different reason.
    • A lower score is better.
    • The rate takes into account how sick patients were before they went to the hospital (it is a risk-adjusted rate).
    • Ratings include a significance test that makes us more confident the hospital rating is accurate.
    • This measure is endorsed by the National Quality Forum, an independent organization that sets standards for health care quality measurement.
    • Hospital ratings are events per 100 cases.
  • Clinical Title:  Hospital 30-Day Readmission Rates for Heart Failure Compared to US Rate
    Measure Code:  30DAY_READM_HF
    Statistics Available:  Denominator, Risk-Adjusted Rate and CI
    Data Source: CMS Hospital Compare

  • Heart surgeries and procedures:
    •
  • Recommended care: Information on how many patients got the care they needed such as the right medicine, surgery, or advice. These ratings are sometimes called process measures.
    • A lower score is better.
    • The rate does not take into account how sick patients were before they went to the hospital (it is not risk-adjusted rate).
    • Ratings include a significance test that makes us more confident the hospital rating is accurate.
    • This measure is endorsed by the National Quality Forum, an independent organization that sets standards for health care quality measurement.
    • Hospital ratings are events per 100 cases.
    • Numbers in the measure details table are not scaled. These are raw statistics.
  • Clinical Title:  Bilateral Cardiac Catheterization Rate
    Measure Code:  IQI 25
    Statistics Available:  Numerator, Denominator and Observed Rate and CI
    Measure Source: AHRQ Quality Indicator
  • Results of care: Information on what happened to patients while being cared for in the hospital or after leaving the hospital. These ratings are sometimes called outcome measures.
    • A lower score is better.
    • The rate takes into account how sick patients were before they went to the hospital (it is a risk-adjusted rate).
    • Ratings include a significance test that makes us more confident the hospital rating is accurate.
    • Hospital ratings are events per 100 cases.
    • Numbers in the measure details table are not scaled. These are raw statistics.
  • Clinical Title:  Coronary Artery Bypass Graft (CABG) Mortality Rate
    Measure Code:  IQI 12
    Statistics Available:  Numerator, Denominator, Observed Rate and CI, Expected Rate, Risk-Adjusted Rate and CI
    Measure Source: AHRQ Quality Indicator
    • Hospitals are not rated for this surgery because there are currently no nationally agreed upon standards.
    • This rating does not take into account how sick patients were before they went to the hospital (it is not risk-adjusted).
    • Ratings do not include a significance test.
    • Figures presented are counts.
    • Numbers in the measure details table are not scaled. These are raw statistics.
  • Clinical Title:  Coronary Artery Bypass Graft (CABG) Volume
    Measure Code:  IQI 05
    Statistics Available:  Volume
    Measure Source: AHRQ Quality Indicator
    • A lower score is better.
    • The rate takes into account how sick patients were before they went to the hospital (it is a risk-adjusted rate).
    • Ratings include a significance test that makes us more confident the hospital rating is accurate.
    • Hospital ratings are events per 100 cases.
    • Numbers in the measure details table are not scaled. These are raw statistics.
  • Clinical Title:  Percutaneous Transluminal Coronary Angioplasty (PTCA) Mortality Rate
    Measure Code:  IQI 30
    Statistics Available:  Numerator, Denominator, Observed Rate and CI, Expected Rate, Risk-Adjusted Rate and CI
    Measure Source: AHRQ Quality Indicator
    • Hospitals are not rated for this procedure because there are currently no nationally agreed upon standards.
    • This rating does not take into account how sick patients were before they went to the hospital (it is not risk-adjusted).
    • Ratings do not include a significance test.
    • Figures presented are counts.
    • Numbers in the measure details table are not scaled. These are raw statistics.
  • Clinical Title:  Percutaneous Transluminal Coronary Angioplasty (PTCA) Volume
    Measure Code:  IQI 06
    Statistics Available:  Volume
    Measure Source: AHRQ Quality Indicator

  • Other surgeries:
    •
  • Brain surgery (craniotomy) and hip replacement are examples of other surgeries.

  • Practice Patterns: Information on the types of care provided in the hospital. This type of quality rating often shows information about the numbers of surgeries or procedures that a hospital performs.
  • Gallbladder was removed using a minimally-invasive procedure
    •
  • How often a hospital did an operation to remove a patient's gallbladder using a "laparoscopic" approach (called a laparoscopic cholecystectomy). This approach involves less cutting and is considered a better choice when possible since it results in fewer complications and a faster, less painful recovery.
    • A higher score is better.
    • This rating does not take into account how sick patients were before they went to the hospital (it is not risk-adjusted).
    • Ratings do not include a significance test.
    • Hospital ratings are events per 100 cases.
    • Numbers in the measure details table are not scaled. These are raw statistics.
  • Clinical Title:  Laparoscopic Cholecystectomy Rate
    Measure Code:  IQI 23
    Statistics Available:  Numerator, Denominator, Observed Rate and CI
    Measure Source: AHRQ Quality Indicator
  • Recommended care: Information on how many patients got the care they needed such as the right medicine, surgery, or advice. These ratings are sometimes called process measures.
  • Healthy appendix removed in the elderly
    •
  • How often a healthy appendix was removed from an elderly person in the hospital during an operation for another medical problem (called an incidental appendectomy). Health experts believe this should be avoided in elderly patients.
    • A lower score is better.
    • This rating does not take into account how sick patients were before they went to the hospital (it is not risk-adjusted).
    • Ratings do not include a significance test.
    • This measure is endorsed by the National Quality Forum, an independent organization that sets standards for health care quality measurement.
    • Hospital ratings are events per 100 cases.
    • Numbers in the measure details table are not scaled. These are raw statistics.
  • Clinical Title:  Incidental Appendectomy in the Elderly Rate
    Measure Code:  IQI 24
    Statistics Available:  Numerator, Denominator, Observed Rate and CI
    Measure Source: AHRQ Quality Indicator
  • Results of care: Information on what happened to patients while being cared for in the hospital or after leaving the hospital. These ratings are sometimes called outcome measures.
    • A lower score is better.
    • This rating takes into account how sick patients were before they went to the hospital (it is a risk-adjusted rate).
    • Ratings include a significance test that makes us more confident the hospital rating is accurate.
    • This measure is endorsed by the National Quality Forum, an independent organization that sets standards for health care quality measurement.
    • Hospital ratings are events per 100 cases.
    • Numbers in the measure details table are not scaled. These are raw statistics.
  • Clinical Title:  Esophageal Resection Mortality Rate
    Measure Code:  IQI 08
    Statistics Available:  Numerator, Denominator, Observed Rate and CI, Expected Rate, Risk-Adjusted Rate and CI
    Measure Source: AHRQ Quality Indicator
  • Number of surgeries to remove part of the esophagus
    •
  • The number of surgeries to remove part of the esophagus is a rare procedure. Research shows that the more times a hospital does this procedure, the more likely it is to have good results. Therefore, when choosing a hospital you should look for hospitals with a higher number of these procedures.
    • Hospitals are not rated for this surgery because there are currently no nationally agreed upon standards.
    • This rating does not take into account how sick patients were before they went to the hospital (it is not risk-adjusted).
    • Ratings do not include a significance test.
    • This measure is endorsed by the National Quality Forum, an independent organization that sets standards for health care quality measurement.
    • Figures presented are counts.
    • Numbers in the measure details table are not scaled. These are raw statistics.
  • Clinical Title:  Esophogeal Resection Volume
    Measure Code:  IQI 01
    Statistics Available:  Volume
    Measure Source: AHRQ Quality Indicator
    • A lower score is better.
    • This rating takes into account how sick patients were before they went to the hospital (it is a risk-adjusted rate).
    • Ratings include a significance test that makes us more confident the hospital rating is accurate.
    • This measure is endorsed by the National Quality Forum, an independent organization that sets standards for health care quality measurement.
    • Hospital ratings are events per 100 cases.
    • Numbers in the measure details table are not scaled. These are raw statistics.
  • Clinical Title:  Pancreatic Resection Mortality Rate
    Measure Code:  IQI 09
    Statistics Available:  Numerator, Denominator, Observed Rate and CI, Expected Rate, Risk-Adjusted Rate and CI
    Measure Source: AHRQ Quality Indicator
  • Number of surgeries to remove part of the pancreas
    •
  • Research shows that the more times a hospital does this surgery the more likely it is to have good results. Often, but not always, a hospital that has a higher number of surgery will have lower death rates.
    • Hospitals are not rated for this surgery because there are currently no nationally agreed upon standards.
    • This rating does not take into account how sick patients were before they went to the hospital (it is not risk-adjusted).
    • Ratings do not include a significance test.
    • This measure is endorsed by the National Quality Forum, an independent organization that sets standards for health care quality measurement.
    • Figures presented are counts.
    • Numbers in the measure details table are not scaled. These are raw statistics.
  • Clinical Title:  Pancreatic Resection Volume
    Measure Code:  IQI 02
    Statistics Available:  Volume
    Measure Source: AHRQ Quality Indicator
    • A lower score is better.
    • This rating takes into account how sick patients were before they went to the hospital (it is a risk-adjusted rate).
    • Ratings include a significance test that makes us more confident the hospital rating is accurate.
    • This measure is endorsed by the National Quality Forum, an independent organization that sets standards for health care quality measurement.
    • Hospital ratings are events per 100 cases.
    • Numbers in the measure details table are not scaled. These are raw statistics.
  • Clinical Title:  Abdominal Aortic Aneurism (AAA) Repair Mortality Rate
    Measure Code:  IQI 11
    Statistics Available:  Numerator, Denominator, Observed Rate and CI, Expected Rate, Risk-Adjusted Rate and CI
    Measure Source: AHRQ Quality Indicator
  • Number of surgical repairs of an aortic aneurysm
    •
  • Research shows that the more times a hospital does this surgery the more likely it is to have good results. Often, but not always, a hospital that has a higher number of surgery will have lower death rates.
    • Hospitals are not rated for this surgery because there are currently no nationally agree upon standards.
    • This rating does not take into account how sick patients were before they went to the hospital (it is not risk-adjusted).
    • Ratings do not include a significance test.
    • This measure is endorsed by the National Quality Forum, an independent organization that sets standards for health care quality measurement.
    • Figures presented are counts.
    • Numbers in the measure details table are not scaled. These are raw statistics.
  • Clinical Title:  Abdominal Aortic Aneurysm (AAA) Repair Volume
    Measure Code:  IQI 04
    Statistics Available:  Volume
    Measure Source:AHRQ Quality Indicator
    • A lower score is better.
    • This rating takes into account how sick patients were before they went to the hospital (it is a risk-adjusted rate).
    • Ratings include a significance test that makes us more confident the hospital rating is accurate.
    • Hospital ratings are events per 100 cases.
    • Numbers in the measure details table are not scaled. These are raw statistics.
  • Clinical Title:  Craniotomy Mortality Rate
    Measure Code:  IQI 13
    Statistics Available:  Numerator, Denominator, Observed Rate and CI, Expected Rate, Risk-Adjusted Rate and CI
    Measure Source: AHRQ Quality Indicator
    • A lower score is better.
    • This rating takes into account how sick patients were before they went to the hospital (it is a risk-adjusted rate).
    • Ratings include a significance test that makes us more confident the hospital rating is accurate.
    • Hospital ratings are events per 100 cases.
    • Numbers in the measure details table are not scaled. These are raw statistics.
  • Clinical Title:  Hip Replacement Mortality Rate
    Measure Code:  IQI 14
    Statistics Available:  Numerator, Denominator, Observed Rate and CI, Expected Rate, Risk-Adjusted Rate and CI
    Measure Source: AHRQ Quality Indicator

