Quality Measurement Group

“Hospitals need networks to prevent readmissions.” Kaiser Health News, October 2, 2012.

“The fraying hospital safety net.” New York Times, September 6, 2012.

“Study shows both safety-nets and non-safety-nets provide quality care.” Healthcare Finance News. August 8, 2012.

“Despite financial challenges, safety-net hospitals provide high quality care.” News.Yale.edu. August 6, 2012.

“NQF Endorses All-Cause Unplanned Readmissions Measures.” National Quality Forum Press Release. April 24, 2012.

Medicare Hospital Quality Chartbook 2012: Performance Report on Outcome Measures [PDF]. Report prepared for the Centers for Medicare & Medicaid Services.

Spatz ES, Lipska KJ, Dai Y, Bao H, Lin Z, Parzynski CS, Altaf FK, Joyce EK, Montague JA, Ross JS, Bernheim SM, Krumholz HM and Drye EE. “Risk-standardized Acute Admission Rates Among Patients With Diabetes and Heart Failure as a Measure of Quality of Accountable Care Organizations: Rationale, Methods, and Early Results.” Med Care. 2016 May;54(5):528-37. doi: 10.1097/MLR.0000000000000518.

Ranasinghe I, Parzynski CS, Searfoss R, Montague J, Lin Z, Allen J, Vender R, Bhat K, Ross JS, Bernheim S, Krumholz HM and Drye EE. “Differences in Colonoscopy Quality Among Facilities: Development of a Post-Colonoscopy Risk-Standardized Rate of Unplanned Hospital Visits.” Gastroenterology. 2016; 150:103-113.

Dharmarajan K., Kim N., Krumholz H.M. “Patients need safer hospitals, every day of the week.” BMJ. 2015; doi: 10.1136/bmj.h1826.

McNamara RL, Wang Y, Partovian C, Montague J, Mody P, Eddy E, Krumholz HM, Bernheim SM. “Development of a Hospital Outcome Measure Intended for Use With Electronic Health Records: 30-Day Risk-standardized Mortality After Acute Myocardial Infarction.” Medical care. 2015; 53(9):818-826. Epub 2015/08/01. doi: 10.1097/mlr.0000000000000402. PubMed PMID: 26225445.

Horwitz LI, Grady JN, Cohen DB, Lin Z, Volpe M, Ngo CK, Masica AL, Long T, Wang J, Keenan M, Montague J, Suter LG, Ross JS, Drye EE, Krumholz HM, Bernheim SM. “Development and Validation of an Algorithm to Identify Planned Readmissions From Claims Data.” J Hosp Med. 2015; 10(10):670-677. Epub 2015/07/08. doi: 10.1002/jhm.2416. PubMed PMID: 26149225.

Kim N, Bernheim SM, Ott LS, Han L, Spivack SB, Xu X, Volpe M, Liu A, Krumholz HM. “An administrative claims measure of payments made for Medicare patients for a 30-day episode of care for acute myocardial infarction.” Medical care. 2015; 53(6):542-549. Epub 2015/05/15. doi: 10.1097/mlr.0000000000000361. PubMed PMID: 25970575.

Horwitz LI, Lin Z, Herrin J, Bernheim S, Drye EE, Krumholz HM, Hines HJ, Jr., Ross JS. “Association of hospital volume with readmission rates: a retrospective cross-sectional study.” BMJ. 2015; 350:h447. Epub 2015/02/11. doi: 10.1136/bmj.h447. PubMed PMID: 25665806; PMCID: PMC4353286.

Horwitz, LI, Partovian C, Lin Z, Grady JN, Herrin J, Conover M, Montague J, Dillaway C, Bartczak K, Suter LG, Ross JS, Bernheim SM, Krumholz HM, Drye EE. “Development and use of an administrative claims measure for profiling hospital-wide performance on 30-day unplanned readmission.” Ann Intern Med. 2014 Nov 18; 161 (10 Suppl):S66-75. doi: 10.7326/M13-3000. PMID: 25402406 [PubMed - indexed for MEDLINE] PMCID: PMC4235629 [Available on 2015-11-18].

Suter LG, Li SX, Grady JN, Lin Z, Wang Y, Bhat KR, Turkmani D, Spivack SB, Lindenauer PK, Merrill AR, Drye EE, Krumholz HM, Bernheim SM. “National Patterns of Risk-Standardized Mortality and Readmission After Hospitalization for Acute Myocardial Infarction, Heart Failure, and Pneumonia: Update on Publicly Reported Outcomes Measures Based on the 2013 Release.” J Gen Intern Med. 2014 May 14. [Epub ahead of print].

