Concordance of hospital ranks and category ratings using the current technical specification of US Hospital Star Ratings and reasonable alternative specifications.

Matthew E Barclay

Study

Concordance of hospital ranks and category ratings using the current technical specification of US Hospital Star Ratings and reasonable alternative specifications.

August 31, 2022

Barclay ME. JAMA Health Forum. 2022;3(5):e221006.

View more articles from the same authors.

The Centers for Medicare & Medicaid Services (CMS) provides individual and composite quality and safety ratings (i.e., star ratings) for hospitals and other healthcare facilities on its Care Compare website. This study evaluated three alternative methods for rating facilities and compared them to the CMS star ratings. Hospitals were frequently assigned a different star rating using the alternate methods, typically between adjacent star categories.

PubMed citation

Free full text

Related Resources From the Same Author(s)

A new category of "never events"-ending harmful hospital policies.

November 9, 2022

Improving Quality and Safety in Healthcare.

October 26, 2022

Safer Clinical Systems: Evaluation Findings.

February 18, 2015

Electronic health record legal settlements in the US since the 2009 Health Information Technology for Economic and Clinical Health Act.

December 21, 2022

Association of past and future paid medical malpractice claims.

March 1, 2023

An evolving hospital quality star rating system from CMS: aligning the stars.

May 26, 2021

Adverse events and hospital-acquired conditions associated with potential low-value care in Medicare beneficiaries.

August 11, 2021

Nonopioid directives: unintended consequences in the operating room.

June 29, 2022

Families’ experiences of central-line infection in children: a qualitative study.

September 7, 2022

Effect of different interventions to help primary care clinicians avoid unsafe opioid prescribing in opioid-naive patients with acute noncancer pain: a cluster randomized clinical trial.

September 7, 2022

Association of diagnostic stewardship for blood cultures in critically ill children with culture rates, antibiotic use, and patient outcomes: results of the Bright STAR Collaborative.

May 18, 2022

Diagnostic errors, health disparities, and artificial intelligence: a combination for health or harm.

September 1, 2021

Effect of pharmacist email alerts on concurrent prescribing of opioids and benzodiazepines by prescribers and primary care managers: a randomized clinical trial.

October 26, 2022

Trends in adverse event rates in hospitalized patients, 2010-2019.

July 27, 2022

Using clinical simulation to study how to improve quality and safety in healthcare.

September 29, 2018

A decade after Francis: is the NHS safer and more open?

April 5, 2023

Cost of inpatient falls and cost-benefit analysis of implementation of an evidence-based fall prevention program.

February 1, 2023

The role of the informal and formal organisation in voice about concerns in healthcare: a qualitative interview study.

June 16, 2021

Reporting of death in US Food and Drug Administration medical device adverse event reports in categories other than death.

August 11, 2021

Why do systems for responding to concerns and complaints so often fail patients, families and healthcare staff?

September 29, 2021

Assessment of overuse of medical tests and treatments at US hospitals using Medicare claims.

May 19, 2021

Analysis of hospital-level readmission rates and variation in adverse events among patients with pneumonia in the United States.

June 22, 2022

Association of electronic health record use above meaningful use thresholds with hospital quality and safety outcomes.

October 21, 2020

Making electronic health records both SAFER and SMARTER.

July 27, 2022

Association between hospital acquired harm outcomes and membership in a national patient safety collaborative.

August 10, 2022

Association of patient and family reports of hospital safety climate with language proficiency in the US.

June 29, 2022

Rates of serious surgical errors in California and plans to prevent recurrence.

May 19, 2021

Incidence of nosocomial COVID-19 in patients hospitalized at a large US academic medical center.

October 21, 2020

Association of surgeon-patient sex concordance with postoperative outcomes,

December 22, 2021

Hospital-acquired SARS-CoV-2 infection: lessons for public health.

December 9, 2020

Association of current opioid use with serious adverse events among older adult survivors of breast cancer.

October 14, 2020

Association between surgeon technical skills and patient outcomes.

September 9, 2020

Characteristics of disease-specific and generic diagnostic pitfalls: a qualitative study.

February 9, 2022

Association of opioid consumption profiles after hospitalization with risk of adverse health care events.

June 2, 2021

Patient mortality during unannounced accreditation surveys at US hospitals.

April 5, 2017

Emotional exhaustion among US health care workers before and during the COVID-19 pandemic, 2019-2021.

October 5, 2022

A learning health system agenda for organizational approaches to enhancing occupational well-being among clinicians.

May 25, 2022

Guidelines for US hospitals and clinicians on assessment of electronic health record safety using SAFER Guides.

February 16, 2022

Effect of medication reconciliation at hospital admission on 30-day returns to hospital: a randomized clinical trial.

October 6, 2021

Policies to promote shared responsibility for safer electronic health records.