  • Imaging:
    •
  • Practice Patterns: Information on how many patients got the care they needed such as the right medicine, surgery, or advice.
  • MRI for lower back pain
    •
  • Percentage of outpatients with low back pain who had an MRI without trying recommended treatments first, such as physical therapy. If a number is high, it may mean the facility is doing too many unnecessary MRIs for low back pain.
    • A lower score is better.
    • This is an outpatient measure.
    • This rating does not take into account how sick patients were before they went to the hospital (it is not risk-adjusted).
    • Ratings do not include a significance test.
    • This measure is endorsed by the National Quality Forum, an independent organization that sets standards for health care quality.
    • Hospital ratings are events per 100 cases.
  • Clinical Title:  MRI Lumbar Spine for Low Back Pain
    Measure Code:  OP-8
    Statistics Available:  Denominator, Observed Rate
    Measure Source: CMS Hospital Compare
  • Contrast material (dye) used during abdominal CT scan
    •
  • Outpatient CT scans of the abdomen that were "combination" (or double) scans performed both with and without contrast material (dye). A number close to 100% may mean that too many patients are being given a double scan when a single scan is all they need.
    • A lower score is better.
    • This is an outpatient measure.
    • This rating does not take into account how sick patients were before they went to the hospital (it is not risk-adjusted).
    • Ratings do not include a significance test.
    • Hospital ratings are events per 100 cases.
  • Clinical Title:  Abdomen CT - Use of Contrast Material
    Measure Code:  OP-10
    Statistics Available:  Denominator, Observed Rate
    Measure Source: CMS Hospital Compare
  • Contrast material (dye) used during chest CT scan
    •
  • Outpatient CT scans of the chest that were "combination" (or double) scans performed both with and without contrast material (dye). A number close to 100% may mean that too many patients are being given a double scan when a single scan is all they need.
    • A lower score is better.
    • This is an outpatient measure.
    • This rating does not take into account how sick patients were before they went to the hospital (it is not risk-adjusted).
    • Ratings do not include a significance test.
    • This measure is endorsed by the National Quality Forum, an independent organization that sets standards for health care quality.
    • Hospital ratings are events per 100 cases.
  • Clinical Title:  Thorax CT - Use of Contrast Material
    Measure Code:  OP-11
    Statistics Available:  Denominator, Observed Rate
    Measure Source: CMS Hospital Compare

  • Nursing sensitive care:
    •
  • Results of care -- Complications: Information on what happened to patients while being cared for in the hospital or after leaving the hospital. These ratings are sometimes called outcome measures.
    • A lower score is better.
    • The rate takes into account how sick patients were before they went to the hospital (it is risk-adjusted).
    • Ratings include a significance test that makes us more confident the hospital rating is accurate.
    • Hospital ratings are events per 1,000 cases.
    • Numbers in the measure details table are not scaled. These are raw statistics.
  • Clinical Title:  Postoperative Sepsis Rate
    Measure Code:  PSI 13
    Statistics Available:  Numerator, Denominator, Observed Rate and CI, Expected Rate, Risk-Adjusted Rate and CI
    Measure Source: AHRQ Quality Indicator
    • A lower score is better.
    • This rating does take into account how sick patients were before they went to the hospital (it is risk-adjusted).
    • Ratings include a significance test that makes us more confident the hospital rating is accurate.
    • Hospital ratings are events per 1,000 cases.
    • Numbers in the measure details table are not scaled. These are raw statistics.
  • Clinical Title:  Central Venous Catheter-Related Blood Stream Infections
    Measure Code:  PSI 07
    Statistics Available:  Numerator, Denominator, Observed Rate and CI, Expected Rate, Risk-Adjusted Rate and CI
    Measure Source: AHRQ Quality Indicator
    • A lower score is better.
    • This rating does take into account how sick patients were before they went to the hospital (it is risk-adjusted).
    • Ratings include a significance test that makes us more confident the hospital rating is accurate.
    • Hospital ratings are events per 1,000 cases.
    • Numbers in the measure details table are not scaled. These are raw statistics.
  • Clinical Title:  Pressure Ulcer Rate
    Measure Code:  PSI 03
    Statistics Available:  Numerator, Denominator, Observed Rate and CI, Expected Rate, Risk-Adjusted Rate and CI
    Measure Source: AHRQ Quality Indicator
    • A lower score is better.
    • This rating does take into account how sick patients were before they went to the hospital (it is risk-adjusted).
    • Ratings include a significance test that makes us more confident the hospital rating is accurate.
    • Hospital ratings are events per 1,000 cases.
    • Numbers in the measure details table are not scaled. These are raw statistics.
  • Clinical Title:  Postoperative Hip Fracture Rate
    Measure Code:  PSI 08
    Statistics Available:  Numerator, Denominator, Observed Rate and CI, Expected Rate, Risk-Adjusted Rate and CI
    Measure Source: AHRQ Quality Indicator
  • Abnormal changes in internal body functions after surgery
    •
  • How often hospital patients experienced problems with blood sugar control (if they have diabetes) or kidney failure (if they did not have previous kidney trouble) after having an operation (these problems are called postoperative physiologic and metabolic derangements).
    • A lower score is better.
    • This rating does take into account how sick patients were before they went to the hospital (it is risk-adjusted).
    • Ratings include a significance test that makes us more confident the hospital rating is accurate.
    • Hospital ratings are events per 1,000 cases.
    • Numbers in the measure details table are not scaled. These are raw statistics.
  • Clinical Title:  Postoperative Physiologic and Metabolic Derangement Rate
    Measure Code:  PSI 10
    Statistics Available:  Numerator, Denominator, Observed Rate and CI, Expected Rate, Risk-Adjusted Rate and CI
    Measure Source: AHRQ Quality Indicator
    • A lower score is better.
    • This rating does take into account how sick patients were before they went to the hospital (it is risk-adjusted).
    • Ratings include a significance test that makes us more confident the hospital rating is accurate.
    • This measure is endorsed by the National Quality Forum, an independent organization that sets standards for health care quality measurement.
    • Hospital ratings are events per 1,000 cases.
    • Numbers in the measure details table are not scaled. These are raw statistics.
  • Clinical Title:  Postoperative Pulmonary Embolism or Deep Vein Thrombosis Rate
    Measure Code:  PSI 12
    Statistics Available:  Numerator, Denominator, Observed Rate and CI, Expected Rate, Risk-Adjusted Rate and CI
    Measure Source: AHRQ Quality Indicator
  • Results of care -- Deaths: Information on what happened to patients while being cared for in the hospital or after leaving the hospital. These ratings are sometimes called outcome measures.
    • A lower score is better.
    • This rating does take into account how sick patients were before they went to the hospital (it is risk-adjusted).
    • Ratings include a significance test that makes us more confident the hospital rating is accurate.
    • This measure is endorsed by the National Quality Forum, an independent organization that sets standards for health care quality measurement.
    • Hospital ratings are events per 1,000 cases.
    • Numbers in the measure details table are not scaled. These are raw statistics.
  • Clinical Title:  Death in Low-Mortality Diagnosis Related Groups (DRGs)
    Measure Code:  PSI 02
    Statistics Available:  Numerator, Denominator, Observed Rate and CI, Expected Rate, Risk-Adjusted Rate and CI
    Measure Source: AHRQ Quality Indicator
    • A lower score is better.
    • This rating does take into account how sick patients were before they went to the hospital (it is risk-adjusted).
    • Ratings include a significance test that makes us more confident the hospital rating is accurate.
    • This measure is endorsed by the National Quality Forum, an independent organization that sets standards for health care quality measurement.
    • Hospital ratings are events per 100 cases.
    • Numbers in the measure details table are not scaled. These are raw statistics.
  • Clinical Title:  Death Among Surgical Inpatients With Serious Treatable Complications
    Measure Code:  PSI 04
    Statistics Available:  Numerator, Denominator, Observed Rate and CI, Expected Rate, Risk-Adjusted Rate and CI
    Measure Source: AHRQ Quality Indicator

  • Patient experiences:
    •
  • HCAHPS (Hospital Consumer Assessment of Healthcare Providers and Systems) is a national, standardized survey of hospital patients. HCAHPS (pronounced "H-caps") asks patients about their experiences during a recent hospital stay.

