scholarly journals Evaluating Popular Media and Internet-Based Hospital Quality Ratings for Cancer Surgery

2011 ◽  
Vol 146 (5) ◽  
pp. 600 ◽  
Author(s):  
Nicholas H. Osborne
Keyword(s):  
Cancer Surgery ◽  
Hospital Quality ◽  
Popular Media ◽  
Quality Ratings

Do Popular Media and Internet-Based Hospital Quality Ratings Identify Hospitals with Better Cardiovascular Surgery Outcomes?

2010 ◽  
Vol 210 (1) ◽  
pp. 87-92 ◽  
Author(s):  
Nicholas H. Osborne ◽  
Lauren H. Nicholas ◽  
Amir A. Ghaferi ◽  
Gilbert R. Upchurch ◽  
Justin B. Dimick
Keyword(s):  
Cardiovascular Surgery ◽  
Hospital Quality ◽  
Popular Media ◽  
Quality Ratings ◽  
Surgery Outcomes

scholarly journals Navigating by Stars: Using CMS Star Ratings to Choose Hospitals for Complex Cancer Surgery

2020 ◽  
Vol 4 (5) ◽  
Author(s):  
Marianna V Papageorge ◽  
Benjamin J Resio ◽  
Andres F Monsalve ◽  
Maureen Canavan ◽  
Ranjan Pathak ◽  
...  
Keyword(s):  
Confidence Interval ◽  
Hospital Mortality ◽  
Surgical Outcomes ◽  
Surgical Care ◽  
Mortality Rates ◽  
Cancer Surgery ◽  
Hospital Quality ◽  
Medicare Beneficiaries ◽  
Star Rating ◽  
The Impact

Abstract Background The Centers for Medicare and Medicaid Services (CMS) developed risk-adjusted “Star Ratings,” which serve as a guide for patients to compare hospital quality (1 star = lowest, 5 stars = highest). Although star ratings are not based on surgical care, for many procedures, surgical outcomes are concordant with star ratings. In an effort to address variability in hospital mortality after complex cancer surgery, the use of CMS Star Ratings to identify the safest hospitals was evaluated. Methods Patients older than 65 years of age who underwent complex cancer surgery (lobectomy, colectomy, gastrectomy, esophagectomy, pancreaticoduodenectomy) were evaluated in CMS Medicare Provider Analysis and Review files (2013-2016). The impact of reassignment was modeled by applying adjusted mortality rates of patients treated at 5-star hospitals to those at 1-star hospitals (Peters-Belson method). Results There were 105 823 patients who underwent surgery at 3146 hospitals. The 90-day mortality decreased with increasing star rating (1 star = 10.4%, 95% confidence interval [CI] = 9.8% to 11.1%; and 5 stars = 6.4%, 95% CI = 6.0% to 6.8%). Reassignment of patients from 1-star to 5-star hospitals (7.8% of patients) was predicted to save 84 Medicare beneficiaries each year. This impact varied by procedure (colectomy = 47 lives per year; gastrectomy = 5 lives per year). Overall, 2189 patients would have to change hospitals each year to improve outcomes (26 patients moved to save 1 life). Conclusions Mortality after complex cancer surgery is associated with CMS Star Rating. However, the use of CMS Star Ratings by patients to identify the safest hospitals for cancer surgery would be relatively inefficient and of only modest impact.

scholarly journals Relationship of Hospital Star Ratings to Race, Education, and Community Income

2020 ◽  
Vol 15 (10) ◽  
pp. 588-593
Author(s):  
Bo Shi ◽  
Christopher King ◽  
Sean Shenghsiu Huang
Keyword(s):  
Educational Attainment ◽  
Multinomial Logistic Regression ◽  
Hospital Quality ◽  
Minority Population ◽  
Lower Income ◽  
Community Characteristics ◽  
Cross Sectional ◽  
Quality Ratings ◽  
Relationship Of ◽  
Racial Ethnic

INTRODUCTION: The Centers for Medicare & Medicaid Services (CMS) publishes hospital quality ratings to provide more transparent and useable quality information to patients and stakeholders. However, there is a gap in the literature regarding the geographic distribution of the hospitals with higher star ratings. In this paper, we focus on the associations between star ratings and community characteristics, including racial/ethnic mix, household income, educational attainment, and regional difference. METHODS: A retrospective study and cross-sectional logistic and multinomial logistic regression analyses. RESULTS: According to the multivariate regression results, hospitals in areas with lower income, lower educational attainment, and higher minority population shares have lower quality ratings (lower income: odds ratio [OR] 0.67; 95% CI, 0.49-0.91; lower education: OR 0.66; 95% CI, 0.51-0.85; higher minority: OR 0.52; 95% CI, 0.40-0.69). Compared with hospitals in the Midwest, hospitals in Northeast, South, and West regions have lower quality ratings (Northeast: OR 0.37; 95% CI, 0.25-0.56; South: OR 0.68; 95% CI, 0.51-0.91; West: OR 0.69; 95% CI, 0.49-0.97). DISCUSSION AND CONCLUSION: Overall, our results show that hospitals with higher star ratings are less likely to be located in communities with higher minority populations, lower income, and lower levels of educational attainment. Findings contribute to the discussion of integrating social factors in hospital quality star rating calculation methodologies.

scholarly journals Neighborhood Disadvantage and Hospital Quality Ratings in the Medicare Hospital Compare Program

Medical Care ◽  
2020 ◽  
Vol 58 (4) ◽  
pp. 376-383 ◽  
Author(s):  
John Fahrenbach ◽  
Marshall H. Chin ◽  
Elbert S. Huang ◽  
Mary K. Springman ◽  
Stephen G. Weber ◽  
...  
Keyword(s):  
Neighborhood Disadvantage ◽  
Hospital Quality ◽  
Quality Ratings ◽  
Hospital Compare

scholarly journals A Combined Measure of Procedural Volume and Outcome to Assess Hospital Quality of Colorectal Cancer Surgery, a Secondary Analysis of Clinical Audit Data

PLoS ONE ◽  
2014 ◽  
Vol 9 (2) ◽  
pp. e88737 ◽  
Author(s):  
Nikki E. Kolfschoten ◽  
Perla J. Marang-van de Mheen ◽  
Michel W. J. M. Wouters ◽  
Eric-Hans Eddes ◽  
Rob A. E. M. Tollenaar ◽  
...  
Keyword(s):  
Colorectal Cancer ◽  
Clinical Audit ◽  
Secondary Analysis ◽  
Cancer Surgery ◽  
Hospital Quality ◽  
Colorectal Cancer Surgery ◽  
Procedural Volume ◽  
Audit Data

scholarly journals The association of hospital quality ratings with adverse events

2014 ◽  
Vol 26 (2) ◽  
pp. 129-135 ◽  
Author(s):  
J. S. Weissman ◽  
L. Lopez ◽  
E. C. Schneider ◽  
A. M. Epstein ◽  
S. Lipsitz ◽  
...  
Keyword(s):  
Adverse Events ◽  
Hospital Quality ◽  
Quality Ratings
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