The payment measures for heart attack, heart failure, pneumonia, and hip/knee replacement are estimates of payments associated with a 30-day episode of care for heart attack, heart failure, or pneumonia, or a 90-dayĮpisode of care for hip/knee replacement. The payments included in this measure are price-standardized and risk-adjusted. More Information about the calculation of Medicare Spending Per Beneficiary for MEDICAL CITY PLANO: The measure assesses Medicare Part A and Part B payments for services provided to a MEDICAL CITY PLANO during a spending-per-beneficiary episode that spans from three days prior to an inpatient hospital admission through 30 days after discharge. It is also higher than the state average of $24,355. This is higher than the state average of $26,387. On average at MEDICAL CITY PLANO, emergency patients were changed $30,376. A percentage higher than 100% means the hospital charges more than the national average while a percentage less than 100% means the hospital charges less than the national average. The MSPB is expressed as a percentage compared to the national average for costs that Medicare incurs. Even though you may not be on Medicare, this metric may still be useful. To provide some standard metric to compare hospital costs, CMS publishes the MSPB (or "Medicare Spending Per Beneficiary"). Then you have the problem of the wide variety of treatments which the MEDICAL CITY PLANO provides. Hospitals themselves actively obscure what they charge and have negotiated different rates with different insurers. Understanding how much a hospital is going to cost is extremely difficult. Overall rating Number of hospitals / Percentage 1 star 198 (6.34%) 2 stars 702 (22.49%) 3 stars 895 (28.68%) 4 stars 895 (28.68%) 5 stars 431 (13.81%) N/A 1,368 (30.47%)Īdditional detailed on the method for calculating the Overall Hospital Quality Star Rating from this document.Ĭost of MEDICAL CITY PLANO, Compare to National and State Averages The following table shows the national distribution of the Overall Star Rating based on July 2022 results. National distribution of the Overall Hospital Quality Star Rating For example, if a hospital had no measures in the Timely & Effective Care category, the 12% weight would be redistributed evenly as 25% for each of the Mortality, Safety of Care, Readmission and Patient Experience groups. If a hospital has no measures in a certain measure group, the weighted percentage is redistributed proportionally to the other measure groups. Note that these percentage weights are out of 100%. Measure group Weight used in calculation Mortality 22% Safety 22% Readmission 22% Patient Experience 22% Timely & Effective Care 12% The hospital summary score is then used to assign hospitals to star ratings, using k-means clustering within each peer group. The table below shows the weight applied to each measure group. Application of clustering algorithm to categorize summary scores into star ratingsįor each hospital, a hospital summary score is calculated by taking the weighted average of the hospital’s scores for each measure group.Assignment of hospitals to peer groups based on their number of measure groups (3, 4, or 5).Application of minimum thresholds for receiving an Overall Star Rating.Calculation of hospital summary scores as a weighted average of available group scores.Calculation and standardization of measure group scores.Selection and standardization of measures for inclusion in the Overall Star Rating.Overall Star Ratings are created using this seven-step process: The methodology used to calculate Overall Star Ratings involves multiple steps to select, standardize, and calculate scores based on Care Compare measures. Most hospitals will have an Overall Hospital Quality Star Rating of 3. Overall Star Ratings aren’t calculated for Veterans Health Administration (VHA) or Department of Defense (DoD) hospitals. Hospitals report data to The Centers for Medicare & Medicaid Services ("CMS") through the Hospital Inpatient Quality Reporting (IQR) Program, Hospital Outpatient Quality Reporting (OQR) Program, Hospital Readmission Reduction Program (HRRP), Hospital-Acquired Condition (HAC) Reduction Program, and Hospital Value-Based Purchasing (VBP) Program. Once reporting thresholds are met, a hospital’s Overall Star Rating is calculated using only those measures for which data are available. The Overall Hospital Quality Star Rating for MEDICAL CITY PLANO summarizes a variety of measures across 5 areas of quality into a single star rating for each hospital. Overall Hospital Quality Star Rating for MEDICAL CITY PLANO Overall Rating:
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