  • Communication: These ratings show how satisfied patients say they are with the way hospital staff communicated with them. Good communication means that hospital staff explained things clearly, listened carefully, and treated patients with courtesy and respect. These ratings are collected from patient surveys.
    • A good score is when patients indicate that their doctors "always" communicated well.
    • Ratings do not include a significance test.
    • This measure is endorsed by the National Quality Forum, an independent organization that sets standards for health care quality measurement.
    • Hospital ratings are events per 100 cases.
  • Clinical Title:  How Often Did Doctors Communicate Well with Patients?
    Measure Code:  H_COMP_2_A_P
    Statistics Available:  Observed (by answer type), Response Rate (collapsed)
    Data Source: CMS Hospital Compare
    • A good score is when patients indicate that their nurses "always" communicated well.
    • Ratings do not include a significance test.
    • This measure is endorsed by the National Quality Forum, an independent organization that sets standards for health care quality measurement.
    • Hospital ratings are events per 100 cases.
  • Clinical Title:  How Often Did Nurses Communicate Well with Patients?
    Measure Code:  H_COMP_1_A_P
    Statistics Available:  Observed (by answer type), Response Rate (collapsed)
    Data Source: CMS Hospital Compare
    • A good score is when patients indicate the hospital staff "always" explained medicines.
    • Ratings do not include a significance test.
    • This measure is endorsed by the National Quality Forum, an independent organization that sets standards for health care quality measurement.
    • Hospital ratings are events per 100 cases.
  • Clinical Title:  How Often Did Staff Explain about Medicines Before Giving Them to Patients?
    Measure Code:  H_COMP_5_A_P
    Statistics Available:  Observed (by answer type), Response Rate (collapsed)
    Data Source: CMS Hospital Compare
    • A good score is when patients report "yes" they received information about their recovery
    • Ratings do not include a significance test.
    • This measure is endorsed by the National Quality Forum, an independent organization that sets standards for health care quality measurement.
    • Hospital ratings are events per 100 cases.
  • Clinical Title:  Were Patients Given Information About What to Do During Their Recovery at Home?
    Measure Code:  H_COMP_6_Y_P
    Statistics Available:  Observed (by answer type), Response Rate (collapsed)
    Data Source: CMS Hospital Compare
  • Environment: These ratings show how satisfied patients say they are with the physical environment in the hospital. A good physical environment means that patients received help quickly, their pain was well-controlled, and the patient room was clean and quiet. This type of quality rating appears only in the "Patient Experiences" health topic. These ratings are collected from patient surveys.
    • A good score is when patients indicate that they "always" received help quickly.
    • Ratings do not include a significance test.
    • This measure is endorsed by the National Quality Forum, an independent organization that sets standards for health care quality measurement.
    • Hospital ratings are events per 100 cases.
  • Clinical Title:  How Often Did Patients Receive Help Quickly from Hospital Staff?
    Measure Code:  H_COMP_3_A_P
    Statistics Available:  Observed (by answer type), Response Rate (collapsed)
    Data Source: CMS Hospital Compare
    • A good score is when patients indicated their pain was "always" controlled well.
    • Ratings do not include a significance test.
    • This measure is endorsed by the National Quality Forum, an independent organization that sets standards for health care quality measurement.
    • Hospital ratings are events per 100 cases.
  • Clinical Title:  How Often Was PatientsҠPain Well-Controlled?
    Measure Code:  H_COMP_4_A_P
    Statistics Available:  Observed (by answer type), Response Rate (collapsed)
    Data Source: CMS Hospital Compare
    • A good score is when patients indicated that the area around their rooms was "always" quiet.
    • Ratings do not include a significance test.
    • This measure is endorsed by the National Quality Forum, an independent organization that sets standards for health care quality measurement.
    • Hospital ratings are events per 100 cases.
  • Clinical Title:  How Often Was the Area Around Patients Rooms Kept Quiet at Night?
    Measure Code:  H_QUIET_HSP_A_P
    Statistics Available:  Observed (by answer type), Response Rate (collapsed)
    Data Source: CMS Hospital Compare
    • A good score is when patients indicated their rooms and bathrooms were "always" clean.
    • Ratings do not include a significance test.
    • This measure is endorsed by the National Quality Forum, an independent organization that sets standards for health care quality measurement.
    • Hospital ratings are events per 100 cases.
  • Clinical Title:  How Often Were the PatientsҠRooms and Bathrooms Kept Clean?
    Measure Code:  H_CLEAN_HSP_A_P
    Statistics Available:  Observed (by answer type), Response Rate (collapsed)
    Data Source: CMS Hospital Compare
  • Satisfaction overall: These ratings show how satisfied patients say they are with their recent hospital stay overall. This type of quality rating appears only in the "Patient Experiences" health topic. These ratings are collected from patient surveys
    • A good score is when patients rate a hospital as a 9 or a 10-higher is better.
    • Ratings do not include a significance test.
    • This measure is endorsed by the National Quality Forum, an independent organization that sets standards for health care quality measurement.
    • Hospital ratings are events per 100 cases.
  • Clinical Title:  How Do Patients Rate the Hospital Overall?
    Measure Code:  H_HSP_RATING_9_10
    Statistics Available:  Observed (by answer type), Response Rate (collapsed)
    Data Source: CMS Hospital Compare
    • A good score is when patients report "yes" they will recommend this hospital.
    • Ratings do not include a significance test.
    • This measure is endorsed by the National Quality Forum, an independent organization that sets standards for health care quality measurement.
    • Hospital ratings are events per 100 cases.
  • Clinical Title:  Would Patients Recommend the Hospital to Friends and Family?
    Measure Code:  H_RECMND_DY
    Statistics Available:  Observed (by answer type), Response Rate (collapsed)
    Data Source: CMS Hospital Compare

  • Pneumonia:
    •
  • Pneumonia is a serious lung infection that causes difficulty breathing, fever, cough and fatigue.

  • Recommended care: Information on how many patients got the care they needed such as the right medicine, surgery, or advice. These ratings are sometimes called process measures.
  • Pneumonia shot given (if needed)
    •
  • Hospital staff should check if pneumonia patients have gotten a pneumonia shot recently. If patients have not already gotten this shot, they should get it during their hospital stay because it may prevent or lower the chance of getting pneumonia again.
    • A higher score is better.
    • This rating does not take into account how sick patients were before they went to the hospital (it is not risk-adjusted).
    • Ratings do not include a significance test.
    • Hospital ratings are events per 100 cases.
  • Clinical Title:  Patients Assessed and Given Pneumococcal Vaccination
    Measure Code:  PN-2
    Statistics Available:  Denominator, Observed Rate
    Data Source: CMS Hospital Compare
  • Blood test done before getting antibiotics
    •
  • Doctors should give pneumonia patients a blood test before they get any antibiotics to help find out which bacteria may have caused the pneumonia. Different antibiotics work for different kinds of bacteria, so knowing the kind of bacteria will allow doctors to change antibiotics if necessary.
    • A higher score is better.
    • This rating does not take into account how sick patients were before they went to the hospital (it is not risk-adjusted).
    • Ratings do not include a significance test.
    • This measure is endorsed by the National Quality Forum, an independent organization that sets standards for health care quality measurement.
    • Hospital ratings are events per 100 cases.
  • Clinical Title:  Patients Whose Initial Emergency Room Blood Culture Was Performed Prior to the Administration of the First Hospital Dose of Antibiotics
    Measure Code:  PN-3B
    Statistics Available:  Denominator, Observed Rate
    Data Source: CMS Hospital Compare
  • Advice to stop smoking
    •
  • Hospital staff should talk to pneumonia patients who smoke about quitting, as smoking increases the chance of getting pneumonia or other lung disease. Patients who get even brief advice to quit smoking are more likely to stop.
    • A higher score is better.
    • This rating does not take into account how sick patients were before they went to the hospital (it is not risk-adjusted).
    • Ratings do not include a significance test.
    • Hospital ratings are events per 100 cases.
  • Clinical Title:  Patients Given Smoking Cessation Advice/Counseling
    Measure Code:  PN-4
    Statistics Available:  Denominator, Observed Rate
    Data Source: CMS Hospital Compare
    • A higher score is better.
    • This rating does not take into account how sick patients were before they went to the hospital (it is not risk-adjusted).
    • Ratings do not include a significance test.
    • This measure is endorsed by the National Quality Forum, an independent organization that sets standards for health care quality measurement.
    • Hospital ratings are events per 100 cases.
  • Clinical Title:  Patients Given Initial Antibiotic(s) within 6 Hours After Arrival
    Measure Code:  PN-5C
    Statistics Available:  Denominator, Observed Rate
    Data Source: CMS Hospital Compare
  • Right antibiotics given
    •
  • Doctors should give patients the right antibiotic for the type of pneumonia they have, as different antibiotics are used to treat different kinds of bacteria that cause pneumonia.
    • A higher score is better.
    • This rating does not take into account how sick patients were before they went to the hospital (it is not risk-adjusted).
    • Ratings do not include a significance test.
    • This measure is endorsed by the National Quality Forum, an independent organization that sets standards for health care quality measurement.
    • Hospital ratings are events per 100 cases.
  • Clinical Title:  Patients Given the Most Appropriate Initial Antibiotic
    Measure Code:  PN-6
    Statistics Available:  Denominator, Observed Rate
    Data Source: CMS Hospital Compare
  • Flu shot given (if needed)
    •
  • Hospital staff should check if pneumonia patients have gotten a flu shot recently. If patients have not already gotten this shot, they should get it during their hospital stay because it helps protect pneumonia patients from other lung infections, lowers the chances of getting the flu, and prevents the spread of flu. It is most important for pneumonia patients 50 and older.
    • A higher score is better.
    • This rating does not take into account how sick patients were before they went to the hospital (it is not risk-adjusted).
    • Ratings do not include a significance test.
    • This measure is endorsed by the National Quality Forum, an independent organization that sets standards for health care quality measurement.
    • Hospital ratings are events per 100 cases.
  • Clinical Title:  Pneumonia Patients Assessed and Given Influenza Vaccination
    Measure Code:  PN-7
    Statistics Available:  Denominator, Observed Rate
    Data Source: CMS Hospital Compare
  • Results of care: Information on what happened to patients while being cared for in the hospital or after leaving the hospital. These ratings are sometimes called outcome measures.
    • A lower score is better.
    • The rate takes into account how sick patients were before they went to the hospital (it is a risk-adjusted rate).
    • Ratings include a significance test that makes us more confident the hospital rating is accurate.
    • This measure is endorsed by the National Quality Forum, an independent organization that sets standards for health care quality measurement.
    • Hospital ratings are events per 100 cases.
    • Numbers in the measure details table are not scaled. These are raw statistics.
  • Clinical Title:  Pneumonia Mortality Rate
    Measure Code:  IQI 20
    Statistics Available:  Numerator, Denominator, Observed Rate and CI, Expected Rate, Risk-Adjusted Rate and CI
    Measure Source: AHRQ Quality Indicator
    • A lower score is better.
    • The rate takes into account how sick patients were before they went to the hospital (it is a risk-adjusted rate).
    • Ratings include a significance test that makes us more confident the hospital rating is accurate.
    • This measure is endorsed by the National Quality Forum, an independent organization that sets standards for health care quality measurement.
    • Hospital ratings are events per 100 cases.
  • Clinical Title:  Hospital 30-Day Death (Mortality) Rates for Pneumonia Compared to US Rate
    Measure Code:  30DAY_MORT_PN
    Statistics Available:  Denominator, Risk-Adjusted Rate and CI
    Data Source: CMS Hospital Compare
  • Returning to the hospital after getting care for pneumonia
    •
  • Hospitals keep track of how many of their patients had to go back to the hospital soon after getting care for pneumonia (this is called a readmission rate). These rates show how many patients had to go back to a hospital within 30 days of their original stay. The patients may have needed hospital care because of their pneumonia or for a different reason.
    • A lower score is better.
    • This rating does take into account how sick patients were before they went to the hospital (it is risk-adjusted).
    • Ratings include a significance test that makes us more confident the hospital rating is accurate.
    • This measure is endorsed by the National Quality Forum, an independent organization that sets standards for health care quality measurement.
    • Hospital ratings are events per 100 cases.
  • Clinical Title:  Hospital 30-Day Readmission Rates for Pneumonia Compared to US Rate
    Measure Code:  30DAY_READM_PN
    Statistics Available:  Denominator, Risk-Adjusted Rate and CI
    Data Source: CMS Hospital Compare

