Performance on measures and domains by Star Rating, 2018
| Component | 1 Star | 2 Stars | 3 Stars | 4 Stars | 5 Stars | P values |
| Mortality | ||||||
| 30-day mortality, AMI | 13.6% | 13.4% | 13.3% | 13.0% | 12.6% | <0.001 |
| 30-day mortality, CABG | 3.6% | 3.4% | 3.3% | 3.1% | 2.8% | <0.001 |
| 30-day mortality, COPD | 8.6% | 8.6% | 8.5% | 8.3% | 8.0% | <0.001 |
| 30-day mortality, heart failure | 11.7% | 11.9% | 12.0% | 11.7% | 11.1% | <0.001 |
| 30-day mortality, pneumonia | 16.7% | 16.5% | 16.0% | 15.4% | 14.6% | <0.001 |
| 30-day mortality, stroke | 14.7% | 14.5% | 14.3% | 14.1% | 13.9% | <0.001 |
| Mortality after surgery | 166.0 | 165.0 | 162.1 | 158.8 | 155.4 | <0.001 |
| Safety of care | ||||||
| Central line-associated bloodstream infection | 1.07 | 0.86 | 0.77 | 0.72 | 0.69 | <0.001 |
| Catheter-associated urinary tract infection | 0.95 | 0.89 | 0.82 | 0.89 | 0.94 | 0.74 |
| SSI after colon surgery | 0.93 | 0.87 | 0.8 | 0.88 | 0.79 | 0.15 |
| SSI after abdominal hysterectomy | 1.08 | 0.82 | 0.82 | 0.75 | 0.77 | 0.01 |
| MRSA bloodstream infections | 1.11 | 1.00 | 0.91 | 0.75 | 0.65 | <0.001 |
| Clostridium difficile infections | 0.83 | 0.8 | 0.83 | 0.84 | 0.82 | 0.37 |
| Complications after hip/knee replacement | 2.69 | 2.71 | 2.63 | 2.56 | 2.37 | <0.001 |
| Serious complications | 1.16 | 1.04 | 0.99 | 0.96 | 0.89 | <0.001 |
| Readmissions | ||||||
| Hospital return days for AMI | 18.1 | 12.6 | 6.3 | 0.8 | –2.2 | <0.001 |
| 30-day readmission, CABG | 13.6% | 13.4% | 13.4% | 13.0% | 12.7% | <0.001 |
| 30-day readmission, COPD | 20.5% | 20.0% | 19.6% | 19.4% | 19.1% | <0.001 |
| Hospital return days for heart failure | 29.0 | 15.8 | 3.8 | –4.1 | –8.1 | <0.001 |
| 30-day readmission, hip/knee surgery | 4.4% | 4.3% | 4.2% | 4.1% | 3.9% | <0.001 |
| 30-day readmission, pneumonia | 18.1% | 17.3% | 16.7% | 16.2% | 15.9% | <0.001 |
| 30-day readmission, stroke | 12.5% | 12.1% | 11.9% | 11.7% | 11.5% | <0.001 |
| 30-day readmission, hospital-wide | 16.2% | 15.7% | 15.3% | 15.1% | 15.9% | <0.001 |
| Unplanned hospital visits after colonoscopy | 16.6% | 16.4% | 16.4% | 16.4% | 16.3% | 0.04 |
| Patient experience | ||||||
| Nurses communicated well* | 88.2 | 90.1 | 91.3 | 92.5 | 93.2 | <0.001 |
| Doctors communicated well* | 88.9 | 90.5 | 91.7 | 92.6 | 93.0 | <0.001 |
| Received help as soon as they wanted | 58.4 | 63.4 | 68.2 | 70.8 | 71.6 | <0.001 |
| Painwas well controlled | – | – | – | – | – | |
| Staff explained about medicines * | 74.3 | 76.9 | 78.9 | 80.6 | 81.5 | <0.001 |
| Room and bathroom were clean* | 83.7 | 85.8 | 87.9 | 89.2 | 89.7 | <0.001 |
| Area around room was quiet at night* | 78.1 | 80.6 | 82.5 | 83.9 | 85.1 | <0.001 |
| Given information about what to do at home | 83.4 | 85.7 | 87.2 | 88.5 | 89.4 | <0.001 |
| Under stood care when they left the hospital | 45.7 | 49.0 | 51.6 | 54.4 | 57.3 | <0.001 |
| Gave hospital high rating from 0 to 10* | 84.8 | 86.9 | 88.5 | 90.1 | 91.6 | <0.001 |
