Democratising Healthcare Metrics

Healthcare quality metrics are often locked behind complex clinical jargon. This Data Dictionary provides clear, easy-to-understand definitions of the metrics, scores, and acronyms used across the Hospital Data Center platform.

Overall CMS Star Rating

Category: General Quality

A composite rating system created by the Centers for Medicare & Medicaid Services (CMS) that summarises a hospital's performance across multiple quality measures into a single score from 1 to 5 stars.

How it is Measured:

Calculated by averaging scores across 5 main quality categories: Mortality, Safety of Care, Readmission, Patient Experience, and Timely/Effective Care. Not all hospitals report all measures, so the rating adjusts based on available parameters.

Clinical Significance: Helps consumers quickly compare overall safety and satisfaction trends between different facilities nationally and within local states.


HCAHPS Patient Experience Survey

Category: Patient Satisfaction

Hospital Consumer Assessment of Healthcare Providers and Systems. It is the first national, standardised, publicly reported survey of patients' perspectives of hospital care.

How it is Measured:

A 29-question survey distributed to random post-discharge patients. Questions measure dimensions like communication with doctors/nurses, staff responsiveness, pain management, discharge details, and cleanliness.

Clinical Significance: Indicates the patient-centeredness of care and is highly correlated with overall patient safety, clinical communication accuracy, and hospital administrative support quality.


Healthcare-Associated Infections (HAI)

Category: Safety & Infection Control

Infections that patients contract during their stay in a healthcare facility while receiving treatment for other medical conditions.

How it is Measured:

Reported as a Standardised Infection Ratio (SIR), which compares the actual number of infections in a facility to the predicted number based on national historical benchmarks.

Clinical Significance: High HAI rates indicate deficiencies in facility sanitation, device insertion protocols, and infection prevention procedures.


Unplanned 30-Day Readmission Rate

Category: Clinical Outcomes

The percentage of patients who have an unplanned return to the hospital within 30 days of being discharged after treatment for acute conditions.

How it is Measured:

Tracks post-discharge patient records over a 30-day window. Factors out planned returns and compares outcomes against national averages.

Clinical Significance: High readmission rates indicate potential issues with the quality of discharge planning, post-discharge medication management, or outpatient recovery coordination.


Timely & Effective Care Measures

Category: Emergency & Timeliness

A set of guidelines measuring how quickly and consistently a hospital provides recommended treatments for time-critical clinical emergencies.

How it is Measured:

Measures median wait times in emergency departments, minutes to receive an EKG/MRI, and compliance rates for treating sepsis and stroke cases promptly.

Clinical Significance: Directly relates to survival rates in acute emergencies (e.g. stroke or heart attacks) where clinical delays increase mortality risk.