  • Stroke:
    •
  • A stroke happens when the blood supply to the brain stops. This topic includes carotid endarterectomy surgery, an operation intended to prevent stroke.

  • Results of care: Information on what happened to patients while being cared for in the hospital or after leaving the hospital. These ratings are sometimes called outcome measures.
    • A lower score is better.
    • The rate takes into account how sick patients were before they went to the hospital (it is a risk-adjusted rate).
    • Ratings include a significance test that makes us more confident the hospital rating is accurate.
    • This measure is endorsed by the National Quality Forum, an independent organization that sets standards for health care quality measurement.
    • Hospital ratings are events per 100 cases.
    • Numbers in the measure details table are not scaled. These are raw statistics.
  • Clinical Title:  Acute Stroke Mortality Rate
    Measure Code:  IQI 17
    Statistics Available:  Numerator, Denominator, Observed Rate and CI, Expected Rate, Risk-Adjusted Rate and CI
    Measure Source: AHRQ Quality Indicator
    • A lower score is better.
    • The rate takes into account how sick patients were before they went to the hospital (it is a risk-adjusted rate).
    • Ratings include a significance test that makes us more confident the hospital rating is accurate.
    • Hospital ratings are events per 100 cases.
  • Clinical Title:  Carotid Endarterectomy Mortality Rate
    Measure Code:  IQI 31
    Statistics Available:  Numerator, Denominator, Observed Rate and CI, Expected Rate, Risk-Adjusted Rate and CI
    Measure Source: AHRQ Quality Indicator
    • Hospitals are not rated for this procedure because there are currently no nationally agreed upon standards.
    • This rating does not take into account how sick patients were before they went to the hospital (it is not risk-adjusted).
    • Ratings do not include a significance test.
    • Figures presented are counts.
    • Numbers in the measure details table are not scaled. These are raw statistics.
  • Clinical Title:  Carotid Endarterectomy Volume
    Measure Code:  IQI 07
    Statistics Available:  Observed Rate
    Measure Source: AHRQ Quality Indicator

  • Surgical patient safety:
    •
  • Many medical complications can be avoided if good care is given before, during, and after surgery. This topic shows how safe patients are who have surgery in the hospital.

