National Complication Rates for Hip and Knee Replacement Patients

$179 / year

This dataset includes national-level data for the hip/knee complication measure, the Agency for Healthcare Research and Quality (AHRQ) measures of serious complications, and 30-day death rates. It has also been enriched with ICD-10 and HCPCS codes with their descriptions.

Complexity

This hospital compare dataset reports risk-standardized complication measures for elective primary total hip arthroplasty (THA) and/or total knee arthroplasty (TKA) procedures. The data set compares hospital performance to the national observed complication rate. The goal of the measures is to improve the quality of care delivered to patients undergoing elective primary THA and/or TKA procedures. It assesses a broad set of healthcare activities that affect patients’ well-being. The outcome of the measures captures eight different complications, each within a specific and clinically meaningful time period, during which the outcome can be attributed to the state where the procedure was performed. The dataset provides information on the quality of care hospitals are providing patients on a national level, and inform providers of opportunities to improve care and strengthen incentives for quality improvement. This data directly compares performance measure information related to hip and knee procedures.

Date Created

2015-05-31

Last Modified

2019-07-30

Version

2019-07-30

Update Frequency

Quarterly

Temporal Coverage

2013-2018

Spatial Coverage

United States

Source

John Snow Labs; Medicare.gov;

Source License URL

Source License Requirements

N/A

Source Citation

N/A

Keywords

Recovery From Hip Surgery, Hip Joint Conditions, Hip Joint, Hip Knee Complication Measures, Hip Knee Serious Complications, Total Knee Arthroplasty Procedures, TKA Surgery Complications

Other Titles

National Complication Rates for Hip Surgery and Knee Replacement Patients, National Complication Rates for Recovery From Hip and Knee Replacement Patients, National Complication Rates for Hip Joint and Knee Replacement Patients

