Hospital Compare Readmissions and Deaths

**Overview**
This data package contains information about hospital readmission and deaths as well as hospital excess readmission reduction program. It also includes data over hospital value based purchasing program for years 2017 and 2018. It comprises of datasets about readmission rates by age, gender, patient residence, payer, zip code and median income.

**Description**
This data package contains the Readmissions and Deaths by hospital of unplanned readmission to any acute care hospital within 30 days of discharge from a hospitalization for any cause related to medical conditions, including heart attack (AMI), heart failure (HF), pneumonia, chronic obstructive pulmonary disease (COPD), and stroke; and surgical procedures, including hip/knee replacement and cornary artery bypass graft (CABG). The HRRP applied to all acute care hospitals except the psychiatric, rehabilitation, pediatric, cancer, and critical access hospitals. In the first two years, only readmissions for heart attack, heart failure, and pneumonia and also were added chronic obstructive pulmonary disease (COPD) and elective hip replacement and knee replacement. The Hospital Value-Based Purchasing (VBP) Program is a Centers for Medicare & Medicaid Services (CMS) initiative that rewards acute-care hospitals with incentive payments for the quality of care they provide to Medicare beneficiaries. National patient readmissions within 30 days by age provides nationally representative information on hospital readmissions for all ages who were readmitted to the hospital within 30 days of discharge. The dataset on Readmission rates provides information on nationwide hospital readmissions within 30 days of discharge by gender, patient residence, payer, zip code, median income and readmissions payment adjustment factors.

**Benefits**
- Useful for doctors, medical health planners, policy makers, patients, medical research groups and medical students. hospital readmissions reduction program (hrrp) and readmissions and deaths database is available on centers for medicare & medicaid services website in raw form, whereas a john snow labs (jsl) customer gets it in a clean and normalized form ready to use and create his own custom reports. easy to comprehend for the customers who are unfamiliar with the medical terminologies as all abbreviated terms are replaced with full form, unlike centers for medicare & medicaid services (cms) original datasets which have many abbreviations. recent dataset for 2018 is available for use.

**License Information**
The use of John Snow Labs datasets is free for personal and research purposes. For commercial use please subscribe to the [Data Library](https://www.johnsnowlabs.com/marketplace/) on John Snow Labs website. The subscription will allow you to use all John Snow Labs datasets and data packages for commercial purposes.

**Included Datasets**
- [Hospital Excess Readmissions Reduction Program](https://www.johnsnowlabs.com/marketplace/hospital-excess-readmissions-reduction-program)
- This dataset is about Medicare payments reductions for Inpatient Prospective Payment System hospitals with excess readmissions, which started in In October 2012. Excess readmissions are measured by a ratio, by dividing a hospital’s number of “predicted” 30-day readmissions for heart attack, heart failure, and pneumonia by the number that would be “expected,” based on an average hospital with similar patients. A ratio greater than 1 indicates excess readmissions.
- [Hospital Value Based Purchasing Program Actual Payment Adjustment](https://www.johnsnowlabs.com/marketplace/hospital-value-based-purchasing-program-actual-payment-adjustment)
- The Hospital Value-Based Purchasing (VBP) Program is a Centers for Medicare & Medicaid Services (CMS) initiative that rewards acute-care hospitals with incentive payments for the quality of care they provide to Medicare beneficiaries. It contains the actual payment adjustment factors under the Hospital VBP Program for FY 2019 & FY 2020.
- [Hospital Value Based Purchasing Program](https://www.johnsnowlabs.com/marketplace/hospital-value-based-purchasing-program)
- The Hospital Value-Based Purchasing (VBP) Program dataset is a Centers for Medicare & Medicaid Services (CMS) initiative that rewards acute-care hospitals with incentive payments for the quality of care they provide to Medicare beneficiaries. It contains updated proxy adjustment factors under the Hospital VBP Program that were calculated using historical baseline and performance periods.
- [Maryland Potentially Avoidable Utilization Savings Policy 2015](https://www.johnsnowlabs.com/marketplace/maryland-potentially-avoidable-utilization-savings-policy-2015)
- This dataset includes Maryland Health Services Cost Review Commission (HSCRC) which operates a Potentially Avoidable Utilization (PAU) savings policy as part of its portfolio of value-based payment policies. The PAU savings policy is intentionally designed to assure savings to payers.
- [Maryland Readmission Reduction Incentive Program for RY 2014-2015](https://www.johnsnowlabs.com/marketplace/maryland-readmission-reduction-incentive-program-for-ry-2014-2015)
- This dataset comprises Maryland Readmissions Reduction Incentive Program (RRIP) incentivizes hospitals to reduce avoidable readmissions by linking rewards and penalties to improvements in readmissions rates. The RRIP began to impact hospital revenue starting in Rate Year 2016, with the first performance year of Calendar Year 2014.
- [Readmissions Payment Adjustment Factors](https://www.johnsnowlabs.com/marketplace/readmissions-payment-adjustment-factors)
- This dataset states the factors that are to be used for Readmissions Payment Adjustments based on the FY 2017 to FY 2022 and would be used for proposed payments for FY 2017 to FY 2021 discharges, as discussed in the FY 2021 IPPS/LTCHPPS proposed rule.
- [Readmissions and Deaths by Hospital](https://www.johnsnowlabs.com/marketplace/readmissions-and-deaths-by-hospital)
- This dataset includes provider data for the hospital return days (or excess days in acute care) measures and the 30-day readmission measures, the unplanned readmissions measures, and the rate of unplanned hospital visits after an outpatient colonoscopy.
- [Readmissions and Deaths by National](https://www.johnsnowlabs.com/marketplace/readmissions-and-deaths-by-national)
- This dataset includes national-level data for the hospital return days (or excess days in acute care) measures and the 30-day readmission measures, the unplanned readmissions measures, and the rate of unplanned hospital visits after an outpatient colonoscopy.
- [Readmissions and Deaths by State](https://www.johnsnowlabs.com/marketplace/readmissions-and-deaths-by-state)
- This dataset includes state-level data for the hospital return days (or excess days in acute care) measures and the 30-day readmission measures, the unplanned readmissions measures, and the rate of unplanned hospital visits after an outpatient colonoscopy.