  • Results of care: Information on what happened to patients while being cared for in the hospital or after leaving the hospital. These ratings are sometimes called outcome measures.
    • A lower score is better.
    • The rate takes into account how sick patients were before they went to the hospital (it is a risk-adjusted rate).
    • Ratings include a significance test that makes us more confident the hospital rating is accurate.
    • This measure is endorsed by the National Quality Forum, an independent organization that sets standards for health care quality measurement.
    • Hospital ratings are events per 100 cases.
    • Numbers in the measure details table are not scaled. These are raw statistics.
  • Clinical Title:  Carotid Endarterectomy Volume
    Measure Code:  PSI 04
    Statistics Available:  Numerator, Denominator, Observed Rate and CI, Expected Rate, Risk-Adjusted Rate and CI
    Measure Source: AHRQ Quality Indicator
    • A lower score is better.
    • The rate takes into account how sick patients were before they went to the hospital (it is a risk-adjusted rate).
    • Ratings include a significance test that makes us more confident the hospital rating is accurate.
    • Hospital ratings are events per 1,000 cases.
    • Numbers in the measure details table are not scaled. These are raw statistics
  • Clinical Title:  Postoperative Hip Fracture Rate
    Measure Code:  PSI 08
    Statistics Available:  Numerator, Denominator, Observed Rate and CI, Expected Rate, Risk-Adjusted Rate and CI
    Measure Source: AHRQ Quality Indicator
  • Bleeding or bruising after surgery
    •
  • How often patients bled too much either within their body or outside their body (hemorrhage), or developed a large bruise or clot (hematoma) after an operation. All of these complications involved another operation to stop the bleeding or remove the blood clots.
    • A lower score is better.
    • The rate takes into account how sick patients were before they went to the hospital (it is a risk-adjusted rate).
    • Ratings include a significance test that makes us more confident the hospital rating is accurate.
    • Hospital ratings are events per 1,000 cases.
    • Numbers in the measure details table are not scaled. These are raw statistics.
  • Clinical Title:  Postoperative Hemorrhage or Hematoma Rate
    Measure Code:  PSI 09
    Statistics Available:  Numerator, Denominator, Observed Rate and CI, Expected Rate, Risk-Adjusted Rate and CI
    Measure Source: AHRQ Quality Indicator
  • Abnormal changes in internal body functions after surgery
    •
  • How often hospital patients experienced problems with blood sugar control (if they have diabetes) or kidney failure (if they did not have previous kidney trouble) after having an operation (these problems are called postoperative physiologic and metabolic derangements).
    • A lower score is better.
    • The rate takes into account how sick patients were before they went to the hospital (it is a risk-adjusted rate).
    • Ratings include a significance test that makes us more confident the hospital rating is accurate.
    • Hospital ratings are events per 1,000 cases.
    • Numbers in the measure details table are not scaled. These are raw statistics.
  • Clinical Title:  Postoperative Physiologic and Metabolic Derangement Rate
    Measure Code:  PSI 10
    Statistics Available:  Numerator, Denominator, Observed Rate and CI, Expected Rate, Risk-Adjusted Rate and CI
    Measure Source: AHRQ Quality Indicator
  • Breathing failure after surgery
    •
  • How often patients became unable to breathe on their own and needed a ventilator (a machine that helps someone breathe) following an operation, at least temporarily (called postoperative respiratory failure).
    • A lower score is better.
    • The rate takes into account how sick patients were before they went to the hospital (it is a risk-adjusted rate).
    • Ratings include a significance test that makes us more confident the hospital rating is accurate.
    • This measure is endorsed by the National Quality Forum, an independent organization that sets standards for health care quality measurement.
    • Hospital ratings are events per 1,000 cases.
    • Numbers in the measure details table are not scaled. These are raw statistics.
  • Clinical Title:  Postoperative Respiratory Failure Rate
    Measure Code:  PSI 11
    Statistics Available:  Numerator, Denominator, Observed Rate and CI, Expected Rate, Risk-Adjusted Rate and CI
    Measure Source: AHRQ Quality Indicator
    • A lower score is better.
    • The rate takes into account how sick patients were before they went to the hospital (it is a risk-adjusted rate).
    • Ratings include a significance test that makes us more confident the hospital rating is accurate.
    • This measure is endorsed by the National Quality Forum, an independent organization that sets standards for health care quality measurement.
    • Hospital ratings are events per 1,000 cases.
    • Numbers in the measure details table are not scaled. These are raw statistics.
  • Clinical Title:  Postoperative Pulmonary Embolism or Deep Vein Thrombosis Rate
    Measure Code:  PSI 12
    Statistics Available:  Numerator, Denominator, Observed Rate and CI, Expected Rate, Risk-Adjusted Rate and CI
    Measure Source: AHRQ Quality Indicator
    • A lower score is better.
    • This rating does take into account how sick patients were before they went to the hospital (it is risk-adjusted).
    • Ratings include a significance test that makes us more confident the hospital rating is accurate.
    • Hospital ratings are events per 1,000 cases.
    • Numbers in the measure details table are not scaled. These are raw statistics.
  • Clinical Title:  Postoperative Sepsis Rate
    Measure Code:  PSI 13
    Statistics Available:  Numerator, Denominator, Observed Rate and CI, Expected Rate, Risk-Adjusted Rate and CI
    Measure Source: AHRQ Quality Indicator
    • A lower score is better.
    • The rate takes into account how sick patients were before they went to the hospital (it is a risk-adjusted rate).
    • Ratings include a significance test that makes us more confident the hospital rating is accurate.
    • This measure is endorsed by the National Quality Forum, an independent organization that sets standards for health care quality measurement.
    • Hospital ratings are events per 1,000 cases.
    • Numbers in the measure details table are not scaled. These are raw statistics.
  • Clinical Title:  Postoperative Wound Dehiscence Rate
    Measure Code:  PSI 14
    Statistics Available:  Numerator, Denominator, Observed Rate and CI, Expected Rate, Risk-Adjusted Rate and CI
    Measure Source: AHRQ Quality Indicator
  • Recommended care before surgery: Information on how many patients got the care they needed such as the right medicine, surgery, or advice before a surgery.
  • Antibiotics given one hour before surgery
    •
  • Hospital staff should give surgery patients antibiotics within 1 hour before surgery. Antibiotics are medicines that fight infections in your body which, given properly, can greatly lower your chances of getting an infection after surgery.
    • A higher score is better.
    • This rating does not take into account how sick patients were before they went to the hospital (it is not risk-adjusted).
    • Ratings do not include a significance test.
    • This measure is endorsed by the National Quality Forum, an independent organization that sets standards for health care quality measurement.
    • Hospital ratings are events per 100 cases.
  • Clinical Title:  Surgery Patients Who Received Preventative Antibiotic(s) One Hour Before Incision
    Measure Code:  SCIP-INF-1
    Statistics Available:  Denominator, Observed Rate
    Data Source: CMS Hospital Compare
  • Right antibiotics given
    •
  • Hospital staff should give surgery patients the right kind of antibiotics to lower the chance of infection after surgery. The right antibiotic for a patient depends on the kind of surgery they had.
    • A higher score is better.
    • This rating does not take into account how sick patients were before they went to the hospital (it is not risk-adjusted).
    • Ratings do not include a significance test.
    • This measure is endorsed by the National Quality Forum, an independent organization that sets standards for health care quality measurement.
    • Hospital ratings are events per 100 cases.
  • Clinical Title:  Surgery Patients Who Received the Appropriate Preventative Antibiotic(s) for Their Surgery
    Measure Code:  SCIP-INF-2
    Statistics Available:  Denominator, Observed Rate
    Data Source: CMS Hospital Compare
  • Hair removed safely (if needed)
    •
  • Hospital staff should use safe methods, such as electric clippers and hair removal cream, if they need to remove a patient's hair from the surgery area. Staff should not use a razor because of the risk of leaving small cuts on the skin.
    • A higher score is better.
    • This rating does not take into account how sick patients were before they went to the hospital (it is not risk-adjusted).
    • Ratings do not include a significance test.
    • This measure is endorsed by the National Quality Forum, an independent organization that sets standards for health care quality measurement.
    • Hospital ratings are events per 100 cases.
  • Clinical Title:  Surgery Patients with Appropriate Hair Removal
    Measure Code:  SCIP-INF-6
    Statistics Available:  Denominator, Observed Rate
    Data Source: CMS Hospital Compare
  • Medicine to lower blood pressure given (if needed)
    •
  • Hospital staff should give medicine to surgery patients who have heart problems or are at risk for heart problems to lower their blood pressure. These patients may already take this medicine, and should continue to take it because it can lower the risk of death.
    • A higher score is better.
    • This rating does not take into account how sick patients were before they went to the hospital (it is not risk-adjusted).
    • Ratings do not include a significance test.
    • This measure is endorsed by the National Quality Forum, an independent organization that sets standards for health care quality measurement.
    • Hospital ratings are events per 100 cases.
  • Clinical Title:  Surgery Patients Who Were Taking Heart Drugs Called Beta Blockers Before Coming to the Hospital, Who Were Kept on the Beta Blockers During the Period Before and After Their Surgery
    Measure Code:  SCIP-CARD-2
    Statistics Available:  Denominator, Observed Rate
    Data Source: CMS Hospital Compare
  • Treatment prescribed to prevent blood clots
    •
  • Hospital staff should give surgery patients treatment to prevent blood clots within 24 hours before and after certain surgeries. These treatments include blood-thinning medicines and special stockings that help blood move through the body.
    • A higher score is better.
    • This rating does not take into account how sick patients were before they went to the hospital (it is not risk-adjusted).
    • Ratings do not include a significance test.
    • This measure is endorsed by the National Quality Forum, an independent organization that sets standards for health care quality measurement.
    • Hospital ratings are events per 100 cases.
  • Clinical Title:  Surgery Patients Who Received Treatment to Prevent Blood Clots Within 24 Hours Before or After Selected Surgeries to Prevent Blood Clots
    Measure Code:  SCIP-VTE-2
    Statistics Available:  Denominator, Observed Rate
    Data Source: CMS Hospital Compare
  • Antibiotics given one hour before surgery (outpatient)
    •
  • Hospital staff should give surgery patients antibiotics within 1 hour before surgery. Antibiotics are medicines that fight infections in your body which, given properly, can greatly lower your chances of getting an infection after surgery.
    • A higher score is better.
    • This is an outpatient measure.
    • This rating does not take into account how sick patients were before they went to the hospital (it is not risk-adjusted).
    • Ratings do not include a significance test.
    • This measure is endorsed by the National Quality Forum, an independent organization that sets standards for health care quality measurement.
    • Hospital ratings are events per 100 cases.
  • Clinical Title:  Prophylactic Antibiotic Initiated Within One Hour Prior to Surgical Incision
    Measure Code:  OP-6
    Statistics Available:  Denominator, Observed Rate
    Data Source: CMS Hospital Compare
  • Right antibiotics given (outpatient)
    •
  • Hospital staff should give surgery patients the right kind of antibiotics to lower the chance of infection after surgery. The right antibiotic for a patient depends on the kind of surgery they had.
    • A higher score is better.
    • This is an outpatient measure.
    • This rating does not take into account how sick patients were before they went to the hospital (it is not risk-adjusted).
    • Ratings do not include a significance test.
    • This measure is endorsed by the National Quality Forum, an independent organization that sets standards for health care quality measurement.
    • Hospital ratings are events per 100 cases.
  • Clinical Title:  Prophylactic Antibiotic Selection for Surgical Patients
    Measure Code:  OP-7
    Statistics Available:  Denominator, Observed Rate
    Data Source: CMS Hospital Compare
  • Recommended care after surgery: Information on how many patients got the care they needed such as the right medicine, surgery, or advice after a surgery.
  • Antibiotics stopped within 24 hours after surgery
    •
  • Hospital staff should stop giving antibiotics to surgery patients within 24 hours after some surgeries because this increases the chances of side effects such as stomach problems and severe diarrhea.
    • A higher score is better.
    • This rating does not take into account how sick patients were before they went to the hospital (it is not risk-adjusted).
    • Ratings do not include a significance test.
    • This measure is endorsed by the National Quality Forum, an independent organization that sets standards for health care quality measurement.
    • Hospital ratings are events per 100 cases.
  • Clinical Title:  Surgery Patients Whose Preventative Antibiotics are Stopped Within 24 Hours After Surgery
    Measure Code:  SCIP-INF-3
    Statistics Available:  Denominator, Observed Rate
    Data Source: CMS Hospital Compare
  • Blood sugar level controlled after heart surgery
    •
  • Hospital staff should help surgery patients keep their blood sugar as close to normal as possible after their surgery, because this can lower their chances of infections, heart attack, and brain, kidney, lung, and stomach problems.
    • A higher score is better.
    • This rating does not take into account how sick patients were before they went to the hospital (it is not risk-adjusted).
    • Ratings do not include a significance test.
    • This measure is endorsed by the National Quality Forum, an independent organization that sets standards for health care quality measurement.
    • Hospital ratings are events per 100 cases.
  • Clinical Title:  Cardiac Surgery Patients with Controlled 6AM Postoperative Blood Glucose
    Measure Code:  SCIP-INF-4
    Statistics Available:  Denominator, Observed Rate
    Data Source: CMS Hospital Compare
  • Treatment prescribed to prevent blood clots
    •
  • Doctors should give surgery patients a prescription for treatment to prevent blood clots from forming after certain surgeries. Blood clots can lead to heart attacks and strokes, and are one of the most common problems that people have related to surgery.
    • A higher score is better.
    • This rating does not take into account how sick patients were before they went to the hospital (it is not risk-adjusted).
    • Ratings do not include a significance test.
    • Hospital ratings are events per 100 cases.
  • Clinical Title:  Surgery Patients Whose Doctors Ordered Treatments to Prevent Blood Clots (Venous Thromboembolism) For Certain Types of Surgeries
    Measure Code:  SCIP-VTE-1
    Statistics Available:  Denominator, Observed Rate
    Data Source: CMS Hospital Compare
    • A higher score is better.
    • This rating does not take into account how sick patients were before they went to the hospital (it is not risk-adjusted).
    • Ratings do not include a significance test.
    • This measure is endorsed by the National Quality Forum, an independent organization that sets standards for health care quality measurement.
    • Hospital ratings are events per 100 cases.
  • Clinical Title:  Urinary Catheter Removal on Postoperative Day 1 or Postoperative Day 2, with the Day of Surgery Being Day 0
    Measure Code:  SCIP-INF-9
    Statistics Available:  Numerator, Denominator, Observed Rate and CI
    Data Source: CMS Hospital Compare
    • A higher score is better.
    • This rating does not take into account how sick patients were before they went to the hospital (it is not risk-adjusted).
    • Ratings do not include a significance test.
    • This measure is endorsed by the National Quality Forum, an independent organization that sets standards for health care quality measurement.
    • Hospital ratings are events per 100 cases.
  • Clinical Title:  Surgery Patients with Perioperative Temperature Management
    Measure Code:  SCIP-INF-10
    Statistics Available:  Numerator, Denominator, Observed Rate and CI
    Data Source: CMS Hospital Compare

  • Other patient safety:
    •
  • Hospital quality ratings for good results of surgical and nonsurgical care are provided. These results can occur in either surgical or nonsurgical cases.

