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.