**Data Engineering Overview**
**We deliver high-quality data**
- Each dataset goes through 3 levels of quality review
- 2 Manual reviews are done by domain experts
- Then, an automated set of 60+ validations enforces every datum matches metadata & defined constraints
- Data is normalized into one unified type system
- All dates, unites, codes, currencies look the same
- All null values are normalized to the same value
- All dataset and field names are SQL and Hive compliant
- Data and Metadata
- Data is available in both CSV and Apache Parquet format, optimized for high read performance on distributed Hadoop, Spark & MPP clusters
- Metadata is provided in the open Frictionless Data standard, and its every field is normalized & validated
- Data Updates
- Data updates support replace-on-update: outdated foreign keys are deprecated, not deleted

**Our data is curated and enriched by domain experts**

Each dataset is manually curated by our team of doctors, pharmacists, public health & medical billing experts:
- Field names, descriptions, and normalized values are chosen by people who actually understand their meaning
- Healthcare & life science experts add categories, search keywords, descriptions and more to each dataset
- Both manual and automated data enrichment supported for clinical codes, providers, drugs, and geo-locations
- The data is always kept up to date – even when the source requires manual effort to get updates
- Support for data subscribers is provided directly by the domain experts who curated the data sets
- Every data source’s license is manually verified to allow for royalty-free commercial use and redistribution.

**Need Help?**
If you have questions about our products, contact us at [[e-mail]](mailto:[e-mail]).

**概述**
本数据包包含医院再入院、死亡情况以及医院超额再入院减少计划（Hospital Excess Readmission Reduction Program）的相关信息，还涵盖2017年至2018年医院基于价值的采购计划（Hospital Value-Based Purchasing Program）的数据。其包含按年龄、性别、患者居住地、支付方、邮政编码及中位收入划分的再入院率数据集。

**描述**
本数据包包含各医院的再入院与死亡数据，涉及因任何医疗状况（包括心肌梗死（AMI）、心力衰竭（HF）、肺炎、慢性阻塞性肺疾病（COPD）及中风）住院出院后30天内非计划再次入院至任何急性护理医院的情况；同时包含髋关节/膝关节置换术及冠状动脉旁路移植术（CABG）等外科手术相关数据。医院超额再入院减少计划（HRRP）适用于所有急性护理医院，但精神病院、康复医院、儿科医院、癌症医院及急救医院除外。计划实施初期两年仅覆盖心肌梗死、心力衰竭及肺炎的再入院情况，后续新增慢性阻塞性肺疾病（COPD）、择期髋关节置换术及膝关节置换术的相关数据。医院基于价值的采购计划（VBP）是美国医疗保险和医疗补助服务中心（Centers for Medicare & Medicaid Services, CMS）发起的一项举措，旨在通过激励性支付奖励为医疗保险受益人提供优质护理的急性护理医院。全国各年龄段患者30天内再入院数据集提供了具有全国代表性的、出院后30天内再次入院的所有年龄段患者的医院再入院信息。再入院率数据集提供了全国范围内按性别、患者居住地、支付方、邮政编码、中位收入及再入院支付调整因子划分的医院30天内再入院信息。

**优势**
- 对医生、医疗健康规划师、政策制定者、患者、医学研究团队及医学生均具有实用价值。
- 医院超额再入院减少计划（HRRP）及再入院与死亡数据库在CMS网站上以原始形式提供，而John Snow Labs（JSL）客户可获取清洁且标准化的即用格式，便于创建自定义报告。
- 对于不熟悉医疗术语的客户而言易于理解：所有缩写术语均替换为完整形式，与CMS原始数据集中大量使用缩写的情况不同。
- 提供2018年最新数据集供使用。

**许可信息**
John Snow Labs数据集的使用对个人及研究用途免费。商业用途请订阅John Snow Labs网站上的[数据图书馆](https://www.johnsnowlabs.com/marketplace/)。订阅后您可将所有John Snow Labs数据集及数据包用于商业用途。

