Readmissions and Deaths by National

$79 / year

This dataset includes national-level data for the hospital return days (or excess days in acute care) measures and the 30-day readmission measures, the unplanned readmissions measures, and the rate of unplanned hospital visits after an outpatient colonoscopy.

Complexity

The 30-day unplanned readmission measures are estimates of unplanned readmission to any acute care hospital within 30 days of discharge from a hospitalization for any cause related to medical conditions, including heart attack or acute myocardial infarction (AMI), heart failure (HF), pneumonia, chronic obstructive pulmonary disease (COPD), and stroke; and surgical procedures, including hip/knee replacement and coronary artery bypass graft (CABG). The 30-day unplanned hospital-wide readmission measure focuses on whether patients who were discharged from a hospitalization were hospitalized again within 30 days. The hospital-wide readmission measure includes all medical, surgical and gynecological, neurological, cardiovascular, and cardiorespiratory patients.

The 30-day death measures are estimates of deaths within 30-days of a hospital admission from any cause related to medical conditions, including heart attack, heart failure, pneumonia, COPD, and stroke; and surgical procedures, including CABG. Hospitals’ rates are compared to the national rate to determine if hospitals’ performance on these measures is better than the national rate (lower), no different than the national rate, or worse than the national rate (higher). For some hospitals, the number of cases is too small to reliably compare their results to the national average rate. CMS chose to measure death within 30 days instead of inpatient deaths to use a more consistent measurement time window because length of hospital stay varies across patients and hospitals. Rates are provided in the downloadable databases as decimals and typically indicate information that is presented on the Hospital Compare website as percentages. Lower percentages for readmission and mortality are better. In this dataset, the State and national averages do not include Veteran Health Administration (VHA) hospital data.

Date Created

2015-05-31

Last Modified

2018-01-26

Version

2018-01-26

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, Quality of Care, Quality Assurance, Hospital Survey, Hospital Experience, Unplanned Hospital Visits, Hospital Compare Readmissions, Hospital Compare Deaths

Other Titles

Payment and Value of Care, Central Line-Associated Bloodstream Infections, National Statistics on Unplanned Hospital Visits, Hospital Compare Readmissions and Deaths

Name Description Type Constraints
Measure_NameThe name of the Measure.stringrequired : 1
Measure_IDThe identification (ID) of the Readmission measures.stringrequired : 1
National_RateThe national observed readmissions rate for the performance safety indicator.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 readmission 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 readmission 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 readmission 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 readmission 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 readmission rates and interval estimates will not be publicly reported for the measure.integerlevel : Ratio
Measure_Start_DateThe first day the data measures were collected. The date format is YYYY-MM-DD.daterequired : 1
Measure_End_DateThe last day the data measures were collected. The date format is YYYY-MM-DD.daterequired : 1
Number_of_Hospitals_FewerRefers to the number of hospitals that are fewer in number than the U.S. national rate.integerlevel : Ratio
Number_of_Hospitals_AverageIndicates the number of hospitals that are average as compared to U.S. national rate.integerlevel : Ratio
Number_of_Hospitals_MoreRefers to the number of hospitals that are more in number than U.S. national rate.integerlevel : Ratio
Number_of_Hospitals_Too_Small"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.integerlevel : Ratio
ICD10_CodeThe International Classification of Diseases ICD-10 code/codes for the specific measure.stringrequired : 1
ICD10_DescriptionDescription used by physicians and other healthcare providers to classify and code all diagnoses, symptoms and procedures recorded in conjunction with hospital care.stringrequired : 1
HCPCS_CodeThe Healthcare Common Procedure Coding System (HCPCS) code/codes for the specific measure.stringrequired : 1
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.stringrequired : 1
Measure_NameMeasure_IDNational_RateNumber_of_Hospitals_WorseNumber_of_Hospitals_SameNumber_of_Hospitals_BetterNumber_of_Hospitals_Too_FewMeasure_Start_DateMeasure_End_DateNumber_of_Hospitals_FewerNumber_of_Hospitals_AverageNumber_of_Hospitals_MoreNumber_of_Hospitals_Too_SmallICD10_CodeICD10_DescriptionHCPCS_CodeHCPCS_Description
Heart failure (HF) 30-Day Readmission RateREADM_30_HF21.61183536858672013-07-012016-06-30I50.9Heart failure, unspecifiedG9680 This code is for onsite acute care treatment of a nursing facility resident with CHF; may only be billed once per day per beneficiary
Hospital return days for heart failure patientsEDAC_30_HF2013-07-012016-06-304752461803867I50.9Heart failure, unspecifiedG9680 This code is for onsite acute care treatment of a nursing facility resident with CHF; may only be billed once per day per beneficiary
Pneumonia (PN) 30-Day Readmission RateREADM_30_PN16.91773987674302013-07-012016-06-30J18.9Pneumonia, 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
Rate of readmission after hip/knee replacementREADM_30_HIP_KNEE4.4352732446502013-07-012016-06-30S78.119DComplete traumatic amputation at level between unspecified hip and kneeL5850Addition, endoskeletal system, above knee or hip disarticulation, knee extension assist
Rate of unplanned hospital visits after colonoscopy (per 1,000 colonoscopies)OP_3216.41305218542016-01-012016-12-31G1021Colorectal cancer screening; colonoscopy on individual not meeting the criteria for high riskZ12.11Encounter for screening for malignant neoplasm of colon
Rate of readmission after discharge from hospital (hospital-wide)READM_30_HOSP_WIDE15.328740521971752015-07-012016-06-30Z03.89Encounter for observation for other suspected diseases and conditions ruled outG9310Unplanned hospital readmission within 30 days of principal procedure
Rate of readmission for stroke patientsREADM_30_STK12.2452566717682013-07-012016-06-30I63.9Cerebral infarction, unspecifiedG9766, G9767 Patients 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
Rate of readmission for chronic obstructive pulmonary disease (COPD) patientsREADM_30_COPD19.8633641199032013-07-012016-06-30J44.0, J44.1, J44.9Chronic obstructive pulmon disease w acute lower resp infct, Chronic obstructive pulmonary disease w (acute) exacerbation, Chronic obstructive pulmonary disease, unspecifiedG9681This code is for onsite acute care treatment of a resident with COPD or asthma; may only be billed once per day per beneficiary
Hospital return days for heart attack patientsEDAC_30_AMI2013-07-012016-06-3024214364931993I21.3, 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
Acute Myocardial Infarction (AMI) 30-Day Readmission RateREADM_30_AMI16.31621421319932013-07-012016-06-30I21.3, 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