The MSPB Hospital measure evaluates hospitals’ risk-adjusted episode costs relative to the risk-adjusted episode costs of the national median hospital. Specifically, the MSPB Hospital measure assesses the cost to Medicare for Part A and Part B services performed by hospitals and other healthcare providers during an MSPB Hospital episode, which is comprised of the periods 3-days prior to, during, and 30-days following a patient’s hospital stay. The MSPB Hospital measure is not condition specific and uses standardized prices when measuring costs. Beneficiary populations eligible for the MSPB Hospital calculation include Medicare beneficiaries enrolled in Medicare Parts A and B who were discharged between January 1 and December 1 in a calendar year from short-term acute hospitals paid under the Inpatient Prospective Payment System (IPPS).
- Measure TypeElectronic Clinical Quality Measure (eCQM)Level Of AnalysisCare SettingTesting Data Sources
- Measure StructureResource Use Measure TypeNon Condition SpecificBrief Description Of Measure Clinical Logic
Objective: The MSPB Hospital measure aims to improve care coordination and care quality in the period between 3 days prior to an acute inpatient hospital admission through the period 30 days after discharge.
Clinical Topic Area: Inpatient Admissions, all conditions
Accounting for Comorbidities: Application of a variant of the CMS-HCC risk adjustment model. The model includes a full set of interaction terms between comorbidities and MDC of the index admission, as well as a select number of interaction terms between comorbidities.
Measure of Episode Severity: Risk adjustment model includes indicators for the MS-DRG of the index admission.
Concurrency of Clinical Events. The MSPB Hospital episode spans the period 3 days prior to the index hospital admission through 30-days post-discharge. All Medicare Part A and B claim-based events initiated during this period are included in the MSPB Hospital episode.Measure Selection AttributesNational Quality Strategy PrioritiesAffordable CareCost/Resource Use
- Risk Adjustment
- Current or planned use(s)Current Use(s)Planned Use
- Most Recent Endorsement ActivityEndorsed Cost and Efficiency Fall Cycle 2020Initial EndorsementNext Planned Maintenance ReviewCost and Efficiency Fall 2024Endorsement StatusLast Updated