September 29, 2021

Quality and safety outcomes of a hospital merger following a full integration at a safety net hospital.

March 16, 2022

Association between parent comfort with English and adverse events among hospitalized children.

November 11, 2020

Association of hospital public quality reporting with electronic health record medication safety performance.

October 6, 2021

Rates of surgical consultations after emergency department admission in Black and White Medicare patients.

October 26, 2022

Complexity and challenges of the clinical diagnosis and management of Long COVID.

November 30, 2022

Cognitive bias and public health policy during the COVID-19 pandemic.

July 22, 2020

To err is human, to apologize is hard.

August 4, 2021

US emergency department visits attributed to medication harms, 2017-2019.

October 20, 2021

Racial and ethnic discrepancy in pulse oximetry and delayed identification of treatment eligibility among patients with COVID-19.

June 22, 2022

Race as a social construct in psychiatry research and practice.

December 22, 2021

Remote patient monitoring during COVID-19: an unexpected patient safety benefit.

March 23, 2022

Digital health technology-specific risks for medical malpractice liability.

December 7, 2022

Concordance with urgent referral guidelines in patients presenting with any of six ‘alarm’ features of possible cancer: a retrospective cohort study using linked primary care records.

August 10, 2022

Health care-associated infections among critically ill children in the US, 2013-2018.

October 28, 2020

Physician use of stigmatizing language in patient medical records.

July 28, 2021

Diagnostic excellence through the lens of patient-centeredness.

December 8, 2021

Adherence to national guidelines for timeliness of test results communication to patients in the Veterans Affairs health care system.

May 4, 2022

Long-term risk of overdose or mental health crisis after opioid dose tapering.

July 13, 2022

Patient and hospital characteristics associated with delayed diagnosis of appendicitis.

February 1, 2023

The impact of COVID-19 workflow changes on radiation oncology incident reporting.

November 2, 2022

Quality measures for patients at risk of adverse outcomes in the Veterans Health Administration: expert panel recommendations.

August 17, 2022

Association of inappropriate outpatient pediatric antibiotic prescriptions with adverse drug events and health care expenditures.

June 8, 2022

Assessment of changes in visits and antibiotic prescribing during the Agency for Healthcare Research and Quality Safety Program for Improving Antibiotic Use and the COVID-19 Pandemic.

July 20, 2022

Educational levels of hospital nurses and surgical patient mortality.

April 3, 2005

Health technology, quality and safety in a learning health system.

February 15, 2023

Using the Assessment of Reasoning Tool to facilitate feedback about diagnostic reasoning.

January 11, 2023

Use of recalled devices in new device authorizations under the US Food and Drug Administration's 510(k) pathway and risk of subsequent recalls.

January 25, 2023

Wrong-site surgery.

December 13, 2017

Cognitive testing of older clinicians prior to recredentialing.

February 5, 2020

Common Formats for Event Reporting.

April 20, 2016

Maternal Morbidity and Mortality.

October 30, 2019

Development and validation of a deep learning model for detection of allergic reactions using safety event reports across hospitals.

December 9, 2020

The MedSafer study-electronic decision support for deprescribing in hospitalized older adults: a cluster randomized clinical trial.

February 2, 2022

Comparison of quality measures from US hospitals with physician vs nonphysician chief executive officers.

November 2, 2022

The burden of opioid-related mortality in the United States.

July 18, 2018

Assessing frequency and risk of weight entry errors in pediatrics.

February 15, 2017

Effectiveness and efficiency of root cause analysis in medicine.

February 27, 2008

Association of anesthesiologist staffing ratio with surgical patient morbidity and mortality.

August 3, 2022

Physicians' experiences with mistreatment and discrimination by patients, families, and visitors and association with burnout.

June 1, 2022

Assessment of health information technology-related outpatient diagnostic delays in the US Veterans Affairs health care system: a qualitative study of aggregated root cause analysis data.

July 22, 2020

Racial and ethnic differences in emergency department diagnostic imaging at US Children's Hospitals, 2016-2019.

January 4, 2021

The path to diagnostic excellence includes feedback to calibrate how clinicians think.

February 20, 2019

Another medical malpractice crisis?: Try something different.

October 14, 2020

Nursing surveillance: a concept analysis

May 18, 2022

Special Issue on Medication Safety.

July 31, 2019

Safe Practices for Better Healthcare–2009 Update.

March 18, 2009

Understanding patient and clinician reported nonroutine events in ambulatory surgery.

March 22, 2023

Serious Reportable Events

December 15, 2010

Becoming a High Reliability Organization.

September 2, 2020

Compendium of Reports.

May 31, 2006

John M. Eisenberg Patient Safety and Quality Award.

August 7, 2023

Association of dose tapering with overdose or mental health crisis among patients prescribed long-term opioids.

