Main Outcomes and Measures The reproducibility of hospital rankings was quantified by calculating the reclassification rate across the 20 reporting periods after categorizing the hospitals into terciles, quartiles, deciles, and statistical outliers. This analysis was based on 28 measures, including mortality (acute myocardial infarction, congestive heart failure, pneumonia, and coronary artery bypass grafting), readmissions (acute myocardial infarction, congestive heart failure, pneumonia, and coronary artery bypass grafting), and surgical complications (postoperative acute kidney failure, postoperative respiratory failure, postoperative sepsis, and failure to rescue).Įxposures Measure reliability based on test-retest reliability testing. The study was conducted from December 13, 2020, to September 30, 2021. Objective To examine the association between test-retest reliability and the reproducibility of hospital rankings.ĭesign, Setting, and Participants In a cross-sectional design, Centers for Medicare & Medicaid Services Hospital Compare data were analyzed for the 2017 (based on 2014-2017 data) and 2018 (based on 2015-2018 data) reporting periods. Importance Unreliable performance measures can mask poor-quality care and distort financial incentives in value-based purchasing. Shared Decision Making and Communication.Scientific Discovery and the Future of Medicine.Health Care Economics, Insurance, Payment. Clinical Implications of Basic Neuroscience.Challenges in Clinical Electrocardiography.The PUF is a source of data that allows researchers at Coe-accredited facilities to review and improve the quality of care delivered to cancer patients through analyses of cases reported to the NCDB. Case-level details are also provided for each primary site and stage. This application enables facilities to obtain an overview of the number of cases by primary site and sub-sites as well primary site by stage. This application provides feedback to Coe-accredited facilities about submission of missing, unknown, or nonspecific information for NCDB required data items. It also includes operative mortality and risk-adjusted survival reports. This PowerPoint report is issued annually and summarizes data from the HCBR, NCDB Survival Reports, and the RCRS. A case log report and alerts summaries assist registries with data quality efforts and treatment follow-up.Ĭancer Quality Improvement Program (CQIP) This application launched in September 2020 and is the source of both historical and real-time data used to assess quality measure performance. NCDB Rapid Cancer Reporting System (RCRS) Stage is based on NCDB's best stage, which represents a combination of AJCC pathologic stage over clinical stage. This application calculates overall and unadjusted observed survival rates stratified by stage, sex, age group, or comorbidity score for all cancer sites. These reports include summaries on patient demographics, treatment, and stage, which can be queried for your facility as well as all Coe-accredited facilities at the state, regional, or national levels. This application provides end-users with descriptive reports for many types of cancers diagnosed within the last 10 years captured in the NCDB. NCDB Hospital Comparison Benchmark Reports (HCBR) Each of these reporting applications requires a log-in, and can be accessed through the Quality Portal (QPort) and the CoC Datalinks portal.
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