The Hospital Value Based Purchasing (HVBP) Program is a Centers for Medicare & Medicaid Services (CMS) initiative that rewards acute-care hospitals with incentive payments for the quality of care they provide to Medicare beneficiaries.
CMS rewards hospitals based on:
• The quality of care provided to Medicare patients.
• How closely best clinical practices are followed; and
• How well hospitals enhance patients’ experiences of care during hospital stays.
Hospitals are no longer paid solely on the quantity of services they provide. Congress authorized Inpatient Hospital Value Based Purchasing in Section 3001(a) of the Affordable Care Act. The program uses the hospital quality data reporting infrastructure developed for the Hospital Inpatient Quality Reporting (IQR) Program, which was authorized by Section 501(b) of the Medicare Prescription Drug, Improvement, and Modernization Act of 2003.
Under the Hospital VBP Program, Medicare makes incentive payments to hospitals based on either:
• How well they perform on each measure; or
• How much they improve their performance on each measure compared to their performance during a baseline period.
CMS assesses each hospital’s total performance by comparing its Achievement and Improvement scores for each applicable Hospital Value Based Purchasing measure. CMS uses a threshold (50th percentile) and benchmark (mean of the top decile) to determine how many points to award for the Achievement and Improvement scores. CMS compares the Achievement and Improvement scores and uses whichever is greater. To determine the domain scores, CMS adds points across all measures.
Others titles
- CMS Value Based Purchasing Efficiency Scores
- CMS HCAHPS Efficiency ScoresHospital Core Measures Clinical Process of Care Efficiency Scores
Keywords
- Hospital Compare Clinical Processes
- Value Based Purchasing
- HCAHPS Clinical Process
- Value Based Healthcare
- Clinical Process of Care Efficiency Scores
- Hospital Compare Efficiency Scores
Hospital Compare Clinical Process of Care Efficiency Scores
$179 / year
This dataset contains a list of hospitals participating in the Hospital Value Based Purchasing Program and their performance ratios and scores for the Efficiency Medicare Spending per Beneficiary (MSPB) measure.
Complexity



Date Created | 2014-10-22 |
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Last Modified | 2018-05-23 |
Version | 2018-05-23 |
Update Frequency | Quarterly |
Temporal Coverage | N/A |
Spatial Coverage | United States |
Source | John Snow Labs => Centers for Medicare & Medicaid Services |
Source License URL | John Snow Labs Standard License |
Source License Requirements | N/A |
Source Citation | N/A |
Keywords | Hospital Compare Clinical Processes, Value Based Purchasing, HCAHPS Clinical Process, Value Based Healthcare, Clinical Process of Care Efficiency Scores, Hospital Compare Efficiency Scores |
Other Titles | CMS Value Based Purchasing Efficiency Scores, CMS HCAHPS Efficiency Scores, Hospital Core Measures Clinical Process of Care Efficiency Scores |
Name | Description | Type | Constraints |
---|---|---|---|
Provider_Number | CMS certification number (CCN). Identification number of the hospital within the CMS dataset. | string | required : 1 |
Hospital_Name | Name of the hospital (also referred to as the provider) | string | required : 1 |
Address | Main street address information of the hospital | string | required : 1 |
City | Mailing city. The city in the main street address of the hospital. | string | required : 1 |
State_Abbreviation | Two-letter state abbreviation in the mailing address of the hospital. This includes information on hospitals in: | string | required : 1 |
ZIP_Code | 5 digit postal zip code in the mailing address of the hospital. | string | required : 1 |
County_Name | Mailing county of the hospital. | string | - |
