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CMS Hospital Process of Care Measures
The Centers for Medicare & Medicaid Services (CMS), along with the Hospital Quality Alliance (HQA) and the nation's hospitals are working together to create and publicly report hospital quality information (compare hospitals). This information measures how well hospitals care for their adult patients, regardless of whether the care was paid for by Medicare, Medicaid or a private health insurance plan.
The Delta Group
The Delta Group is a leading healthcare information services and consulting company dedicated to providing an extensive array of products and services designed to measure, manage, and monitor the clinical, financial, and market performance of healthcare organizations.
National Norm
The national norm represents the average (50th percentile) charge, cost, length of stay, and risk-adjusted mortality and complication indices of the general, acute, non-federal hospitals. The national norm is the level at which half of the hospitals in The Delta Group’s national all-payer benchmark database perform.
Clinically-adjusted length of stay (LOS)
The clinically-adjusted LOS per case indicates what the LOS would be if all patients had a clinical demand index of 1.000, which is to say that all patients were of the same severity, intensity, and complexity. In order to accurately compare different patient populations, it is important to adjust the actual LOS values to account for these legitimate patient attributes which impact resource consumption.
Risk-adjusted mortality index (RAMI)
RAMI measures the extent to which a patient population's actual mortality rates are higher or lower than clinically expected. RAMI is calculated by dividing the actual mortality rate by the expected mortality rate. An index of 1.000 represents the national norm, where an index of 1.100 would indicate a 10% higher rate of mortality than expected and an index of .900 would indicate a 10% lower rate of mortality than expected.
Risk-adjusted complications index (RACI)
RACI measures the extent to which a patient population's actual complication rates are higher or lower than clinically expected. RACI is calculated by dividing the actual complication rate by the expected complication rate. An index of 1.000 represents the national norm, where an index of 1.100 would indicate a 10% higher rate of complications than expected and an index of .900 would indicate a 10% lower rate of complications than expected.
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