August 25, 2021

When medical care leads to harm—difficulty finding words: a teachable moment.

June 17, 2015

Comparison of methods to reduce bias from clinical prediction models of postpartum depression.

May 12, 2021

Rapid response teams as a patient safety practice for failure to rescue.

July 7, 2021

Safety culture as a patient safety practice for alarm fatigue.

October 13, 2021

Using performance improvement to enhance time-out compliance and prevent wrong-site surgery.

August 11, 2021

Assessment of perioperative outcomes among surgeons who operated the night before.

June 8, 2022

The emotional fallout from the culture of blame and shame.

October 18, 2017

When There's Harm in the Hospital: Can Transparency Replace "Deny and Defend"?

April 27, 2016

Related Resources

Impact of repeated reimbursement penalties on hospital total quality scores.

April 17, 2024

Making Healthcare Safer IV: A Continuous Updating of Patient Safety Harms and Practices.

April 3, 2024

2024 National Impact Assessment of the Centers for Medicare & Medicaid Services (CMS) Quality Measures Report.

March 20, 2024

Top 10 Patient Safety Concerns.

March 12, 2024

Prioritizing Patient Safety Through Quality Measurement.

March 6, 2024 - March 6, 2024

Patient Safety Innovations

Patient and Family Centered I-PASS (Family-Centered Communication Program to Reduce Medical Errors and Improve Family Experience and Communication Processes)

January 31, 2024

National Healthcare Quality and Disparities Reports.

January 9, 2024

Challenge Competition: Impact of Patient Safety Tools.

December 12, 2023

It depends who you ask: divergences in staff and external stakeholder narratives about the causes of a healthcare failure.

November 29, 2023

Network of Patient Safety Databases Chartbook.

November 8, 2023

Adverse Health Events in Minnesota: Annual Reports.

September 30, 2023

Annual Speak Up Data Reports.

September 6, 2023

Indian Health Service: Actions Needed to Improve Use of Data on Adverse Events.

August 23, 2023

Underreporting of quality measures and associated facility characteristics and racial disparities in US nursing home ratings.

June 7, 2023

Patient Safety Innovations

Remote Response Team and Customized Alert Settings Help Improve Management of Sepsis

May 31, 2023

Hospitals in two states denied an abortion to a miscarrying patient. Investigators say they broke federal law.

May 31, 2023

Patient safety trends in 2022: an analysis of 256,679 serious events and incidents from the nation’s largest event reporting database.

May 17, 2023

Towards a unified model of accident causation: refining and validating the systems thinking safety tenets.

May 10, 2023

Annual Perspective

Improving Diagnostic Safety and Quality

April 26, 2023

Defining avoidable healthcare-associated harm in prisons: a mixed-method development study.

April 19, 2023

Medication errors in community pharmacies: evaluation of a standardized safety program.

March 15, 2023

National statutory reporting: not even ticking the boxes? The quality of 'Learning from Deaths' reporting in quality accounts within the NHS in England 2017-2020.

March 1, 2023

Is anybody 'Learning' from deaths? Sequential content and reflexive thematic analysis of national statutory reporting within the NHS in England 2017-2020.

February 22, 2023

A scoping review of adverse incidents research in aged care homes: learnings, gaps, and challenges.

February 8, 2023

The safety of inpatient health care.

January 25, 2023

A recent two-fold increase in medical adverse event deaths among US inpatients.

December 21, 2022

Patient safety culture in assisted living: staff perceptions and association with state regulations.

November 30, 2022

Scientific view of the global literature on medical error reporting and reporting systems from 1977 to 2021: a bibliometric analysis.

November 16, 2022

The impact of meaningful use and electronic health records on hospital patient safety.

November 2, 2022

Opportunities to Improve Patient Safety, Advancing U.S. Innovation, and Innovation Hubs.

October 5, 2022

See More About The Topic

Concordance of hospital ranks and category ratings using the current technical specification of US Hospital Star Ratings and reasonable alternative specifications.

Patient and Family Centered I-PASS (Family-Centered Communication Program to Reduce Medical Errors and Improve Family Experience and Communication Processes)

Remote Response Team and Customized Alert Settings Help Improve Management of Sepsis

Connect With Us

Sign up for Email Updates

Agency for Healthcare Research and Quality

Concordance of hospital ranks and category ratings using the current technical specification of US Hospital Star Ratings and reasonable alternative specifications.

Patient and Family Centered I-PASS (Family-Centered Communication Program to Reduce Medical Errors and Improve Family Experience and Communication Processes)

Remote Response Team and Customized Alert Settings Help Improve Management of Sepsis

Connect With Us

Sign up for Email Updates

Agency for Healthcare Research and Quality

Submit Your Innovations

Continue as a Guest

Continue Logged In

Submit Your Innovations

Continue as a Guest

Continue logged in

New Users to the PSNet site