CAH Year 4 Hospital Compare Participation and Quality Measure Results (Briefing Paper #22)

Publication Date: Sep 2009
Author(s): Casey MM, Burlew M, Moscovice IS
Research Center(s): Minnesota
Project: Analyzing Quality Reporting and Improvement of CAHs
Topic(s): Hospital Compare, Quality

This report examines the fourth year participation and quality measure results for Critical Access Hospitals (CAHs) in the Centers for Medicare and Medicaid Services (CMS) Hospital Compare public reporting database for hospital quality measures. The report updates previous national reports on Hospital Compare results for CAHs.  There is also a policy brief profiling these same Year 4 findings.


For 2007 discharges, 69% of CAHs participated in Hospital Compare by submitting data for at least one patient on one measure. By state, the percent of participating CAHs ranged from 7.7% to 100%. Nine states had 100% of their CAHs participating. CAHs
were more likely to report data on pneumonia and heart failure measures than on AMI and surgical infection prevention measures. The overall CAH participation rate of 69% for 2007 discharges compares to previous rates of 41% (2004); 53% (2005) and 63%

Similar to previous years, for 2007 discharges, CAHs did not do as well on the AMI and heart failure measures as rural and urban PPS hospitals. For pneumonia and surgical infection prevention, CAHs scored as well or better than other hospitals on some
measures, and not as well on other measures. From 2005-2007, the percent of CAH patients receiving recommended care increased for nearly all measures. The percent of rural and urban PPS hospital patients receiving recommended care also increased.
Thus, CAHs continued to have lower scores relative to rural and urban PPS hospitals on several measures.