  • Results of care -- Deaths: Information on what happened to patients while being cared for in the hospital or after leaving the hospital. These ratings are sometimes called outcome measures.
    • A lower score is better.
    • The rate takes into account how sick patients were before they went to the hospital (it is a risk-adjusted rate).
    • Ratings include a significance test that makes us more confident the hospital rating is accurate.
    • This measure is endorsed by the National Quality Forum, an independent organization that sets standards for health care quality measurement.
    • Hospital ratings are events per 1,000 cases.
    • Numbers in the measure details table are not scaled. These are raw statistics.
  • Clinical Title:  Death in Low-Mortality Diagnosis Related Groups (DRGs)
    Measure Code:  PSI 02
    Statistics Available:  Numerator, Denominator, Observed Rate and CI, Expected Rate, Risk-Adjusted Rate and CI
    Measure Source: AHRQ Quality Indicator
    • A lower score is better.
    • This rating does take into account how sick patients were before they went to the hospital (it is risk-adjusted).
    • Ratings include a significance test that makes us more confident the hospital rating is accurate.
    • Hospital ratings are events per 100 cases.
    • Numbers in the measure details table are not scaled. These are raw statistics.
  • Clinical Title:  Gastrointestinal Hemorrhage Mortality Rate
    Measure Code:  IQI 18
    Statistics Available:  Numerator, Denominator and Observed Rate and CI
    Measure Source: AHRQ Quality Indicator
    • A lower score is better.
    • The rate takes into account how sick patients were before they went to the hospital (it is a risk-adjusted rate).
    • Ratings include a significance test that makes us more confident the hospital rating is accurate.
    • This measure is endorsed by the National Quality Forum, an independent organization that sets standards for health care quality measurement.
    • Hospital ratings are events per 100 cases.
    • Numbers in the measure details table are not scaled. These are raw statistics.
  • Clinical Title:  Hip Fracture Mortality Rate
    Measure Code:  IQI 19
    Statistics Available:  Numerator, Denominator, Observed Rate and CI, Expected Rate, Risk-Adjusted Rate and CI
    Measure Source: AHRQ Quality Indicator
  • Results of care -- Complications: Information on what happened to patients while being cared for in the hospital or after leaving the hospital. These ratings are sometimes called outcome measures.
    • A lower score is better.
    • The rate takes into account how sick patients were before they went to the hospital (it is a risk-adjusted rate).
    • Ratings include a significance test that makes us more confident the hospital rating is accurate.
    • Hospital ratings are events per 1,000 cases.
    • Numbers in the measure details table are not scaled. These are raw statistics.
  • Clinical Title:  Pressure Ulcer Rate
    Measure Code:  PSI 03
    Statistics Available:  Numerator, Denominator, Observed Rate and CI, Expected Rate, Risk-Adjusted Rate and CI
    Measure Source: AHRQ Quality Indicator
    • A lower score is better.
    • The rate takes into account how sick patients were before they went to the hospital (it is a risk-adjusted rate).
    • Ratings include a significance test that makes us more confident the hospital rating is accurate.
    • This measure is endorsed by the National Quality Forum, an independent organization that sets standards for health care quality measurement.
    • Figures presented are counts.
    • Numbers in the measure details table are not scaled. These are raw statistics.
  • Clinical Title:  Foreign Body Left in During Procedure
    Measure Code:  PSI 05
    Statistics Available:  Volume
    Measure Source: AHRQ Quality Indicator
  • Accidental puncture of the lung
    •
  • How often air leaks out of the patient's lung because someone accidentally punctured it during a medical procedure or operation (a complication called iatrogenic pneumothorax).
    • A lower score is better.
    • The rate takes into account how sick patients were before they went to the hospital (it is a risk-adjusted rate).
    • Ratings include a significance test that makes us more confident the hospital rating is accurate.
    • This measure is endorsed by the National Quality Forum, an independent organization that sets standards for health care quality measurement.
    • Hospital ratings are events per 1,000 cases.
    • Numbers in the measure details table are not scaled. These are raw statistics.
  • Clinical Title:  Iatrogenic Pneumothorax Rate
    Measure Code:  PSI 06
    Statistics Available:  Numerator, Denominator, Observed Rate and CI, Expected Rate, Risk-Adjusted Rate and CI
    Measure Source: AHRQ Quality Indicator
    • A lower score is better.
    • This rating does take into account how sick patients were before they went to the hospital (it is risk-adjusted).
    • Ratings include a significance test that makes us more confident the hospital rating is accurate.
    • Hospital ratings are events per 1,000 cases.
    • Numbers in the measure details table are not scaled. These are raw statistics.
  • Clinical Title:  Central Venous Catheter-Related Blood Stream Infections
    Measure Code:  PSI 07
    Statistics Available:  Numerator, Denominator, Observed Rate and CI, Expected Rate, Risk-Adjusted Rate and CI
    Measure Source: AHRQ Quality Indicator
  • Accidental cut or tear
    •
  • How often patients were accidentally cut, making an unnecessary or dangerous hole or tear in an organ of the body (called an accidental puncture and laceration), while receiving medical care in the hospital.
    • A lower score is better.
    • This rating does take into account how sick patients were before they went to the hospital (it is risk-adjusted).
    • Ratings include a significance test that makes us more confident the hospital rating is accurate.
    • This measure is endorsed by the National Quality Forum, an independent organization that sets standards for health care quality measurement.
    • Hospital ratings are events per 1,000 cases.
    • Numbers in the measure details table are not scaled. These are raw statistics.
  • Clinical Title:  Accidental Puncture or Laceration Rate
    Measure Code:  PSI 15
    Statistics Available:  Numerator, Denominator, Observed Rate and CI, Expected Rate, Risk-Adjusted Rate and CI
    Measure Source: AHRQ Quality Indicator
    • A lower score is better.
    • This rating does not take into account how sick patients were before they went to the hospital (it is not risk-adjusted).
    • Ratings include a significance test that makes us more confident the hospital rating is accurate.
    • This measure is endorsed by the National Quality Forum, an independent organization that sets standards for health care quality measurement.
    • Figures presented are counts.
    • Numbers in the measure details table are not scaled. These are raw statistics.
  • Clinical Title:  Transfusion Reaction Rate
    Measure Code:  PSI 16
    Statistics Available:  Volume
    Measure Source: AHRQ Quality Indicator

  • Avoidable Hospital Stays

  • Asthma in Younger Adults Admission Rate
    •
  • Asthma is a chronic lung condition that causes problems getting air in and out of the lungs. This is not a measure of hospital quality. Evidence shows these hospital stays are potentially avoidable when patients have access to high quality outpatient care.
    • A lower score is better.
    • The rate takes into account how sick patients were before they went to the hospital (it is a risk-adjusted rate).
    • The number of hospital stays is provided for every 100,000 people who reside in that area (i.e., the population).
    • This measure is endorsed by the National Quality Forum, an independent organization that sets standards for health care quality measurement.
  • Clinical Title: Asthma in Younger Adults Admission Rate
    Measure Code: PQI 15
    Statistics Available: Numerator, Denominator, Observed Rate, Risk Adjusted Rate, S.E. of Risk Adjusted Rate
    Measure Source: AHRQ Quality Indicator
    • A lower score is better.
    • The rate takes into account how sick patients were before they went to the hospital (it is a risk-adjusted rate).
    • The number of hospital stays is provided for every 100,000 people who reside in that area (i.e., the population).
    • This measure is endorsed by the National Quality Forum, an independent organization that sets standards for health care quality measurement.
  • Clinical Title: Chronic Obstructive Pulmonary Disease (COPD) or Asthma in Older Adults Admission Rate
    Measure Code: PQI 05
    Statistics Available: Numerator, Denominator, Observed Rate, Risk Adjusted Rate, S.E. of Risk Adjusted Rate
    Measure Source: AHRQ Quality Indicator

