{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,18]],"date-time":"2026-05-18T16:49:42Z","timestamp":1779122982258,"version":"3.51.4"},"reference-count":19,"publisher":"Wiley","issue":"3","license":[{"start":{"date-parts":[[2024,10,21]],"date-time":"2024-10-21T00:00:00Z","timestamp":1729468800000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0\/"}],"funder":[{"DOI":"10.13039\/100005227","name":"Centers for Medicare and Medicaid Services","doi-asserted-by":"publisher","id":[{"id":"10.13039\/100005227","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["shmpublications.onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Journal of Hospital Medicine"],"published-print":{"date-parts":[[2025,3]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Background\/Objective<\/jats:title><jats:p>The Centers for Medicare &amp; Medicaid Services (CMS) Overall Hospital Quality Star Rating, established in 2016, is a summary of publicly available quality information for acute care hospitals. In July 2023, Veterans Health Administration (VHA) hospitals became eligible to receive a CMS Overall Hospital Quality Star Rating for the first time. Our objective was to compare performance in quality ratings among VHA and non\u2010VHA hospitals.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>We used the hospital quality measure scores posted to Care Compare on <jats:ext-link xmlns:xlink=\"http:\/\/www.w3.org\/1999\/xlink\" xlink:href=\"http:\/\/Medicare.gov\">Medicare.gov<\/jats:ext-link> as of January 2023 as our primary data set. We conducted a pair of analyses to characterize the performance of VHA hospitals compared to non\u2010VHA hospitals: an overall analysis including all rated hospitals, and a matched analysis in which only a single nearby hospital was included for each VHA hospital.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Of the 4518 non\u2010VHA hospitals, 2962 (65.6%) received a Star Rating, compared to 114 (84%) of 136 VHA hospitals. VHA hospitals tended to receive higher ratings overall (one\u2010star: 8%; two\u2010star: 11%; three\u2010star: 14%; four\u2010star: 35%; five\u2010star: 32%) than non\u2010VHA (one\u2010star: 8%; two\u2010star: 22%; three\u2010star: 29%; four\u2010star: 26%; five\u2010star: 15%). A similar pattern was observed in the matched analysis.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>VHA hospitals tended to perform better on the Overall Star Rating compared to non\u2010VHA hospitals, as evidenced by being more likely to receive a four\u2010 or five\u2010star rating. The eligibility of VHA hospitals to receive an Overall Star Rating signifies an important addition to the program that will allow Veterans to make more informed healthcare decisions.<\/jats:p><\/jats:sec>","DOI":"10.1002\/jhm.13523","type":"journal-article","created":{"date-parts":[[2024,10,22]],"date-time":"2024-10-22T02:49:21Z","timestamp":1729565361000},"page":"258-265","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":3,"title":["Inclusion of Veterans Health Administration hospitals in Centers for Medicare &amp; Medicaid Services Overall Hospital Quality Star Ratings"],"prefix":"10.1002","volume":"20","author":[{"given":"Kyle","family":"Bagshaw","sequence":"first","affiliation":[{"name":"Center for Outcomes Research and Evaluation Yale New Haven Health Services Corporation New Haven Connecticut USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-6249-1023","authenticated-orcid":false,"given":"Cameron J.","family":"Gettel","sequence":"additional","affiliation":[{"name":"Center for Outcomes Research and Evaluation Yale New Haven Health Services Corporation New Haven Connecticut USA"},{"name":"Department of Emergency Medicine Yale School of Medicine New Haven Connecticut USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Li","family":"Qin","sequence":"additional","affiliation":[{"name":"Center for Outcomes Research and Evaluation Yale New Haven Health Services Corporation New Haven Connecticut USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Zhenqiu","family":"Lin","sequence":"additional","affiliation":[{"name":"Center for Outcomes Research and Evaluation Yale New Haven Health Services Corporation New Haven Connecticut USA"},{"name":"Department of Medicine Yale School of Medicine New Haven Connecticut USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Lisa G.","family":"Suter","sequence":"additional","affiliation":[{"name":"Center for Outcomes Research and Evaluation Yale New Haven Health Services Corporation New Haven Connecticut USA"},{"name":"Department of Medicine Yale School of Medicine New Haven Connecticut USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0009-0007-3971-8123","authenticated-orcid":false,"given":"Eve","family":"Rothenberg","sequence":"additional","affiliation":[{"name":"Center for Outcomes Research and Evaluation Yale New Haven Health Services Corporation New Haven Connecticut USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Prince","family":"Omotosho","sequence":"additional","affiliation":[{"name":"Center for Outcomes Research and Evaluation Yale New Haven Health Services Corporation New Haven Connecticut USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Reena","family":"Duseja","sequence":"additional","affiliation":[{"name":"United States Department of Veterans Affairs Veterans Health Administration Washington District of Columbia USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"James","family":"Krabacher","sequence":"additional","affiliation":[{"name":"United States Department of Veterans Affairs Veterans Health Administration Washington District of Columbia USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Michelle","family":"Schreiber","sequence":"additional","affiliation":[{"name":"Department of Health and Human Services Centers for Medicare &amp; Medicaid Services Baltimore Maryland USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Tyson","family":"Nakashima","sequence":"additional","affiliation":[{"name":"Department of Health and Human Services Centers for Medicare &amp; Medicaid Services Baltimore Maryland USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Raquel","family":"Myers","sequence":"additional","affiliation":[{"name":"Department of Health and Human Services Centers for Medicare &amp; Medicaid Services Baltimore Maryland USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Arjun K.","family":"Venkatesh","sequence":"additional","affiliation":[{"name":"Center for Outcomes Research and Evaluation Yale New Haven Health Services Corporation New Haven Connecticut USA"},{"name":"Department of Emergency Medicine Yale School of Medicine New Haven Connecticut USA"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2024,10,21]]},"reference":[{"key":"e_1_2_8_2_1","unstructured":"Centers for Medicare & Medicaid Services. Care Compare.2023. Accessed August 24.https:\/\/www.medicare.gov\/care-compare\/"},{"key":"e_1_2_8_3_1","unstructured":"Centers for Medicare & Medicaid Services. QualityNet.2023. Accessed August 24.https:\/\/qualitynet.cms.gov\/inpatient\/public-reporting\/overall-ratings"},{"key":"e_1_2_8_4_1","unstructured":"The effects of CMS' star ratings: 5 things hospital leaders should know. Becker's Hospital Review. December 28 2016. Accessed August 24 2023.https:\/\/www.beckershospitalreview.com\/hospital-management-administration\/the-effects-of-cms-star-ratings-5-things-hospital-leaders-should-know.html"},{"key":"e_1_2_8_5_1","doi-asserted-by":"publisher","DOI":"10.2196\/jmir.8986"},{"key":"e_1_2_8_6_1","unstructured":"U.S. Congress. (1934) United States Code: Social Security Act 42 U.S.C.1886."},{"key":"e_1_2_8_7_1","unstructured":"VenkateshAK BernheimSM QinL et al. Overall Hospital Quality Star Rating on hospital compare methodology report (v3.0). Yale New Haven Health Services Corporation\/Center for Outcomes Research & Evaluation (YNHHSC\/CORE).2017. Accessed April 21 2024.https:\/\/qualitynet.cms.gov\/files\/5d0d3a1b764be766b0103ec1?filename=Star_Rtngs_CompMthdlgy_010518.pdf"},{"key":"e_1_2_8_8_1","unstructured":"VenkateshAK BernheimSM QinL et al. Overall Hospital Quality Star Rating on hospital compare December updates and specifications report. Yale New Haven Health Services Corporation\/Center for Outcomes Research & Evaluation (YNHHSC\/CORE). 2017. Accessed April 21 2024.https:\/\/qualitynet.cms.gov\/files\/5d0d3afe764be766b0104dae?filename=StrRtg_Dec_QtrUpdtSpecRpt.pdf"},{"key":"e_1_2_8_9_1","unstructured":"LeventhalR. CMS hospital compare website updated with VA data. Healthcare Innovation. October 21 2016. 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