CMS Reports
Executive Comparative Analysis Deck
Vizient Reports
Report Measures
Reputational Reports
100

The year Hospital Compare was replaced by Care Compare. 

What is 2020?

100

The number of domains in the Vizient Quality & Accountability Scorecard (Q&A)

What is 6 (Mortality, Safety, Efficiency, Effectiveness, Patient-Centeredness, and Equity)?

100

CSMC is categorized under this hospital cohort for the Q&A 

What is the Comprehensive Academic Medical Center?

100

The number of individual indicators in the PSI-90 composite 

What is 10?

100

Publishes hospital rankings as “America’s Best Hospitals,” to identify the medical centers in various specialties

What is the US News & World Report?

200

A value-based purchasing program that reduces payments to hospitals with excess readmissions.

What is the Hospital Readmissions Reduction Program (HRRP)?

200

HCAHPS composite with the lowest performance over time.

What is Discharge Information?

200

In the 2021 and 2022 Q&A, this measure was made informational only in the rankings driven by uneven shifts across hospitals on inpatient elective procedure volumes

What is the total hip and knee (THK) complication rate measure?

200

The acronym HCAHPS stands for this

What is Hospital Consumer Assessment of Healthcare Providers and Systems?

200

Summarizes a variety of measures across 5 areas of quality into a single star rating for each hospital

Overall Hospital Quality Star Rating (Overall Star Rating)?

300

The acronym HAC stands for this, as in the HAC Reduction Program.

What is Hospital-Acquired Condition?

300

In the Equity domain, the three groupings evaluated for statistically significant differences in performance rates are gender, race and

What is socioeconomic status?

300

Vizient service lines are defined by this

What are Medicare severity diagnosis-related groups (MS-DRGs)?

300

The 4 measures publicly reported on the DRA HAC are: Foreign Object Retained After Surgery, Blood Incompatibility, Air Embolism, and...

What is Falls and Trauma?

300

This measure in the Leapfrog Hospital Safety Grade is assigned the highest standard weight 

What is PSI-90?

400

These quality measures were developed specifically to allow an electronic health record (EHR) system to capture, export, calculate, and report measure data.

What are Electronic Clinical Quality Measures (eCQMs)?

400

Colors on the heat map for performance on measures within the Vizient domains, Mortality, Efficiency, Safety, Effectiveness, and Patient Centeredness are based on this method of scoring. 

What is the z-score?

400

In the Vizient Q&A, organizations are grouped by their overall score into five categories by this type of rating.

What are star ratings?

400

In the Hospital Readmissions Reduction Program (HRRP) CMS assesses a hospital’s performance relative to the performance of other hospitals within the same peer group. Peer group assignment is based on this.

What is proportion of hospitals' dual-eligible stays?

400

The information on hospital performance collected through this voluntary and annual survey is unique and assesses hospital safety, quality, and efficiency based on national performance measures.

What is the Leapfrog Hospital Survey

500

In the Hospital Value-Based Purchasing (VBP) Program, this rate determines the achievement and improvement points for the conditions/procedures: AMI, COPD, HF, PN, and CABG. 

What is the Survival Rate?

500

The three revisit types used for the excess days measure are acute care (inpatient), ED, and 

What is observation?

500

Performance on Vizient Complications is reported quarterly in this report. 

What is the Quality and Safety Management Report (QSMR)?

500

The regulating agency for Safety & Quality Indicators - Patient Safety Indicators (PSIs) - Inpatient Quality Indicators (IQIs) - Pediatric Quality Indicators (PDIs) - Composite Scores (PSI 90, IQI 90, IQI 91)

What is the Agency for Healthcare Research and Quality (AHRQ) 

500

**DAILY DOUBLE***

An online resource for patients to search for top-rated doctors or hospitals, read what other patients have to say about them, and book an appointment.  

What is Healthgrades?

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