NameDescriptionTypeConstraints
Measure_NameThe name of the Patient Safety Indicators (PSIs). PSIs are the measures of serious complications set by the Agency for Healthcare Research and Quality.string-
Measure_IDThe identification (ID) of the Patient Safety Indicators (PSIs). PSIs are the measures of serious complications set by the Agency for Healthcare Research and Quality.string-
National_RateThe national observed complication rate for the performance safety indicator. All included hospitalizations with the outcome divided by all included hospitalizations.numberlevel : Ratio
Number_of_Hospitals_WorseMeasure of hospital performance. To categorize hospital performance, CMS estimates each hospital’s RSCR and the corresponding 95% interval estimate. CMS assigns hospitals to a performance category by comparing each hospital’s RSCR interval estimate to the national observed complication rate. Comparative performance for hospitals with 25 or more eligible cases is classified as follows: “Worse than US national rate” if the entire 95% interval estimate surrounding the hospital’s rate is higher than the national observed complication rate.integerlevel : Ratio
Number_of_Hospitals_Same“No different than US national rate” if the 95% interval estimate surrounding the hospital’s rate includes the national observed complication rate.integerlevel : Ratio
Number_of_Hospitals_Better“Better than US national rate” if the entire 95% interval estimate surrounding the hospital’s rate is lower than the national observed complication rate.integerlevel : Ratio
Number_of_Hospitals_Too_FewIf a hospital has fewer than 25 eligible cases for a measure, CMS assigns the hospital to a separate category: “The number of cases is too small (fewer than 25) to reliably tell how well the hospital is performing;” If a hospital has fewer than 25 eligible cases, the hospital’s complication rates and interval estimates will not be publicly reported for the measure.integerlevel : Ratio
Measure_Start_DateThe first day the data measures were collected. Complications were measured within specific times because complications over a longer period may be impacted by factors outside the hospitals’ control like other complicating illnesses, patients’ own behavior, or care provided to patients after discharge. The date format is YYY-MM-DDdate-
Measure_End_DateThe last day the data measures were collected. The date format is YYY-MM-DD.date-
ICD10_CodeThe International Classification of Diseases ICD-10 code/codes for the specific measure.string-
ICD10_DescriptionDescription used by physicians and other healthcare providers to classify and code all diagnoses, symptoms and procedures recorded in conjunction with hospital care.string-
HCPCS_CodeThe Healthcare Common Procedure Coding System (HCPCS) code/codes for the specific measure.string-
HCPCS_DescriptionDescription of the Level II of the HCPCS standardized coding system that is used primarily to identify products, supplies, and services not included in the CPT codes, such as ambulance services and durable medical equipment, prosthetics, orthotics, and supplies (DMEPOS) when used outside a physician's office.string-
Measure NameMeasure IDNational RateNumber of Hospitals WorseNumber of Hospitals SameNumber of Hospitals BetterNumber of Hospitals Too FewMeasure Start DateMeasure End DateICD10 CodeICD10 DescriptionHCPCS CodeHCPCS Description
Rate of complications for hip/knee replacement patientsCOMP_HIP_KNEE2.5582664646562015-04-012018-03-31S78.119DComplete traumatic amputation at level between unspecified hip and kneeL5850Addition, endoskeletal system, above knee or hip disarticulation, knee extension assist
Death rate for heart attack patientsMORT_30_AMI12.91123433319172015-07-012018-06-30I21.3, I21.4ST elevation (STEMI) myocardial infarction of unspecified site, Non-ST elevation (NSTEMI) myocardial infarctionC9606Percutaneous transluminal revascularization of acute total/subtotal occlusion during acute myocardial infarction, coronary artery or coronary artery bypass graft, any combination of drug-eluting intracoronary stent, atherectomy and angioplasty, including aspiration thrombectomy when performed, single vessel
Death rate for CABG surgery patientsMORT_30_CABG3.11998791642015-07-012018-06-30T82.21, T82.211, T82.212, T82.213, T82.218Mechanical complication of coronary artery bypass graft, Breakdown (mechanical) of coronary artery bypass graft, Displacement of coronary artery bypass graft, Leakage of coronary artery bypass graft, Other mechanical complication of coronary artery bypass graftC9604Percutaneous transluminal revascularization of or through coronary artery bypass graft (internal mammary, free arterial, venous), any combination of drug-eluting intracoronary stent, atherectomy and angioplasty , including distal protection when performed; single vessel
Death rate for COPD patientsMORT_30_COPD8.5723485589262015-07-012018-06-30J44.0, J44.1, J44.9Chronic obstructive pulmon disease w acute lower resp infct, Chronic obstructive pulmonary disease w (acute) exacerbation, Chronic obstructive pulmonary disease, unspecified G9681This code is for onsite acute care treatment of a resident with COPD or asthma; may only be billed once per day per beneficiary
Death rate for heart failure patientsMORT_30_HF11.514633072379712015-07-012018-06-30I50.9Heart failure, unspecifiedG9680This code is for onsite acute care treatment of a nursing facility resident with CHF; may only be billed once per day per beneficiary
Death rate for pneumonia patientsMORT_30_PN15.627037202644692015-07-012018-06-30J18.9Pneumonia, unspecified organismG9679This code is for onsite acute care treatment of a nursing facility resident with pneumonia; may only be billed once per day per beneficiary
Death rate for stroke patientsMORT_30_STK13.87624244617672015-07-012018-06-30I63.9Cerebral infarction, unspecifiedG9766, G9767Patients who are transferred from one institUTIon to another with a known diagnosis of CVA for endovascular stroke treatment, Hospitalized patients with newly diagnosed CVA considered for endovascular stroke treatment
Postoperative Acute Kidney Injury Requiring Dialysis RatePSI_10_POST_KIDNEY1.3533277042012016-07-012018-06-30N17.9Acute kidney failure, unspecifiedG0491Dialysis procedure at a medicare certified esrd facility for acute kidney injury without esrd
Postoperative Respiratory Failure RatePSI_11_POST_RESP7.351462565702172016-07-012018-06-30J95.821Acute postprocedural respiratory failureG0238Therapeutic procedures to improve respiratory function
Serious blood clots after surgeryPSI_12_POSTOP_PULMEMB_DVT3.851212863361112016-07-012018-06-30Z83.2Family history of diseases of the blood and blood-forming organs and certain disorders involving the immune mechanism