Bozic KJ, Grosso LM, Lin Z, Parzynski CS, Suter LG, Krumholz HM, Lieberman JR, Berry DJ, Bucholz R, Han L, Rapp MT, Bernheim S, Drye EE. “Variation in hospital-level risk-standardized complication rates following elective primary total hip and knee arthroplasty..” J Bone Joint Surg Am. 2014 Apr 16; 96(8):640-647.doi:10.2106/JBJS.L.01639. PMID: 24740660 [PubMed - indexed for MEDLINE].

Krumholz H.M., Z. Lin, P.S. Keenan, J. Chen, J. S. Ross, E. E. Drye, S. M. Bernheim, Y. Wang, E.H. Bradley, L.F. Han, S-L. T. Normand. “Relationship Between Hospital Readmission and Mortality Rates for Patients Hospitalized With Acute Myocardial Infarction, Heart Failure, or Pneumonia.” JAMA. 2013; 309(6):587-593.

Ross J. S., S. M. Bernheim, Z. Lin, E. E. Drye, J. Chen, S-L. T. Normand, H. M. Krumholz. "Based on key measures, care quality for Medicare enrollees at safety-net and non-safety-net hospitals was almost equal." Health Affairs. 2012; 31(8):1-11.

Kulkarni V. T., S. J. Shah, S. M. Bernheim, Y. Wang, S. L. Normand, L. F. Han, M. T. Rapp, E. E. Drye, H. M. Krumholz. “Regional associations between Medicare Advantage penetration and administrative claims-based measures of hospital outcomes.” Med Care. 2012; 50(5):406-409.

Drye, E. E., S. L. Normand, Y. Wang, J. S. Ross, G. C. Schreiner, L. Han, M. Rapp, and H. M. Krumholz. “Comparison of Hospital Risk-Standardized Mortality Rates Calculated by Using In-Hospital and 30-Day Models: An Observational Study With Implications for Hospital Profiling.” Ann Intern Med. 2012; 156: 19-26.

Chen J., J. S. Ross, M. D. Carlson, Z. Lin, S. L. Normand. S. M. Bernheim, E. E. Drye, S. M. Ling, L. F. Han, M. T. Rapp, H. M. Krumholz. “Skilled nursing facility referral and hospital readmission rates after heart failure of myocardial infarction.” Am J Med. 2012; 125(1):100.e1-9.

Lindenauer PK, Normand SL, Drye EE, Lin Z, Goodrich K, Desai MM, Bratzler DW, O'Donnell WJ, Metersky ML, Krumholz HM. “Development, validation, and results of a measure of 30-day readmission following hospitalization for pneumonia.” J Hosp Med. 2011 Mar; 6(3):142-150.

Krumholz H. M., Z. Lin. E. E. Drye, M. M. Desai, L. F. Han, M. T. Rapp, J. A. Mattera, S. L. Normand. "An administrative claims measure suitable for profiling hospital performance based on 30-day all-cause readmission rates among patients with acute myocardial infarction." Circ Cardiovasc Qual Outcomes. 2011; 4(2):243-252.

Bratzler D. W., S. L. Normand, Y. Wang, W. J. O'Donnell, M. Metersky, L. F. Han, M. T. Rapp, H. M. Krumholz. "An administrative claims model for profiling hospital 30-day mortality rates for pneumonia patients." PLoS One. 2011; 6(4):e17401.

2017 Hospital Compare

Highlights from 2017 Public Reporting

Measure Timeline

Implementation Timeline for CMS Outcome and Payment Measures

2013 Measure Updates & Specifications Reports

AMI, Heart Failure, and Pneumonia Mortality Measures [zip file]. Report prepared for the Centers for Medicare & Medicaid Services.

AMI, Heart Failure, and Pneumonia Readmission Measures [zip file]. Report prepared for the Centers for Medicare & Medicaid Services.

Hospital-Wide All-Cause Unplanned Readmission Measure (HWR) [zip file]. Report prepared for the Centers for Medicare & Medicaid Services.

Hip and Knee Arthroplasty Readmission Measure [zip file]; Hip and Knee Arthroplasty Complication Measure [zip file]. Reports prepared for the Centers for Medicare & Medicaid Services.

COPD Mortality Measure [zip file]. Report prepared for the Centers for Medicare & Medicaid Services.

COPD Readmission Measure [zip file]. Report prepared for the Centers for Medicare & Medicaid Services.

Stroke Mortality Measure [zip file]. Report prepared for the Centers for Medicare & Medicaid Services.

Stroke Readmission Measure [zip file]. Report prepared for the Centers for Medicare & Medicaid Services.

AMI Payment Measure [zip file]. Report prepared for the Centers for Medicare & Medicaid Services.