Findings From An Early Look At CMS Star Ratings

07/28/2016
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In an article published this past week from FierceHealthcare, we were able to get an early look into to the updated CMS Star Ratings for hospital quality.

Although the Centers for Medicare & Medicaid Services hasn’t officially released its star ratings yet, there was great value to be taken from this article. Several items stood out that every hospital should be aware of to help improve their own efforts and have a better understanding of how these ratings are applied and interpreted, including:

  • Only 22% of hospitals received above a 3-star rating, which represents just over 1,000 of the country’s 4,600 hospitals evaluated.
  • More hospitals received a 1-star rating (133) than 5 stars (102).
  • 20% of hospitals remain Unrated due to factors like failing to report or not having sufficient data available.
  • Pay close attention to the 7 groups that make up the star ratings – Mortality, Safety of Care, Readmission, Patient Experience, Effectiveness of Care, Timelines of Care, and Efficient Use of Medical Imaging
  • Effective leadership is the key to achieving a higher star rating. When evaluating your rating, take a keen look at the areas negatively impacting your rating and then ask yourself if you have the right leaders in place to improve those metrics, in order to be the organization you want to be.

You can find the full article from FierceHealthcare here – CMS star ratings sneak peek: System favors smaller hospitals with lower-risk patients

Read more from a client hospital’s case study about improved Leadership and Outcomes – Leadership Excellence – ED Nurse Manager.