New Hospital Quality Measures from CMS: What Patients Should Know

CMS (Centers for Medicare & Medicaid Services) continuously evolves its hospital quality measurement program, adding new measures and refining existing ones to give patients better information about hospital performance. Understanding these changes helps patients make more informed healthcare decisions.

Recent Additions to Hospital Quality Measurement

CMS has introduced several new quality measures that expand how hospitals are evaluated:

  • Health equity measures: New metrics assess how well hospitals provide equitable care across different patient demographics
  • Patient-reported outcomes: Expanded measurement of how patients feel and function after hospital treatment
  • Electronic clinical quality measures (eCQMs): Digital reporting enables more accurate and timely quality data collection from electronic health records
  • Maternal health measures: New metrics track cesarean section rates, severe maternal morbidity, and postpartum care quality
  • Behavioral health integration: Measures evaluating how well hospitals screen for and address mental health needs

Why Quality Measures Change

CMS updates quality measures for several important reasons:

  • Medical science advances create new evidence-based standards
  • National priorities shift to address emerging health challenges
  • Stakeholder feedback identifies gaps in current measurement
  • Technology improvements enable better data collection
  • Older measures that have achieved "topped out" performance are retired

Impact on Hospital Star Ratings

New quality measures can affect hospital star ratings in several ways:

  • Additional measures provide a more complete picture of hospital quality
  • Hospitals that excel in newly measured areas may see rating improvements
  • Some hospitals may need time to optimize performance on new measures
  • The overall rating methodology is adjusted when new measures are incorporated

What This Means for Patients

As CMS adds new quality measures, patients gain access to richer information for comparing hospitals. To stay current:

  • Regularly check Medicare Care Compare for the latest available measures
  • Look for newly reported data points when researching hospitals
  • Ask your healthcare provider about hospital quality in areas that matter most for your condition
  • Follow CMS announcements about upcoming measurement changes

Data sourced from CMS. Quality measures are updated periodically. Visit Medicare Care Compare or call 1-800-MEDICARE for current data.

Disclaimer: This article is for informational purposes only and does not constitute medical advice.

Important

This article explains how hospital quality data works and is for general information only. It is not medical advice and must not be used to decide whether to seek, delay or refuse care — that is a decision for you and a clinician who knows your situation.

CMS quality measures describe care delivered during earlier reporting periods and are refreshed roughly quarterly. A hospital's staffing, services and performance can change well before the published numbers do.

hospiguide.org is not affiliated with, endorsed by, or connected to CMS, Medicare, or any U.S. government agency, and publishes no ratings of its own.

Before acting on anything here, verify current details at Medicare.gov Care Compare or call 1-800-MEDICARE (1-800-633-4227), TTY 1-877-486-2048.

HospiGuide.org Editorial Team

Our editorial team explains U.S. hospital quality data using official CMS datasets and government publications. We are not medical professionals, we do not recommend hospitals, and we accept no payment for coverage. Every factual claim is checked against a CMS or federal source. Read our editorial policy.

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