State Complication Rates for Hip and Knee Replacement Patients

$447.50 / year

This dataset includes state-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 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 within each state are providing their patients, 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 related procedures. The dataset includes information on hospitals in all 50 states, District of Columbia, Puerto Rico, Virgin Islands, Canada, Mexico, American Samoa, Guam, and the Commonwealth of the Northern Marianas Islands.

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

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

Other Titles

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

NameDescriptionTypeConstraints
StateThe full name of the state in the mailing address of the hospital.string-
State_AbbreviationThe state for the measures of serious complications. This includes information on hospitals in all 50 states, District of Columbia, Puerto Rico, Virgin Islands, Canada, Mexico, American Samoa, Guam, and the Commonwealth of the Northern Marianas Islands. The states are identified as two-letter abbreviation. This includes information on hospitals in: All 50 states, District of Columbia (DC), Puerto Rico (PR), Virgin Islands (VA), Canada, Mexico (MX), American Samoa (AS), Guam (GU), and Commonwealth of the Northern Marianas Islands (MP)string-
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-
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
Footnote_CodeFootnote code is an additional piece of information given separately for the compiled data.string-
Footnote_DescriptionFootnote describes is an additional piece of information given separately for the compiled data.string-
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-
StateState AbbreviationMeasure NameMeasure IDNumber of Hospitals WorseNumber of Hospitals SameNumber of Hospitals BetterNumber of Hospitals Too FewFootnote CodeFootnote DescriptionMeasure Start DateMeasure End DateICD10 CodeICD10 DescriptionHCPCS CodeHCPCS Description
AKRate of complications for hip/knee replacement patientsCOMP_HIP_KNEE82.02015-04-012018-03-31S78.119DComplete traumatic amputation at level between unspecified hip and kneeL5850Addition, endoskeletal system, above knee or hip disarticulation, knee extension assist
AKDeath rate for heart attack patientsMORT_30_AMI513.02015-07-012018-06-30S78.119DComplete traumatic amputation at level between unspecified hip and kneeL5850Addition, endoskeletal system, above knee or hip disarticulation, knee extension assist
AKDeath rate for CABG surgery patientsMORT_30_CABG22015-07-012018-06-30S78.119DComplete traumatic amputation at level between unspecified hip and kneeL5850Addition, endoskeletal system, above knee or hip disarticulation, knee extension assist
AKDeath rate for COPD patientsMORT_30_COPD1211.02015-07-012018-06-30S78.119DComplete traumatic amputation at level between unspecified hip and kneeL5850Addition, endoskeletal system, above knee or hip disarticulation, knee extension assist
AKDeath rate for heart failure patientsMORT_30_HF914.02015-07-012018-06-30I50.9Heart 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
AKDeath rate for pneumonia patientsMORT_30_PN158.02015-07-012018-06-30J18.9Pneumonia, 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
AKDeath rate for stroke patientsMORT_30_STK814.02015-07-012018-06-30I63.9Cerebral 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
AKPostoperative Acute Kidney Injury Requiring Dialysis RatePSI_10_POST_KIDNEY62016-07-012018-06-30N17.9Acute kidney failure, unspecifiedG0491Dialysis procedure at a medicare certified esrd facility for acute kidney injury without esrd
AKPostoperative Respiratory Failure RatePSI_11_POST_RESP62016-07-012018-06-30 J95.821 Acute postprocedural respiratory failure G0238 Therapeutic procedures to improve respiratory function
AKSerious blood clots after surgeryPSI_12_POSTOP_PULMEMB_DVT72016-07-012018-06-30Z83.2Family history of diseases of the blood and blood-forming organs and certain disorders involving the immune mechanism