  • Uncontrolled Diabetes Admission Rate
    •
  • Patients who went to the hospital for uncontrolled diabetes. Diabetes is a disease where blood sugar levels are too high. When diabetes is not properly managed it is called uncontrolled. This is not a measure of hospital quality. Evidence shows these hospital stays are potentially avoidable when patients have access to high quality outpatient care.
    • A lower score is better.
    • The rate takes into account how sick patients were before they went to the hospital (it is a risk-adjusted rate).
    • The number of hospital stays is provided for every 100,000 people who reside in that area (i.e., the population).
    • This measure is endorsed by the National Quality Forum, an independent organization that sets standards for health care quality measurement.
  • Clinical Title: Uncontrolled Diabetes Admission Rate
    Measure Code: PQI 14
    Statistics Available: Numerator, Denominator, Observed Rate, Risk Adjusted Rate, S.E. of Risk Adjusted Rate
    Measure Source: AHRQ Quality Indicator
  • Diabetes Short-Term Complications Admission Rate
    •
  • Patients who went to hospital for a short-term diabetes complication. Diabetes is a disease where blood sugar levels are too high. When diabetes is not properly managed there can be short-term complications. This is not a measure of hospital quality. Evidence shows these hospital stays are potentially avoidable when patients have access to high quality outpatient care.
    • A lower score is better.
    • The rate takes into account how sick patients were before they went to the hospital (it is a risk-adjusted rate).
    • The number of hospital stays is provided for every 100,000 people who reside in that area (i.e., the population).
    • This measure is endorsed by the National Quality Forum, an independent organization that sets standards for health care quality measurement.
  • Clinical Title: Diabetes Short-Term Complications Admission Rate
    Measure Code: PQI 01
    Statistics Available: Numerator, Denominator, Observed Rate, Risk Adjusted Rate, S.E. of Risk Adjusted Rate
    Measure Source: AHRQ Quality Indicator
  • Diabetes Long-Term Complications Admission Rate
    •
  • Patients who went to hospital for a long-term diabetes complication.
    Diabetes is a disease where blood sugar levels are too high. When diabetes is not properly managed there can be long-term complications. This is not a measure of hospital quality. Evidence shows these hospital stays are potentially avoidable when patients have access to high quality outpatient care.
    • A lower score is better.
    • The rate takes into account how sick patients were before they went to the hospital (it is a risk-adjusted rate).
    • The number of hospital stays is provided for every 100,000 people who reside in that area (i.e., the population).
    • This measure is endorsed by the National Quality Forum, an independent organization that sets standards for health care quality measurement.
  • Clinical Title: Diabetes Long-Term Complications Admission Rate
    Measure Code: PQI 03
    Statistics Available: Numerator, Denominator, Observed Rate, Risk Adjusted Rate, S.E. of Risk Adjusted Rate
    Measure Source: AHRQ Quality Indicator
  • Rate of Lower-Extremity Amputation Among Patients With Diabetes
    •
  • Patients with diabetes sometimes have serious complications including having a limb amputated. Diabetes is a disease where blood sugar levels are too high. This is not a measure of hospital quality. Evidence shows these hospital stays are potentially avoidable when patients have access to high quality outpatient care.
    • A lower score is better.
    • The rate takes into account how sick patients were before they went to the hospital (it is a risk-adjusted rate).
    • The number of hospital stays is provided for every 100,000 people who reside in that area (i.e., the population).
    • This measure is endorsed by the National Quality Forum, an independent organization that sets standards for health care quality measurement.
  • Clinical Title: Rate of Lower-Extremity Amputation Among Patients With Diabetes
    Measure Code: PQI 16
    Statistics Available: Numerator, Denominator, Observed Rate, Risk Adjusted Rate, S.E. of Risk Adjusted Rate
    Measure Source: AHRQ Quality Indicator

  • Hypertension Admission Rate
    •
  • Patients who went to hospital because they had high blood pressure (called hypertension). Blood pressure is the force of your blood pushing against the walls of your arteries. This is not a measure of hospital quality. Evidence shows these hospital stays are potentially avoidable when patients have access to high quality outpatient care.
    • A lower score is better.
    • The rate takes into account how sick patients were before they went to the hospital (it is a risk-adjusted rate).
    • The number of hospital stays is provided for every 100,000 people who reside in that area (i.e., the population).
    • This measure is endorsed by the National Quality Forum, an independent organization that sets standards for health care quality measurement.
  • Clinical Title: Hypertension Admission Rate
    Measure Code: PQI 07
    Statistics Available: Numerator, Denominator, Observed Rate, Risk Adjusted Rate, S.E. of Risk Adjusted Rate
    Measure Source: AHRQ Quality Indicator
  • Congestive Heart Failure (CHF) Admission Rate
    •
  • Patients who went to hospital because they had heart failure (called congestive heart failure). This is not a measure of hospital quality. Evidence shows these hospital stays are potentially avoidable when patients have access to high quality outpatient care.
    • A lower score is better.
    • The rate takes into account how sick patients were before they went to the hospital (it is a risk-adjusted rate).
    • The number of hospital stays is provided for every 100,000 people who reside in that area (i.e., the population).
    • This measure is endorsed by the National Quality Forum, an independent organization that sets standards for health care quality measurement.
  • Clinical Title: Congestive Heart Failure (CHF) Admission Rate
    Measure Code: PQI 08
    Statistics Available: Numerator, Denominator, Observed Rate, Risk Adjusted Rate, S.E. of Risk Adjusted Rate
    Measure Source: AHRQ Quality Indicator
  • Angina Without Procedure Admission Rate
    •
  • Patients who went to the hospital because they had chest pain (called angina). Angina is chest pain or discomfort you get when your heart muscle does not get enough blood. This is not a measure of hospital quality. Evidence shows these hospital stays are potentially avoidable when patients have access to high quality outpatient care.
    • A lower score is better.
    • The rate takes into account how sick patients were before they went to the hospital (it is a risk-adjusted rate).
    • The number of hospital stays is provided for every 100,000 people who reside in that area (i.e., the population).
    • This measure is endorsed by the National Quality Forum, an independent organization that sets standards for health care quality measurement.
  • Clinical Title: Angina Without Procedure Admission Rate
    Measure Code: PQI 13
    Statistics Available: Numerator, Denominator, Observed Rate, Risk Adjusted Rate, S.E. of Risk Adjusted Rate
    Measure Source: AHRQ Quality Indicator

  • Perforated Appendix Admission Rate
    •
  • Patients who went to hospital because their appendix ruptured (called a perforated appendix). This is not a measure of hospital quality. Evidence shows these hospital stays are potentially avoidable when patients have access to high quality outpatient care.
    • A lower score is better.
    • The rate does not take into account how sick patients were before they went to the hospital (it is not risk-adjusted).
    • The number of hospital stays is provided for every 100 people with a diagnosis of appendicitis.
    • This measure is endorsed by the National Quality Forum, an independent organization that sets standards for health care quality measurement.
  • Clinical Title: Perforated Appendix Admission Rate
    Measure Code: PQI 02
    Statistics Available:  Numerator, Denominator, Observed Rate
    Measure Source: AHRQ Quality Indicator
  • Dehydration Admission Rate
    •
  • Patients who went to the hospital for dehydration. Dehydration means your body does not have as much water and fluids as it should. This is not a measure of hospital quality. Evidence shows these hospital stays are potentially avoidable when patients have access to high quality outpatient care.
    • A lower score is better.
    • The rate takes into account how sick patients were before they went to the hospital (it is a risk-adjusted rate).
    • The number of hospital stays is provided for every 100,000 people who reside in that area (i.e., the population).
    • This measure is endorsed by the National Quality Forum, an independent organization that sets standards for health care quality measurement.
  • Clinical Title: Dehydration Admission Rate
    Measure Code: PQI 10
    Statistics Available: Numerator, Denominator, Observed Rate, Risk Adjusted Rate, S.E. of Risk Adjusted Rate
    Measure Source: AHRQ Quality Indicator
  • Bacterial Pneumonia Admission Rate
    •
  • Patients who went to the hospital for pneumonia. Pneumonia is a serious lung infection that causes difficulty breathing, fever, cough and fatigue. Bacterial pneumonia is a common infection that can often be treated with antibiotics. This is not a measure of hospital quality. Evidence shows these hospital stays are potentially avoidable when patients have access to high quality outpatient care.
    • A lower score is better.
    • The rate takes into account how sick patients were before they went to the hospital (it is a risk-adjusted rate).
    • The number of hospital stays is provided for every 100,000 people who reside in that area (i.e., the population).
    • This measure is endorsed by the National Quality Forum, an independent organization that sets standards for health care quality measurement.
  • Clinical Title: Bacterial Pneumonia Admission Rate
    Measure Code: PQI 11
    Statistics Available: Numerator, Denominator, Observed Rate, Risk Adjusted Rate, S.E. of Risk Adjusted Rate
    Measure Source: AHRQ Quality Indicator
  • Urinary Tract Infection Admission Rate
    •
  • Patients who went to the hospital for a urinary tract infection (called UTI). A urinary tract infection is an infection that can happen anywhere along the urinary tract. Urinary tract infections can often be treated with antibiotics. This is not a measure of hospital quality. Evidence shows these hospital stays are potentially avoidable when patients have access to high quality outpatient care.
    • A lower score is better.
    • The rate takes into account how sick patients were before they went to the hospital (it is a risk-adjusted rate).
    • The number of hospital stays is provided for every 100,000 people who reside in that area (i.e., the population).
    • This measure is endorsed by the National Quality Forum, an independent organization that sets standards for health care quality measurement.
  • Clinical Title: Urinary Tract Infection Admission Rate
    Measure Code: PQI 12
    Statistics Available: Numerator, Denominator, Observed Rate, Risk Adjusted Rate, S.E. of Risk Adjusted Rate
    Measure Source: AHRQ Quality Indicator
  • Low birth weight rate
    •
  • How often a newborn has a low birth weight. Low birth weight can often be prevented with better maternal care. This is not a measure of hospital quality. Evidence shows these hospital stays are potentially avoidable when patients have access to high quality outpatient care.
    • A lower score is better.
    • The rate takes into account how sick patients were before they went to the hospital (it is a risk-adjusted rate).
    • The number of hospital stays is provided for every 100 births.
    • This measure is endorsed by the National Quality Forum, an independent organization that sets standards for health care quality measurement.
  • Clinical Title: Low Birth Weight Rate
    Measure Code: PQI 09
    Statistics Available: Numerator, Denominator, Observed Rate, Risk Adjusted Rate, S.E. of Risk Adjusted Rate
    Measure Source: AHRQ Quality Indicator

