Could it be that when it comes to the Centers for Medicare and Medicaid’s (CMS) star rating system, no hospital is an island? Some researchers are wondering just that, after finding a high correlation between a city’s level of “stress” among residents and lower overall ratings for local hospitals.
The report, published as a research letter in the November 28 edition of JAMA Internal Medicine (abstract only available for free), compares CMS hospital ratings with the results of arecent study that compiled demographic, health, and financial data on residents of 150 cities across the US. The CMS star system, posted at its Hospital Compare website, bases its ratings on factors such as readmission rates, surgical mortality, and hospital-acquired infection. The stress study, sponsored by WalletHub, looked at 5 categories of stress: work, money, family, health/safety, and coping mechanisms. Using data that touched on a range of issues including, among others, poverty levels, divorce rates, suicide rates, average hours of sleep per night, binge drinking, and number of psychologists per capita, WalletHub researchers assigned an overall “stress level” score to each city.