Quality Measures & Reports

Quality Measures & Reports at Mount Auburn Hospital

When you or a loved one need medical attention, you want the highest-quality care possible. You can assess how well hospitals provide recommended care by reviewing standardized measures of quality. With that information in hand, you can make better-informed decisions about healthcare for you and your family.

How Do You Measure Healthcare Quality?

Quality measures gauge processes, outcomes, patient perceptions and systems associated with exceptional care. Learn more about each type of metric:

• Process measures: These show the actions providers take to help you maintain or improve health (i.e., the percentage of heart attack patients given aspirin at discharge).
• Outcome measures: These reflect the impact of healthcare services on your health (i.e., the rate of complications following total knee replacement surgery).
• Patient experience measures: These reveal patients’ perceptions of the care they received (i.e., patients who report that their nurses always communicated well).
• Structural measures: These provide a sense of our capacity, systems and processes (i.e., using a computerized physician order entry system to reduce the risk of serious medication errors).

How Do You Compare Health Care Quality?

Whenever possible, we compare our performance to state and/or national benchmarks. Most of this national data is available to the general public through Hospital Compare, a consumer website created by the Centers for Medicare & Medicaid Services. Patients can also access this information through The Joint Commission, the nation’s oldest and largest standards-setting and accrediting body in healthcare.

COVID-19 and Quality Measure Data

Due to the extreme and unprecedented challenges that the COVID-19 pandemic created for hospitals, it is not possible to accurately capture quality measure data from 2020 or 2021. For these reasons, a hiatus of data collection has also been implemented by leading quality and patient safety organizations across the country, including the Centers for Medicare and Medicaid Services (CMS). Some measure may have truncated data periods to remove data impacted by the pandemic.

We resumed regular public posting of quality and patient safety data in 2022.