Cms medicare stars program

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Undo My Deloitte. Understanding Medicare's 5-star rating hospital program CMS star ratings for hospitals. Save for later. Explore content Changes in hospital ratings Strategies for hospitals and health systems Get in touch Join the conversation Related topics. Our analyses point to four key findings: There are many ways to achieve a 5-star rating Hospitals that earn a 5-star rating generally have better scores in the heavily weighted categories Scores for individual outcome measures vary widely Variation in caseloads and the ability to report some measures appear to be tied to performance Hospital quality measurement is going to continue, as evidenced by CMS's continued commitment to improving the Star Ratings Program.

Back to top. Clear differences exist among hospitals and their ability to report on certain measures, but most of this is due to differences in caseloads—a factor over which hospitals have little control. As such, hospitals may do best to drive their quality strategy by optimizing patient outcomes and experiences, quality areas that CMS consistently weighs more heavily and that show the highest variation among hospitals.

The focus could be on broad quality performance improvement rather than one specific quality measure. A multi-pronged approach may be required, as the methodology is based on comparisons to the rest of the pack and a moving target. Invest in technology and analytics tools to support quality improvement goals. Investing in tools that enable individual clinicians to understand their performance in these key areas may help hospitals improve quality overall.

Develop and promote a culture of quality improvement among individual clinicians. Individual clinicians drive the overall quality of services performed in a hospital. Leadership from the C-suite down to the clinicians at the bedside should communicate and promote a culture of quality.

Hospital leadership should consider helping clinicians understand which areas need improvement and how they fit into the overall quality strategy.

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