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Health System Performance

CHIA monitors and reports on a wide variety of health care indicators in Massachusetts to help legislators, policymakers, payers, and providers improve quality, affordability, access, and outcomes in the health care system.

The Annual Report on the Performance of the Massachusetts Health Care System serves as the basis for ongoing review of the health care market and for measuring the progress of the state’s cost containment efforts. It includes the Commonwealth’s Total Health Care Expenditures calculation along with several other key indicators.

Standard Statistics is a set of health care metrics that measure the performance of the Massachusetts health care system. Taken from its unique data sets, CHIA presents statistics on health care spending, insurance coverage, and acute hospital financial performance and utilization. These measures were chosen for their ability to help track cost and quality trends over time and their well-defined methodology.  For each Standard Statistic, CHIA offers the most recently available findings along with the underlying data and information on the methodology used.

CHIA publishes Massachusetts Hospital Profiles that contain financial health metrics and quality metrics for individual hospitals. This publication also includes financial information for each of the multi-acute hospital systems in the Commonwealth.

Hospital readmissions are a central issue in efforts to improve health care quality and reduce costs. Readmissions being a costly and potentially preventable problem that impacts patient health and experience of care both nationally and in Massachusetts.

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(What is this?)

The 2019 Annual Report on the Performance of the Massachusetts Health Care System includes a final calculation of the Commonwealth’s 2017 Total Health Care Expenditures (THCE) and an initial calculation of 2018 THCE. THCE is a measure of total statewide health care spending in the Commonwealth.

The report also includes information from public and private sources related to specific health care expenditures for Massachusetts residents, quality of care in the Commonwealth compared to national performance, enrollment and coverage trends, premiums and member cost-sharing, and payer use of funds. Read more....

(What is this?)

Nursing facilities serve an important role in the continuum of health care services in Massachusetts. To better understand this component of the health care system, CHIA's initial report in this aspect of the Massachusetts health care system examines the Commonwealth's nursing facilities at an industry level, as well as by analytic cohorts, on measures of utilization, financial performance, and quality of care over a five-year period (2013–2017) Read more....

(What is this?)

CHIA identifies, calculates, disseminates, and maintains a specific set of standard statistics that measure the performance of the Massachusetts health care system. This information is derived from CHIA's unique data sets or other reliable sources. Read More

(What is this?)

Hospital readmissions are a central issue in working to improve health care quality and reduce costs. Readmissions are a costly and potentially preventable problem that impacts health care both nationally and in Massachusetts. CHIA's  most recent report Hospital-Wide Adult All-Payer Readmissions in Massachusetts: SFY 2011-2018, released in December 2019, takes a statewide look at readmissions in Massachusetts acute care hospitals, giving insights into statewide, regional, and hospital-specific readmission rates. The Hospital Readmissions Profiles series includes an online application for researching specific Massachusetts hospital readmission data.  Emergency Department Visits After Inpatient Discharge examines emergency department revisits to acute care hospitals within 30 days of an inpatient discharge and Behavioral Health and Readmissions in Massachusetts Acute Care Hospitals continues examining the prevalence of behavioral health comorbidities and readmissions. Read more...