- Comprehensive Care for Joint Replacement Model for Provider Data
- Complication Rate for Hip and Knee Replacement for Episode of Care
- CJR Model Data on Patients Reported Outcomes About Hip and Knee Replacement
- Hip and Knee Replacement Patients
- Comprehensive Care For Joint Replacement
- Total Hip and Knee Arthroplasty
- Patient's Episode of Care
- Complications Rate For Hip and Knee Replacement
- Patient-Reported Outcomes
- Medicare Beneficiaries
- Provider Data on Comprehensive Care
- Metropolitan Statistical Area
Provider Data on Comprehensive Care for Joint Replacement Model
This dataset includes provider data for two quality measures tracked during an episode of care that contains complication rate for hip and knee replacement patients and the Hospital Consumer Assessment of Healthcare Providers and Systems (HCAHPS) Survey information.
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The Provider Data on Comprehensive Care for Joint Replacement Model 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.
The Comprehensive Care for Joint Replacement (CJR) model encourages physicians, hospitals, and post-acute care providers to work together to improve quality of care for patients undergoing hip and knee replacement inpatient surgeries. This model tests bundled payment and quality measurement for an episode of care associated with hip and knee replacements to encourage hospitals, physicians and post-acute care providers to work together to improve the quality and coordination of care from the initial hospitalization through recovery.
The CJR model tracks two quality measures during an episode of care:
– Complication rate for hip/knee replacement patients for Hospital-level risk-standardized complication rate (RSCR) following Total Hip Arthroplasty (THA) and Total Knee Arthroplasty (TKA).
– Hospital Consumer Assessment of Healthcare Providers and Systems (HCAHPS) Survey, calculated as an HCAHPS Linear Mean Roll-Up Score.
The CJR model also encourages hospitals to voluntarily submit data on Patient-Reported Outcomes (PROs) for patients undergoing hip/knee replacements (THA/TKA PROs) and limited data on risk variables race and ethnicity, Body Mass Index (BMI) or weight and height, and patient health literacy.
Hip and knee replacements are the most common inpatient surgery for Medicare beneficiaries and can require lengthy recovery and rehabilitation periods. In 2014, there were more than 400,000 procedures, costing more than $7 billion for the hospitalizations alone. Despite the high volume of these surgeries, quality and costs of care for these hip and knee replacement surgeries still vary greatly among providers. For instance, the rate of complications like infections or implant failures after surgery can be more than three times higher at some facilities than others, increasing the chances that the patient may be readmitted to the hospital. And, the average Medicare expenditure for surgery, hospitalization and recovery ranges from $16,500 to $33,000 across geographic areas. CMS has implemented the CJR model in 67 geographic areas, defined by metropolitan statistical areas (MSAs). MSAs are counties associated with a core urban area that has a population of at least 50,000. Non-MSA counties (no urban core area or urban core area of less than 50,000 population) were not eligible for selection.
The CJR model holds participant hospitals financially accountable for the quality and cost of a CJR episode of care and incentivizes increased coordination of care among hospitals, physicians and post-acute care providers. In the CJR model, beneficiaries retain their freedom of choice to choose services and providers. Physicians and hospitals are expected to continue to meet current standards required by the Medicare program. All existing safeguards to protect beneficiaries and patients remain in place.
In this dataset, the start and end measure dates for Hospital Consumer Assessment of Healthcare Providers and Systems (HCAHPS) covers the period from 1st July 2016 to 30th June 2017 and complications measure cover the period from 1st April 2014 to 31st March 2017. The start and end measure dates for patient-reported outcomes covers the period from 1st September 2016 to 30th June 2017.
