Payment and Value of Care by Hospital

$179 / year

This dataset includes provider data for the payment measures and value of care displays associated with a 30-day episode of care for heart attack, heart failure, and pneumonia patients.

Complexity

The Medicare Spending Per Beneficiary (MSPB-1) Measure assesses Medicare Part A and Part B payments for services provided to a Medicare beneficiary during a spending-per-beneficiary episode that spans from three days prior to an inpatient hospital admission through 30 days after discharge. The payments included in this measure are price-standardized and risk-adjusted.

The payment measures for heart attack, heart failure, and pneumonia include the payments made for Medicare beneficiaries who are 65 years and older. The measures add up payments made for care and supplies starting the day the patient enters the hospital and for the next 30 days. The measures are meant to reflect differences in the services and supplies provided to patients.

Hospital results are provided for the heart attack, heart failure, and pneumonia payment measures. It can be viewed whether the payments made for patients treated at a particular hospital is less than, no different than, or greater than the national average payment. For some hospitals, the number of cases is too small to reliably compare their results to the national average payment.

Date Created

2014-11-21

Last Modified

2016-05-04

Version

2016-05-04

Update Frequency

Annual

Temporal Coverage

N/A

Spatial Coverage

United States

Source

John Snow Labs; Centers for Medicare & Medicaid Services, Hospital Compare Data;

Source License URL

Source License Requirements

N/A

Source Citation

N/A

Keywords

CMS Payment Measures, CMS Value of Care Payments, Medicare Spending Per Beneficiary, Medicare Beneficiary Payments, Hospital Compare Data, Quality of Care Information, Quality Assurance Data, Hospital Survey, Hospital Experience Information

Other Titles

CMS Payment and Value of Care, Payment and Value of Care by Hospital, CMS Value of Care and Payment Measures

NameDescriptionTypeConstraints
Provider_IDCMS certification number (CCN). Identification number of the hospital within the CMS dataset.stringrequired : 1
Hospital_NameName of the hospital (also referred to as the provider)stringrequired : 1
AddressMain street address information of the hospitalstringrequired : 1
CityMailing city. The city in the main street address of the hospital.stringrequired : 1
State_AbbreviationTwo-letter state abbreviation in the mailing address of the hospital. This includes information on hospitals in:stringrequired : 1
Zip_Code5 digit postal zip code in the mailing address of the hospital.integerrequired : 1 level : Nominal
CountyMailing county of the hospital.string-
Phone_NumberMain phone number of the hospital. 3-digit area code plus 7-digit telephone number.integerrequired : 1 level : Nominal
Payment_Measure_NameThe name of the Payment Measure .stringrequired : 1
Payment_Measure_IDThe identification (ID) of the Payment measures.stringrequired : 1
Payment_CategoryThe category of the applied measure.string-
DenominatorThe number of admissions with a complication based on the nation’s performance with that hospital’s case mix.integerlevel : Ratio
Payment_In_USDThe amount of money paid in US dollars.number-
Lower_Estimate_In_USDLower interval estimate of the payment in US Dollars.number-
Higher_Estimate_In_USDLower interval estimate of the payment in US Dollars.number-
Payment_FootnoteFootnote describes an additional piece of information given separately for the compiled data.string-
Value_of_Care_Display_NameThe name of the Value of Care Measure.string-
Value_of_Care_Display_IDThe identification (ID) of the Value of Care Measure.string-
Value_of_Care_CategoryThe category of the applied measure.string-
Value_of_Care_FootnoteFootnote describes an additional piece of information given separately for the compiled data.string-
Provider IDHospital NameAddressCityState AbbreviationZip CodeCountyPhone NumberPayment Measure NamePayment Measure IDPayment CategoryDenominatorPayment In USDLower Estimate In USDHigher Estimate In USDPayment FootnoteValue of Care Display NameValue of Care Display IDValue of Care CategoryFootnote CodeFootnote DescriptionMeasure Start DateMeasure End DateLatitudeLongitude
351331TOWNER COUNTY MEDICAL CENTERHWY 281 NCANDOND58324TOWNER7019684411PAYM_90_HIP_KNEEPayment for hip/knee replacement patients5.0Value of Care hip/knee replacementCOMP_PAYM_90_HIP_KNEE13.0Results cannot be calculated for this reporting period.2015-04-012018-03-31
521356BELLIN HEALTH OCONTO HOSPITAL820 ARBUTUS AVEOCONTOWI54153OCONTO9208351101PAYM_30_AMIPayment for heart attack patients5.0Value of Care Heart Attack measureMORT_PAYM_30_AMI13.0Results cannot be calculated for this reporting period.2015-07-012018-06-3044.896891-87.867187
390025KENSINGTON HOSPITAL136 W DIAMOND STREETPHILADELPHIAPA19122PHILADELPHIA2154268100PAYM_30_PNPayment for pneumonia patients5.0Value of Care Pneumonia measureMORT_PAYM_30_PN13.0Results cannot be calculated for this reporting period.2015-07-012018-06-30
400128HOSPITAL PAVIA HATO REY, INCAVE PONCE DE LEON 435HATO REYPR919SAN JUAN7877540909PAYM_30_HFPayment for heart failure patientsNumber of Cases Too Small1.0Value of Care Heart Failure measurMORT_PAYM_30_HF13.0Results cannot be calculated for this reporting period.2015-07-012018-06-30
141338MEMORIAL HOSPITAL1900 STATE STCHESTERIL62233RANDOLPH6188264581PAYM_30_PNPayment for pneumonia patientsLess Than the National Average Payment77.014704.012818.016533.0Value of Care Pneumonia measureMORT_PAYM_30_PNWorse Mortality and Lower Payment2015-07-012018-06-3037.918529-89.812888
310073JERSEY SHORE UNIVERSITY MEDICAL CENTER1945 RTE 33NEPTUNENJ7754MONMOUTH7327755500PAYM_30_PNPayment for pneumonia patientsGreater Than the National Average Payment952.020062.019278.020845.0Value of Care Pneumonia measureMORT_PAYM_30_PNAverage Mortality and Higher Payment2015-07-012018-06-30
441314LAUDERDALE COMMUNITY HOSPITAL326 ASBURY AVENUERIPLEYTN38063LAUDERDALE7312212200PAYM_30_AMIPayment for heart attack patientsNumber of Cases Too Small1.0Value of Care Heart Attack measureMORT_PAYM_30_AMI13.0Results cannot be calculated for this reporting period.2015-07-012018-06-3035.746553999999996-89.548949
271309PRAIRIE COMMUNITY HOSPITAL312 S ADAMSTERRYMT59349PRAIRIE4066355511PAYM_30_AMIPayment for heart attack patients5.0Value of Care Heart Attack measureMORT_PAYM_30_AMI13.0Results cannot be calculated for this reporting period.2015-07-012018-06-3046.791506-105.315997
200033EASTERN MAINE MEDICAL CENTERPO BOX 404BANGORME4401PENOBSCOT2079737000PAYM_30_PNPayment for pneumonia patientsNo Different Than the National Average Payment573.017529.016678.018404.0Value of Care Pneumonia measureMORT_PAYM_30_PNAverage Mortality and Average Payment2015-07-012018-06-30
341302OUR COMMUNITY HOSPITAL921 JUNIOR HIGH ROADSCOTLAND NECKNC27874HALIFAX2528264144PAYM_30_AMIPayment for heart attack patients5.0Value of Care Heart Attack measureMORT_PAYM_30_AMI13.0Results cannot be calculated for this reporting period.2015-07-012018-06-30