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An Evolving Hospital Quality Star Rating System From CMS


Issues With the Initial CMS Star Ratings
The July 2016 CMS Overall Hospital Quality Star Ratings system combined 64 hospital quality measures from Hospital Compare into “measure groups”: mortality, safety of care, readmission, patient experience, effectiveness of care, timeliness of care, and efficient use of medical imaging. A latent variable modeling approach was applied to weight the measures within each group, and overall scores were calculated. A statistical approach (k-means clustering) sorted hospitals into final ratings ranging from 1 to 5 stars. All eligible hospitals in the country (N = 3591) were measured against each other, including large academic medical centers (n = 228), community hospitals of all sizes (n = 1719), critical access hospitals (n = 544), and even single-specialty hospitals (eg, orthopedic) (n = 79). ....

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