| Would recommend hospital to friends/family | 62.6 | 66.9 | 70.5 | 74.7 | 80.4 | <0.001 |
| Effectiveness of care | ||||||
| Patients given influenza vaccination | 91.4% | 92.8% | 92.6% | 93.9% | 95.1% | <0.001 |
| Health care workers given influenza vaccination | 81.2% | 84.0% | 86.2% | 88.2% | 89.5% | <0.001 |
| Aspirin within 24 hours for chest pain/AMI | 94.5% | 94.7% | 94.9% | 95.1% | 95.0% | 0.19 |
| % of patients who left the ED before being seen | 3.1% | 2.2% | 1.8% | 1.4% | 1.4% | 0.06 |
| % of patients with stroke symptoms with imaging within 45 min | 76.3% | 75.9% | 73.6% | 73.5% | 74.4% | 0.08 |
| % of patients with appropriate recommendation for follow-up colonoscopy | 78.7% | 83.3% | 84.1% | 87.3% | 90.3% | <0.001 |
| % of patients receiving follow-up colonoscopy in appropriate time frame | 87.6% | 87.1% | 89.6% | 91.0% | 92.8% | <0.001 |
| % of elective early inductions | 1.8% | 1.9% | 1.7% | 2.0% | 1.7% | 0.78 |
| % of patients with DVT/PE not on prophylaxis | 3.7% | 2.3% | 2.3% | 2.2% | 2.0% | 0.02 |
| % of patients with appropriate radiation therapy for cancer metastatic to bone | 80.3% | 78.5% | 84.0% | 81.0% | 84.9% | 0.07 |
| Timeliness of care | ||||||
| Median minutes spent in ED prior to admission | – | – | – | – | – | |
| Median minutes spent in ED between decision to admit and arriving to room | – | – | – | – | – | |
| Median minutes before patients with chest pain or MI were transferred | 74.9 | 67.1 | 65.9 | 60.7 | 48.8 | 0.004 |
| Median minutes before patients with chest pain or MI got an ECG | 10.6 | 8.9 | 8.2 | 7.7 | 7.8 | <0.001 |
| Median minutes spent in ED before leaving | – | – | – | – | – | |
| Median minutes spent in ED before being seen | – | – | – | – | – | |
| Median minutes to pain meds for patients in the ED with broken bones | 60.0 | 53.5 | 49.4 | 47.5 | 46.3 | <0.001 |
| Efficient use of medical imaging | ||||||
| Outpatients with low-back pain who had an MRI with out trying recommended treatments first, such as physical therapy | 39.7% | 40.6% | 40.2% | 40.5% | 40.6% | <0.001 |
| Outpatient CT scans of the abdomen that were ‘combination’ (double) scans | 7.5% | 8.0% | 8.2% | 7.2% | 7.1% | <0.001 |
| Outpatient CT scans of the chest that were ‘combination’ (double) scans | 2.3% | 2.4% | 2.5% | 2.1% | 1.2% | <0.001 |
| Outpatients who got cardiac stress tests before low-risk outpatient surgery | 4.6% | 4.3% | 4.4% | 4.5% | 4.5% | <0.001 |
| Outpatients with brain CT scans who got a sinus CT scan at the same time | 1.2% | 1.1% | 0.9% | 0.8% | 0.9% | <0.001 |
Cells with (–) indicate that the measure is not currently publicly available from the Centers for Medicare and Medicaid Services.
AMI, acute myocardial infarction; CABG, coronary artery bypass grafting; COPD, chronic obstructive pulmonary disease; DVT, deep vein thrombosis; ED, emergency department; PE, pulmonary embolism; SSI, surgical site infection.