Relationship Between Stress Rankings and the Overall Hospital Star Ratings: An Analysis of 150 Cities in the United States | Health Care Economics, Insurance, Payment | JAMA Internal Medicine | JAMA Network
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Research Letter
January 2017

Relationship Between Stress Rankings and the Overall Hospital Star Ratings: An Analysis of 150 Cities in the United States

Author Affiliations
  • 1Center for Health Policy & Health Services Research, Henry Ford Health System, Detroit, Michigan
JAMA Intern Med. 2017;177(1):136-137. doi:10.1001/jamainternmed.2016.7068

The Centers for Medicare & Medicaid Services (CMS) recently released an Overall Hospital Quality Star Rating on its Hospital Compare website.1 Large, teaching, and disproportionate-share hospitals were more likely to have lower star ratings, consistent with prior work examining hospital rates of readmission, surgical mortality, and hospital-acquired infection.2-4 These studies have focused on characteristics of hospitals, patients, and recently, communities in which hospitals are located5 as predictors of hospital quality. The goal of this study was to use a recently released “stress” ranking of 150 US cities as a community characteristic and explore associations with the hospital star ratings.

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