Determining the value proposition of surgical care in CMS star rated hospitals.
BACKGROUND: CMS Hospital Quality Star ratings reflect the quality of care given to patients. It is hypothesized that increased Star-rating is associated with higher cost and that the value proposition is diminished.
METHODS: This study used the Florida AHCA inpatient dataset, CY2019. Partial colectomy was selected as a representative inpatient surgical procedure. Analysis was performed on this data to compare high and low Star-rated hospitals.
RESULTS: Total costs were equivalent among all Star levels on initial analysis. In a propensity matched comparison with 1 Star, 5 Star hospitals had significantly lower length-of-stay and ICU, anesthesia, radiology and lab costs, and conversely, had higher total (+2%), operating room and med-surg supply costs.
CONCLUSIONS: These results demonstrate that total colectomy costs are functionally equivalent among the CMS 1- and 5- Star categories. The results indicate that higher CMS Star ratings fulfill the value proposition and indeed offer higher quality without significantly increased cost.
Published In/Presented At
Cios, K., Janjua, H., Rogers, M. P., Read, M., Docimo, S., Jr, & Kuo, P. C. (2022). Determining the value proposition of surgical care in CMS star rated hospitals. American journal of surgery, S0002-9610(22)00732-2. Advance online publication. https://doi.org/10.1016/j.amjsurg.2022.11.022
Medical Education | Medicine and Health Sciences
USF-LVHN SELECT Program, USF-LVHN SELECT Program Students