The portion of the payment that covers expenses associated with the services provided by physicians, suppliers, and non-institutional providers. This component comes from a CMS 1500 claim form, which is used to submit billing information for healthcare services or procedures provided. The professional component may also be referred to as a professional fee.
The cost information was collected by the State of Maine's All-Payer Claims Database (APCD) and represents claims from April 1, 2022 - March 31, 2023. Read more about the data and the methodology
The Five-Star Overall Hospital Quality Rating is a summary of multiple measures of quality into a single star rating for each hospital, based on data submitted to the Centers for Medicare & Medicaid Services (CMS) and compared to hospitals nationally. Reported on a five-star scale, this rating shows how well a hospital performs across different areas of quality, such as treating heart attacks and pneumonia, readmission rates, safety of care, and patient experience. The reporting period is April 1, 2021 – March 31, 2022.
The Patient Experience Survey Ratings are based on the HCAHPS Patient Survey, a Centers for Medicare & Medicaid Services (CMS) and Agency for Healthcare Research and Quality (AHRQ) national survey that is administered to a random sample of adult patients within 48 hours to 6 weeks after discharge from a hospital. Reported on a five-bar scale, with each bar representing a star in the CMS Patient Survey Rating, the ratings reflect how satisfied patients are with their hospital experience and the overall quality of care received. The reporting period is April 1, 2022 – March 31, 2023.
All other measures of quality on CompareMaine are displayed using a three-bar icon to visualize when performance is below, at, or above the state average. More bars means better performance, with three bars indicating the best, and fewer bars mean worse performance.
Preventing Serious Complications measures how likely it is that patients will have complications while in the hospital or after having certain tests or surgeries. The score uses ten Patient Safety Indicators from the AHRQ collected July 1, 2020 – June 30, 2022. A facility's rating is the rate per 1,000 eligible hospital discharges. A lower number is better.
Preventing Healthcare-Associated Infections measures how often patients in the hospital can get certain serious infections that could have likely been prevented. Data for these measures come from the Centers for Disease Control and Prevention (CDC) and covers the April 1, 2022 – March 31, 2023 reporting period. A facility's rating is the ratio of the number of infections in a facility over the expected number of infections. A lower number is better.
Preventing Falls with Injury measures the number of patients per 1,000 patient days who suffered any minor or serious injury from a fall in the hospital. This measure uses data that Maine hospitals have submitted to the Maine Health Data Organization for the reporting period January 1, 2022 – December 31, 2022. A lower number is better.
Preventing Pressure Ulcers measures how well hospitals prevent pressure sores or bed sores that can lead to serious infection. This measure uses data that Maine hospitals have submitted to the Maine Health Data Organization for the reporting period January 1, 2022 – December 31, 2022. A lower number is better.
Unplanned Hospital-Wide Readmissions measures how well hospitals prevent patients from being re-admitted within 30 days after being discharged from a hospital stay. This measure uses data from CMS for the reporting period July 1, 2021 – June 30, 2022. A facility’s rating is based on the percentage of Medicare patients, age 65 and older who had an unplanned readmission to the hospital within 30 days of being treated and released from an earlier hospital stay. The scores are risk-adjusted, meaning they account for a patient’s age and how sick they were when they were hospitalized. A lower number is better.