Payer-Based Fee-Schedule
A fee schedule that lists the maximum payment an insurance company will allow for specific services.
A fee schedule that lists the maximum payment an insurance company will allow for specific services.
The cost information was collected by the State of Maine's all-payer claims database (APCD) and represents claims from April 1, 2021 - March 31, 2022.
Except for Patient Survey results, which is displayed on a five-bar scale, the quality data on CompareMaine are displayed using a three-bar icon. More bars are better. The more bars a facility has, the better they did at creating a positive patient experience, preventing serious complications, and preventing healthcare-associated infections.
Patient Experience uses data from the Hospital CAHPS. The Hospital CAHPS data are from October 1, 2020 – September 30, 2021. The MHDO is currently exploring options for updating the Patient-Centered Medical Homes and CG CAHPS patient experience data for a future release. Read more about this data and the methodology
Preventing Serious Complications uses data from the Federal Agency for Health Research & Quality's Patient Safety Indicators collected during July 1, 2018 – December 31, 2019. A facility's rating is the rate per 1,000 eligible hospital discharges. A lower number is better. Read more about this data and the methodology
Preventing Healthcare-Associated Infections uses data collected by the Federal Centers for Disease Control (CDC) for the October 1, 2020 – September 30, 2021 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.
CompareMaine reports performance ratings using Standardized Infection Ratio (SIR), which is a statistic used to track healthcare associated infections over time. A SIR greater than 1.0 means that there were more HAIs in a facility than were predicted. A SIR lower than 1.0 indicates the facility had fewer HAIs than were predicted. Read more about this data and the methodology
Preventing Falls with Injury uses data that Maine hospitals have submitted to the Maine Health Data Organization for the reporting period October 1, 2020 – September 30, 2021. A facility’s rating is based on the number of hospital patient falls with minor or serious injury per 1,000 patient days. A lower number is better. Read more about this data and the methodology
Preventing Pressure Ulcers uses data that Maine hospitals have submitted to the Maine Health Data Organization for the reporting period October 1, 2020 – September 30, 2021. Once every three months, hospitals perform a thorough skin examination of every patient in each adult inpatient acute care unit. A facility’s rating is the percentage of those patients who had a stage 2-or-greater pressure ulcer. A lower number is better. Read more about this data and the methodology
Unplanned Hospital-Wide Readmissions uses data collected by the Centers for Medicare & Medicaid Services (CMS) for the reporting period July 1, 2020 – June 30, 2021. 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. Read more about this data and the methodology