MSPB1_Achievement_Threshold | Centers for Medicare & Medicaid Services (CMS) assesses a hospital's performance on each Hospital VBP measure using an achievement threshold. The achievement threshold is the minimum level of hospital performance required to receive achievement points while MSBP1 Measure is Medicare Spending Per Benificiary. Achievement Threshold of MSPB1 Measure represents the 50th percentile. | number | required : 1 level : Nominal |
MSPB1_Benchmark | CMS also uses a benchmark to determine how many points to award for the Achievement and Improvement scores. Benchmark of MSPB1 Measure represents the mean of the top decile. | number | required : 1 level : Ratio |
MSPB1_Baseline_Rate | Indicates the hospital rates during the Baseline Period. Baseline Period Rates are used to assess if there is any improvement in performance after comparing the Achievement and Improvement scores of Performance Period Rates for all hospitals. | number | level : Ratio |
MSPB1_Performance_Rate | Performance rate in response to MSPB1 Measure. MSBP1 Measure is Medicare Spending Per Benificiary. | number | level : Ratio |
MSPB1_Achievement_Points | Achievement Points in response to MSPB1 Measure. MSBP1 Measure is Medicare Spending Per Benificiary. Achievement points are awarded by comparing an individual hospital’s rates during the performance period to all hospitals rates from the baseline period. | string | - |
MSPB1_Improvement_Points | Improvement Points in response to MSPB1 Measure. Improvement points are awarded by comparing an individual hospital’s rates during the performance period to that same individual hospital’s rates from the baseline period | string | - |
MSPB1_Measure_Score | Hospital score in response to MSPB1 Measure. | string | - |
Latitude | Identifies the geographical location Latitude. | - | |
Longitude | Identifies the geographical location Latitude. | - |
Provider_Number | Hospital_Name | Address | City | State_Abbreviation | ZIP_Code | County_Name | MSPB1_Achievement_Threshold | MSPB1_Benchmark | MSPB1_Baseline_Rate | MSPB1_Performance_Rate | MSPB1_Achievement_Points | MSPB1_Improvement_Points | MSPB1_Measure_Score | Latitude | Longitude |
360098 | LAKE HEALTH | 7590 AUBURN ROAD | CONCORD | OH | 44077 | Lake | 0.985777 | 0.832678 | 1.03703 | 1.010594 | 0 out of 10 | 1 out of 9 | 1 out of 10 | ||
070029 | BRISTOL HOSPITAL | BREWSTER RD | BRISTOL | CT | 6010 | Hartford | 0.985777 | 0.832678 | 1.072935 | 1.021804 | 0 out of 10 | 2 out of 9 | 2 out of 10 | ||
410006 | NEWPORT HOSPITAL | FRIENDSHIP STREET | NEWPORT | RI | 2840 | Newport | 0.985777 | 0.832678 | 1.030986 | 1.004457 | 0 out of 10 | 1 out of 9 | 1 out of 10 | ||
390163 | ACMH HOSPITAL | ONE NOLTE DRIVE | KITTANNING | PA | 16201 | Armstrong | 0.985777 | 0.832678 | 1.019175 | 0.978779 | 1 out of 10 | 2 out of 9 | 2 out of 10 | ||
420015 | BAPTIST EASLEY HOSPITAL | PO BOX 2129 | EASLEY | SC | 29641 | Pickens | 0.985777 | 0.832678 | 0.967984 | 1.044782 | 0 out of 10 | 0 out of 9 | 0 out of 10 | ||
390093 | CLARION HOSPITAL | ONE HOSPITAL DRIVE | CLARION | PA | 16214 | Clarion | 0.985777 | 0.832678 | 1.047066 | 1.018221 | 0 out of 10 | 1 out of 9 | 1 out of 10 | ||
100054 | TWIN CITIES HOSPITAL | 2190 HWY 85 N | NICEVILLE | FL | 32578 | Okaloosa | 0.985777 | 0.832678 | 0.964972 | 0.9564 | 2 out of 10 | 0 out of 9 | 2 out of 10 | ||
230132 | HURLEY MEDICAL CENTER | ONE HURLEY PLAZA | FLINT | MI | 48503 | Genesee | 0.985777 | 0.832678 | 0.979834 | 0.978417 | 1 out of 10 | 0 out of 9 | 1 out of 10 | ||
340132 | MARIA PARHAM MEDICAL CENTER | PO BOX 59 | HENDERSON | NC | 27536 | Vance | 0.985777 | 0.832678 | 0.913522 | 0.940744 | 3 out of 10 | 0 out of 9 | 3 out of 10 | ||
100244 | CAPE CORAL HOSPITAL | 636 DEL PRADO BLVD | CAPE CORAL | FL | 33990 | Lee | 0.985777 | 0.832678 | 1.013343 | 1.058147 | 0 out of 10 | 0 out of 9 | 0 out of 10 |
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