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 <subject>Data collection</subject>
 <subject>Data integrity</subject>
 <subject>Hospitals</subject>
 <subject>Medical records</subject>
 <subject>Performance measures</subject>
 <subject>Quality assurance</subject>
 <subject>Quality control</subject>
 <subject>Reporting requirements</subject>
 <subject>Statistical data</subject>
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 <title>Hospital Quality Data: CMS Needs More Rigorous Methods to Ensure Reliability of Publicly Released Data</title>
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<abstract>The Medicare Modernization Act of 2003 directed that hospitals
lose 0.4 percent of their Medicare payment update if they do not 
submit clinical data for both Medicare and non-Medicare patients 
needed to calculate hospital performance on 10 quality measures. 
The Centers for Medicare &amp; Medicaid Services (CMS) instituted the
Annual Payment Update (APU) program to collect these data from	 
hospitals and report their rates on the measures on its Hospital 
Compare Web site. For hospital quality data to be useful to	 
patients and other users, they need to be reliable, that is,	 
accurate and complete. GAO was asked to (1) describe the	 
processes CMS uses to ensure the accuracy and completeness of	 
data submitted for the APU program, (2) analyze the results of	 
CMS&apos;s audit of the accuracy of data from the program&apos;s first two 
calendar quarters, and (3) describe processes used by seven other
organizations that assess the accuracy and completeness of	 
clinical performance data.</abstract>
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 <topic>Data collection</topic>
 <topic>Data integrity</topic>
 <topic>Hospitals</topic>
 <topic>Medical records</topic>
 <topic>Performance measures</topic>
 <topic>Quality assurance</topic>
 <topic>Quality control</topic>
 <topic>Reporting requirements</topic>
 <topic>Statistical data</topic>
 <topic>Program implementation</topic>
 <topic>Annual Payment Update Program</topic>
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  <partNumber>Volume 117 Page 2066</partNumber>
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