About this Dataset
John Snow Labs; Centers for Medicare & Medicaid Services;
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Hip and Knee Replacement Patients, Comprehensive Care For Joint Replacement, Total Hip and Knee Arthroplasty, Patient's Episode of Care, Complications Rate For Hip and Knee Replacement, Patient-Reported Outcomes, Medicare Beneficiaries, Provider Data on Comprehensive Care, Metropolitan Statistical Area
Comprehensive Care for Joint Replacement Model for Provider Data, Complication Rate for Hip and Knee Replacement for Episode of Care, CJR Model Data on Patients Reported Outcomes About Hip and Knee Replacement
|Provider_ID||CMS certification number (CCN). Identification number of the hospital within the CMS dataset. The CCN for providers and suppliers is a 6 digit number. The first 2 digits identify the State in which the provider is located. The last 4 digits identify the type of facility.||integer||level : Nominal|
|Hospital_Name||Name of the hospital (also referred to as the provider).||string||-|
|Metropolitan_Statistical_Area_Code||Indicates the code for metropolitan statistical area comprehensive care for joint replacement model.||integer||level : Nominal|
|Metropolitan_Statistical_Area_Name||Indicates the name for metropolitan statistical area comprehensive care for joint replacement model.||string||-|
|State_Abbreviation||Commonwealth of the Northern Marianas Islands: MP||string||-|
|HCAHPS_HLMR||Indicates the HCAHPS Linear Mean Roll-up (HLMR) score. The HLMR score summarizes performance across the publicly-reported HCAHPS measures, with the exception of Pain Management. The HLMR is the average of the linear mean scores (LMS) of the HCAHPS measures, using a weight of 1.0 for each of the 6 HCAHPS composite measures (excluding Pain Management), and a weight of 0.5 for each of the single item measures (Cleanliness, Quietness, Overall Hospital Rating, and Recommend the Hospital).||number||level : Ratio|
|HCAHPS_Footnote||Footnote describes an additional piece of information given separately for the compiled HCAHPS data.||string||-|
|HCAHPS_HLMR_Percentile||Indicates the HCAHPS Linear Mean Roll-up (HLMR) Percentile.||number||level : Ratio|
|Hip_Knee_Complications_Rate||Indicates the complication rate for Total Hip and Knee Arthroplasty.||number||level : Ratio|
|Complications_Footnote_Code||Footnote code of an additional piece of information given separately for the compiled complications data.||integer||level : Nominal|
|Complications_Footnote_Description||Footnote description of an additional piece of information given separately for the compiled complications data.||string||-|
|Hip_Knee_Complications_Percentile||Indicates the percentage for Total Hip and Knee Arthroplasty.||number||level : Ratio|
|Is_Patient_Reported_Outcomes||Whether the patient-reported outcomes is assessed or not.||boolean||-|
|Reconciliation_Footnote||Footnote describes an additional piece of information given separately for the compiled reconciliation data.||string||-|
|Provider ID||Hospital Name||Metropolitan Statistical Area Code||Metropolitan Statistical Area Name||State Abbreviation||HCAHPS HLMR||HCAHPS Footnote||HCAHPS HLMR Percentile||Hip Knee Complications Rate||Complications Footnote Code||Complications Footnote Description||Hip Knee Complications Percentile||Is Patient Reported Outcomes||Reconciliation Footnote|
|10001||SOUTHEAST ALABAMA MEDICAL CENTER||20020||Dothan||AL||86.25||1||2.27||1||False|
|10023||BAPTIST MEDICAL CENTER SOUTH||33860||Montgomery||AL||85.38||0||1.87||1||False|
|10092||D C H REGIONAL MEDICAL CENTER||46220||Tuscaloosa||AL||82.94||0||2.9||0||False||Ineligible for reconciliation based on performance on CJR-specific quality measures|
|40026||CHI ST. VINCENT HOSPITAL HOT SPRINGS||26300||Hot Springs||AR||84.31||0||2.17||1||False|
|40078||NATIONAL PARK MEDICAL CENTER||26300||Hot Springs||AR||79.88||0||2.8||0||False||Ineligible for reconciliation based on performance on CJR-specific quality measures|
|50056||ANTELOPE VALLEY HOSPITAL||31080||Los Angeles-Long Beach-Anaheim||CA||80.25||0||2.5||1||False|
|50063||HOLLYWOOD PRESBYTERIAN MEDICAL CENTER||31080||Los Angeles-Long Beach-Anaheim||CA||78.88||0||2.21||1||False|
|50069||ST JOSEPH HOSPITAL||31080||Los Angeles-Long Beach-Anaheim||CA||87.94||1||2.56||0||False|
|50078||PROVIDENCE LITTLE CO OF MARY MED CTR SAN PEDRO||31080||Los Angeles-Long Beach-Anaheim||CA||84.81||0||3.07||0||False||Ineligible for reconciliation based on performance on CJR-specific quality measures|