**包含数据集**
- [医院超额再入院减少计划](https://www.johnsnowlabs.com/marketplace/hospital-excess-readmissions-reduction-program)
- 本数据集涉及医疗保险对住院患者预期支付系统（Inpatient Prospective Payment System）内存在超额再入院情况医院的支付削减，该政策于2012年10月启动。超额再入院通过比率衡量：将医院针对心肌梗死、心力衰竭及肺炎的“预测”30天再入院数量除以基于相似患者群体的平均医院“预期”数量。比率大于1表明存在超额再入院。
- [医院基于价值的采购计划实际支付调整](https://www.johnsnowlabs.com/marketplace/hospital-value-based-purchasing-program-actual-payment-adjustment)
- 医院基于价值的采购计划（VBP）是CMS发起的举措，旨在通过激励性支付奖励为医疗保险受益人提供优质护理的急性护理医院。本数据集包含2019财年及2020财年医院VBP计划下的实际支付调整因子。
- [医院基于价值的采购计划](https://www.johnsnowlabs.com/marketplace/hospital-value-based-purchasing-program)
- 医院基于价值的采购计划（VBP）数据集是CMS发起的举措，旨在通过激励性支付奖励为医疗保险受益人提供优质护理的急性护理医院。本数据集包含医院VBP计划下使用历史基线及绩效期计算的更新代理调整因子。
- [马里兰州2015年潜在可避免利用节约政策](https://www.johnsnowlabs.com/marketplace/maryland-potentially-avoidable-utilization-savings-policy-2015)
- 本数据集包含马里兰州卫生服务成本审查委员会（HSCRC）实施的潜在可避免利用（PAU）节约政策，该政策是其基于价值的支付政策组合的一部分，旨在确保支付方获得节约。
- [马里兰州2014-2015费率年度再入院减少激励计划](https://www.johnsnowlabs.com/marketplace/maryland-readmission-reduction-incentive-program-for-ry-2014-2015)
- 本数据集包含马里兰州再入院减少激励计划（RRIP），该计划通过将奖惩与再入院率改善挂钩，激励医院减少可避免再入院。RRIP于2016费率年度开始影响医院收入，首个绩效期为2014日历年。
- [再入院支付调整因子](https://www.johnsnowlabs.com/marketplace/readmissions-payment-adjustment-factors)
- 本数据集列出2017至2022财年再入院支付调整所用因子，将用于2017至2021财年出院患者的拟议支付，如2021财年IPPS/LTCHPPS拟议规则中所述。
- [按医院划分的再入院与死亡数据](https://www.johnsnowlabs.com/marketplace/readmissions-and-deaths-by-hospital)
- 本数据集包含医院返回天数（或急性护理超额天数）指标、30天再入院指标、非计划再入院指标及门诊结肠镜检查后非计划医院就诊率的医疗服务提供者数据。
- [按全国划分的再入院与死亡数据](https://www.johnsnowlabs.com/marketplace/readmissions-and-deaths-by-national)
- 本数据集包含医院返回天数（或急性护理超额天数）指标、30天再入院指标、非计划再入院指标及门诊结肠镜检查后非计划医院就诊率的全国层面数据。
- [按州划分的再入院与死亡数据](https://www.johnsnowlabs.com/marketplace/readmissions-and-deaths-by-state)
- 本数据集包含医院返回天数（或急性护理超额天数）指标、30天再入院指标、非计划再入院指标及门诊结肠镜检查后非计划医院就诊率的州层面数据。

**数据工程概述**
**我们提供高质量数据**
- 每个数据集经过3层质量审核
- 由领域专家完成2次人工审核
- 随后通过60多项自动化验证确保每条数据符合元数据及定义约束
- 数据标准化为统一类型系统
- 所有日期、单位、编码、货币格式一致
- 所有空值标准化为同一值
- 所有数据集及字段名称符合SQL和Hive标准
- 数据与元数据
- 数据以CSV和Apache Parquet格式提供，针对分布式Hadoop、Spark及MPP集群优化了读取性能
- 元数据遵循开放式无摩擦数据标准，每个字段均经过标准化与验证
- 数据更新
- 数据更新支持更新替换机制：过时外键标记为废弃而非删除

**我们的数据由领域专家精心整理与增强**

每个数据集均由我们的医生、药剂师、公共卫生与医疗计费专家团队人工整理：
- 字段名称、描述及标准化值由真正理解其含义的专业人员选定
- 医疗健康与生命科学专家为每个数据集添加类别、搜索关键词、描述等信息
- 支持针对临床编码、医疗服务提供者、药物及地理位置的人工与自动化数据增强
- 数据始终保持最新——即使来源更新需人工操作
- 数据订阅用户支持由整理数据集的领域专家直接提供
- 每个数据源的许可均经过人工验证，允许免版税商业使用及再分发

**需要帮助？**
如对我们的产品有疑问，请联系我们：[[e-mail]](mailto:[e-mail])