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. 2016 Apr 7;3(1):6–9. doi: 10.1177/2374373516636681

Table 1.

Results of a Linear Regression Testing the Association Between Centers for Medicare and Medicaid Services (CMS) Hospital Star Ratings For Patient Experience and Clinical Outcomes in the United States hospitals, Including Hospital Complications (A) and Unplanned Readmissions to the Hospital Within 30 Days of Discharge (B).a

A Hospital Complications CLABSI Postsurgical Deep Venous Thrombosis Joint Replacement Complication Surgical Wound Dehiscence Iatrogenic Pneumothorax Accidental Puncture or Laceration All Serious Complications (Composite)
Number of hospitals 2970 2986 2703 2627 3056 3050 3059
Slope −0.062 −0.206 −0.053 −0.002 −0.002 0.013 −0.018
P value <.0001 <.0001 <.0001 .7653 .1003 .3020 <.0001
B Readmissions Within 30 Days Acute Myocardial Infarction Congestive Heart Failure Pneumonia Stroke COPD Joint Replacement All Readmissions
Number of hospitals 2235 3314 3347 2730 3264 2710 3536
Slope −0.210 −0.389 −0.257 −0.313 −0.173 −0.084 −0.264
P value <.0001 <.0001 <.0001 <.0001 <.0001 <.0001 <.0001

Abbreviations: CLABSI, central line-associated bloodstream infection; COPD, chronic obstructive pulmonary disease.

a Since the star ratings for hospitals range from 1 (worst) to 5 (best), and the outcomes are the reported rates of adverse events, an inverse association (i.e. negative slope) identifies an association between better experience and favorable outcomes. Data for hospital complications (except CLABSI) and readmissions are risk-adjusted rates from Hospital Compare; CLABSI is based on the standardized infection ratio (SIR) from the Centers for Disease Control and Prevention.