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Quality Background

  • How to Use This Quality Report

Background | Disclaimer | Q & A | Fact Sheet | Quality Indicators | Avera Quality Report

How to Use This Information

What does this report tell me?

This report shows how Avera hospitals measure in quality compared to others in the study (and those not participating in the study).

What do the categories mean?

  • Avera Facility HQID Ranking - This is the scoring of compliance for this facility when compared to the 267 facilities participating in the HQID project.  The HQID is the first national pay-for-performance demonstration of its kind, designed to determine if economic incentives are effective at improving the quality of inpatient care. The project is conducted by the Centers for Medicare and Medicaid Services (CMS) and Premier, Inc.  The project leverages Premier's Perspective™ database, the largest clinical comparative database in the nation, to track hospitals’ performance in the demonstration.
  • HQID Median - This is the median of all scores of the 267 facilities participating in the HQID project.
  • HQA Median/Average - This is the average of the 1,000+ facilities who are publicly reporting quality information through the Hospital Quality Alliance.  The National Hospital Compare Report is a national quality initiative sponsored by the Hospital Quality Alliance (HQA). This Alliance is a public-private group effort that includes the Centers for Medicare and Medicaid Services (CMS) and the American Hospital Association and other nationally recognized organizations. This initiative is designed to “improve care through information to improve the quality of care provided by the nation’s hospitals by measuring and publicly reporting on that care.” We voluntarily submit data to this national database maintained by CMS for public reporting.

What is a numerator?

A numerator represents all patients in the reporting hospital who actually received the prescribed treatment indicated by a particular measure.


What is a denominator?

A denominator represents all eligible patients in the reporting hospital who should have received the prescribed treatment indicated by a particular measure.


Are the numerators and denominators of each indicator totaled by Medicare provider number?

Yes.  If hospitals submit separately to Perspective™ and are combined into one Medicare provider number, then they are combined into these numerators and denominators.