Title

Weighting of Measures in the Safety of Care Group of the Overall Hospital Quality Star Rating Program: An Alternative Approach.

Document Type

Article

Publication Date

3-27-2019

Publication Title

American journal of medical quality

Abstract

The Centers for Medicare & Medicaid Services' Overall Hospital Quality Star Rating program has raised concerns since its introduction in 2016. Using both national data and data from a large urban teaching hospital, the authors examined a few methodological issues of one heavily weighted measure group, the Safety of Care group. The authors investigated the validity of the assumption that a single underlying quality trait exists among the 8 Safety measures, and the sensitivity of the Safety group score in response to a range of measure improvement scenarios. Also explored were the effects of an alternative weighting method and an alternative measure score calculation method on the results of a single hospital's Safety group score. Evidence was found for 4 (rather than 1) underlying quality dimensions among the 8 Safety measures, and the Safety group score calculated using the current method was notably different from that calculated using the alternative methods.

PubMed ID

30913905

ePublication

ePub ahead of print

Share

COinS