Hospital Compare Outcomes Data from CMS: Readmissions and Mortality

One of the more interesting and important data within the Hospital Compare data release is the “Readmissions, complications, & deaths: 30-day mortality and readmission” data.  Each hospital that participates in Medicare reports mortality and readmission rates for common conditions (Such as pneumonia and Heart Failure). Note that these rates only represent the Medicare patients that the hospital serves.  However, they are a great starting point to compare care quality and coordination across hospitals and regions. These measures are also very important in pay-for-performance reimbursement models, because if you are not improving your measures you will be payed less by Medicare (or other insurers).

As I mentioned in another post, Hospital Compare Data can be a pain to download and clean up. You have to download all of the files even if you only want to analyze one, and the field types for most readmission outcomes measures is memo mixing numeric and text values like “Not Reported”

If you just want to look at the most recent data (2013) for readmission outcomes, download a clean up version of Hospital Compare 30-day mortality and readmission here.

Here is a list of data elements Hospital Compare 30-day mortality and readmission :

  • Provider Number
  • Hospital Name
  • Address 1
  • Address 2
  • Address 3
  • City
  • State
  • 30-Day Mortality and Readmission Hospital Results Description
  • ZIP Code
  • County Name
  • Phone Number
  • Hospital 30-Day Death (Mortality) Rates from Heart Attack
  • Comparison to U S Rate – Hospital 30-Day Death (Mortality) Rates from Heart Attack
  • Lower Mortality Estimate – Hospital 30-Day Death (Mortality) Rates from Heart Attack
  • Upper Mortality Estimate – Hospital 30-Day Death (Mortality) Rates from Heart Attack
  • Number of Patients – Hospital 30-Day Death (Mortality) Rates from Heart Attack
  • Footnote – Hospital 30-Day Death (Mortality) Rates from Heart Attack
  • Hospital 30-Day Death (Mortality) Rates from Heart Failure
  • Comparison to U S Rate – Hospital 30-Day Death (Mortality) Rates from Heart Failure
  • Lower Mortality Estimate – Hospital 30-Day Death (Mortality) Rates from Heart Failure
  • Upper Mortality Estimate – Hospital 30-Day Death (Mortality) Rates from Heart Failure
  • Number of Patients – Hospital 30-Day Death (Mortality) Rates from Heart Failure
  • Footnote – Hospital 30-Day Death (Mortality) Rates from Heart Failure
  • Hospital 30-Day Death (Mortality) Rates from Pneumonia
  • Comparison to U S Rate – Hospital 30-Day Death (Mortality) Rates from Pneumonia
  • Lower Mortality Estimate – Hospital 30-Day Death (Mortality) Rates from Pneumonia
  • Upper Mortality Estimate – Hospital 30-Day Death (Mortality) Rates from Pneumonia
  • Number of Patients – Hospital 30-Day Death (Mortality) Rates from Pneumonia
  • Footnote – Hospital 30-Day Death (Mortality) Rates from Pneumonia
  • Hospital 30-Day Readmission Rates from Heart Attack
  • Comparison to U S Rate – Hospital 30-Day Readmission Rates from Heart Attack
  • Lower Readmission Estimate – Hospital 30-Day Readmission Rates from Heart Attack
  • Upper Readmission Estimate – Hospital 30-Day Readmission Rates from Heart Attack
  • Number of Patients – Hospital 30-Day Readmission Rates from Heart Attack
  • Footnote – Hospital 30-Day Readmission Rates from Heart Attack
  • Hospital 30-Day Readmission Rates from Heart Failure
  • Comparison to U S Rate – Hospital 30-Day Readmission Rates from Heart Failure
  • Lower Readmission Estimate – Hospital 30-Day Readmission Rates from Heart Failure
  • Upper Readmission Estimate – Hospital 30-Day Readmission Rates from Heart Failure
  • Number of Patients – Hospital 30-Day Readmission Rates from Heart Failure
  • Footnote – Hospital 30-Day Readmission Rates from Heart Failure
  • Hospital 30-Day Readmission Rates from Pneumonia
  • Comparison to U S Rate – Hospital 30-Day Readmission Rates from Pneumonia
  • Lower Readmission Estimate – Hospital 30-Day Readmission Rates from Pneumonia
  • Upper Readmission Estimate – Hospital 30-Day Readmission Rates from Pneumonia
  • Number of Patients – Hospital 30-Day Readmission Rates from Pneumonia
  • Footnote – Hospital 30-Day Readmission Rates from Pneumonia
  • Rate of readmission after hip or knee surgery
  • Footnote – Rate of readmission after hip or knee surgery
  • Number of Patients – Rate of readmission after hip or knee surgery
  • RSRR – Rate of readmission after hip or knee surgery
  • Lower Readmission Estimate – Rate of readmission after hip or knee surgery
  • Upper Readmission Estimate – Rate of readmission after hip or knee surgery
  • All cause hospital-wide readmission
  • Footnote – All cause hospital-wide readmissio
  • Number of Patients – All cause hospital-wide readmission
  • RSRR – All cause hospital-wide readmission
  • Lower Readmission Estimate – All cause hospital-wide readmission
  • Upper Readmission Estimate – All cause hospital-wide readmission
  • Complications and Deaths following hip/knee surgery
  • Footnote – Complications and Deaths following hip/knee surgery
  • Number of Patients – Complications and Deaths following hip/knee surgery
  • RSCR – Complications and Deaths following hip/knee surgery
  • Lower Readmission Estimate – Complications and Deaths following hip/knee surgery

 

jon.

Dr. Jonathan P. DeShazo is an expert on health information technology, clinical data, and consumer informatics. He is currently an Assistant Professor in the Department of Health Adminstration and serves as Scientific Director of the Biomedical Informatics Core at Virginia Commonwealth University.

Leave a Reply

Your email address will not be published. Required fields are marked *