  • Prevention Quality Indicator Composite - Overall
    •
  • This score is based on how often patients were admitted to the hospital for reasons that might have been prevented: short-term diabetes complications, long-term diabetes complications, chronic obstructive pulmonary disease, high blood pressure, heart failure, chest pain, uncontrolled diabetes, adult asthma, diabetes patients with a limb amputated, dehydration, pneumonia, and urinary tract infections. This is not a measure of hospital quality. Evidence shows these hospital stays are potentially avoidable when patients have access to high quality outpatient care.
    • A lower score is better.
    • The rate takes into account how sick patients were before they went to the hospital (it is a risk-adjusted rate).
    • The number of hospital stays is provided for every 100,000 people who reside in that area (i.e., the population).
  • Clinical Title: Prevention Quality Indicator Composite - Overall
    Measure Code: PQI 90
    Statistics Available: Numerator, Denominator, Observed Rate, Risk Adjusted Rate, S.E. of Risk Adjusted Rate
    Measure Source: AHRQ Quality Indicator
  • Prevention Quality Indicator Composite - Chronic Conditions
    •
  • This score is based on how often patients were admitted to the hospital for chronic conditions that might have been prevented. Chronic conditions include: short-term diabetes complications, long-term diabetes complications, chronic obstructive pulmonary disease, high blood pressure, heart failure, chest pain, uncontrolled diabetes, adult asthma, and diabetes patients with a limb amputated. This is not a measure of hospital quality. Evidence shows these hospital stays are potentially avoidable when patients have access to high quality outpatient care.
    • A lower score is better.
    • The rate takes into account how sick patients were before they went to the hospital (it is a risk-adjusted rate).
    • The number of hospital stays is provided for every 100,000 people who reside in that area (i.e., the population).
  • Clinical Title: Prevention Quality Indicator Composite - Chronic Conditions
    Measure Code: PQI 92
    Statistics Available: Numerator, Denominator, Observed Rate, Risk Adjusted Rate, S.E. of Risk Adjusted Rate
    Measure Source: AHRQ Quality Indicator
  • Prevention Quality Indicator Composite - Acute Conditions
    •
  • This score is based on how often patients were admitted to the hospital for acute conditions that might have been prevented. Acute conditions are sudden and severe, including: dehydration, pneumonia, and urinary tract infections. This is not a measure of hospital quality. Evidence shows these hospital stays are potentially avoidable when patients have access to high quality outpatient care.
    • A lower score is better.
    • The rate takes into account how sick patients were before they went to the hospital (it is a risk-adjusted rate).
    • The number of hospital stays is provided for every 100,000 people who reside in that area (i.e., the population).
  • Clinical Title: Prevention Quality Indicator Composite - Acute Conditions
    Measure Code: PQI 91
    Statistics Available: Numerator, Denominator, Observed Rate, Risk Adjusted Rate, S.E. of Risk Adjusted Rate
    Measure Source: AHRQ Quality Indicator

  • Foreign Body Left During Procedure
    •
  • How often a surgical instrument or tool, such as a scalpel or a sponge, was accidentally left in a patient's body during an operation. This is a measure of patient safety. It captures hospital stays caused by potentially avoidable complications. It also captures hospital stays in which potentially avoidable complications occur.
    • A lower score is better.
    • The number of hospital stays is provided for every 100,000 people who reside in that area (i.e., the population).
  • Clinical Title: Foreign Body Left During Procedure
    Measure Code: PSI 21
    Statistics Available: Numerator, Denominator, Observed Rate
    Measure Source: AHRQ Quality Indicator
  • Iatrogenic Pneumothorax Rate
    •
  • How often air leaks out of the patient's lung because someone accidentally punctured it during a medical procedure or operation (a complication called iatrogenic pneumothorax). This is a measure of patient safety. It captures hospital stays caused by potentially avoidable complications. It also captures hospital stays in which potentially avoidable complications occur.
    • A lower score is better.
    • The number of hospital stays is provided for every 100,000 people who reside in that area (i.e., the population).
  • Clinical Title: Iatrogenic Pneumothorax Rate
    Measure Code: PSI 22
    Statistics Available: Numerator, Denominator, Observed Rate
    Measure Source: AHRQ Quality Indicator
  • Central Venous Catheter-Related Blood Stream Infection Rate
    •
  • How often patients got a variety of infections as a result of the care they received in the hospital. This is a measure of patient safety. It captures hospital stays caused by potentially avoidable complications. It also captures hospital stays in which potentially avoidable complications occur.
    • A lower score is better.
    • The number of hospital stays is provided for every 100,000 people who reside in that area (i.e., the population).
  • Clinical Title: Central Venous Catheter-Related Blood Stream Infection Rate
    Measure Code: PSI 23
    Statistics Available: Numerator, Denominator, Observed Rate
    Measure Source: AHRQ Quality Indicator
  • Postoperative Wound Dehiscence Rate
    •
  • How often a surgical wound in the stomach or pelvic area split open after an operation (called postoperative wound dehiscence in abdominopelvic surgical patients). This is a measure of patient safety. It captures hospital stays caused by potentially avoidable complications. It also captures hospital stays in which potentially avoidable complications occur.
    • A lower score is better.
    • The number of hospital stays is provided for every 100,000 people who reside in that area (i.e., the population).
  • Clinical Title:  Postoperative Wound Dehiscence Rate
    Measure Code: PSI 24
    Statistics Available: Numerator, Denominator, Observed Rate
    Measure Source: AHRQ Quality Indicator
  • Accidental Puncture or Laceration Rate
    •
  • How often someone accidentally punctures or lacerates a patient during a medical procedure. This is a measure of patient safety. It captures hospital stays caused by potentially avoidable complications. It also captures hospital stays in which potentially avoidable complications occur.
    • A lower score is better.
    • The number of hospital stays is provided for every 100,000 people who reside in that area (i.e., the population).
  • Clinical Title: Accidental Puncture or Laceration Rate
    Measure Code: PSI 25
    Statistics Available: Numerator, Denominator, Observed Rate
    Measure Source: AHRQ Quality Indicator
  • Transfusion Reaction Rate
    •
  • How often a patient in the hospital had a bad reaction to donated blood. This is a measure of patient safety. It captures hospital stays caused by potentially avoidable complications. It also captures hospital stays in which potentially avoidable complications occur.
    • A lower score is better.
    • The rate takes into account how sick patients were before they went to the hospital (it is a risk-adjusted rate).
  • Clinical Title: Transfusion Reaction Rate
    Measure Code: PSI 26
    Statistics Available: Numerator, Denominator, Observed Rate
    Measure Source: AHRQ Quality Indicator
  • Postoperative Hemorrhage or Hematoma Rate
    •
  • How often patients bled too much either within their body or outside their body (hemorrhage), or developed a large bruise or clot (hematoma) after an operation. All of these complications involved another operation to stop the bleeding or remove the blood clots. This is a measure of patient safety. It captures hospital stays caused by potentially avoidable complications. It also captures hospital stays in which potentially avoidable complications occur.
    • A lower score is better.
    • The number of hospital stays is provided for every 100,000 people who reside in that area (i.e., the population).
  • Clinical Title: Postoperative Hemorrhage or Hematoma Rate
    Measure Code: PSI 27
    Statistics Available: Numerator, Denominator, Observed Rate
    Measure Source: AHRQ Quality Indicator

  • Coronary Artery Bypass Graft (CABG) Rate
    •
  • How often coronary artery bypass grafts (called CABG) are performed. CABG is a surgery designed to provide a way around clogged arteries in the heart. This is not a measure of hospital quality. It is a measure of practice patterns in an area. There can be wide variation in practice patterns that might suggest overuse or underuse.
    • A lower score is better.
    • The number of hospital stays is provided for every 100,000 people who reside in that area (i.e., the population).
    • The rate takes into account how sick patients were before they went to the hospital (it is a risk-adjusted rate).
  • Clinical Title: Coronary Artery Bypass Graft (CABG) Rate
    Measure Code: IQI 26
    Statistics Available: Numerator, Denominator, Observed Rate, Risk Adjusted Rate, S.E. of Risk Adjusted Rate
    Measure Source: AHRQ Quality Indicator
  • Percutaneous Transluminal Coronary Angioplasty (PTCA) Rate
    •
  • How often percutaneous transluminal coronary angioplasty (called PTCA) procedures are performed. During this procedure, clogged arteries of the heart are opened up, and then kept open using wire mesh tubes or "stents." This is not a measure of hospital quality. It is a measure of practice patterns in an area. There can be wide variation in practice patterns that might suggest overuse or underuse.
    • A lower score is better.
    • The number of hospital stays is provided for every 100,000 people who reside in that area (i.e., the population).
    • The rate takes into account how sick patients were before they went to the hospital (it is a risk-adjusted rate).
  • Clinical Title: Percutaneous Transluminal Coronary Angioplasty (PTCA) Rate
    Measure Code: IQI 27
    Statistics Available: Numerator, Denominator, Observed Rate, Risk Adjusted Rate, S.E. of Risk Adjusted Rate
    Measure Source: AHRQ Quality Indicator
  • Hysterectomy Rate
    •
  • How often a surgery to remove a woman's uterus is performed. This is not a measure of hospital quality. It is a measure of practice patterns in an area. There can be wide variation in practice patterns that might suggest overuse or underuse.
    • A lower score is better.
    • The number of hospital stays is provided for every 100,000 people who reside in that area (i.e., the population).
    • The rate takes into account how sick patients were before they went to the hospital (it is a risk-adjusted rate).
  • Clinical Title: Hysterectomy Rate
    Measure Code: IQI 28
    Statistics Available: Numerator, Denominator, Observed Rate, Risk Adjusted Rate, S.E. of Risk Adjusted Rate
    Measure Source: AHRQ Quality Indicator
  • Laminectomy rate
    •
  • How often a surgery is performed on patients with a herniated disc or spinal stenosis (called a laminectomy). The procedure can take pressure off spinal nerves or spinal column. This is not a measure of hospital quality. It is a measure of practice patterns in an area. There can be wide variation in practice patterns that might suggest overuse or underuse.
    • A lower score is better.
    • The number of hospital stays is provided for every 100,000 people who reside in that area (i.e., the population).
    • The rate takes into account how sick patients were before they went to the hospital (it is a risk-adjusted rate).
  • Clinical Title:Laminectomy or Spinal Fusion Rate
    Measure Code: IQI 29
    Statistics Available: Numerator, Denominator, Observed Rate, Risk Adjusted Rate, S.E. of Risk Adjusted Rate
    Measure Source: AHRQ Quality Indicator