JCIPatientSafety.orgHospital Quality Directory

Glossary

Plain-English definitions for the acronyms and technical terms you'll see on hospital pages. Every definition here is drawn from the published CMS and CDC documentation.

30-day mortality
The share of patients who die within 30 days of admission for a specific condition (heart attack, heart failure, pneumonia, COPD, or stroke). Risk-adjusted for patient case-mix.
30-day readmission
When a patient discharged from the hospital is admitted again within 30 days. CMS risk-adjusts readmission rates so hospitals treating sicker patients are compared fairly.
C. difficile (C. diff)
Clostridioides difficile - a bacterium that causes serious diarrheal illness, often after antibiotic use in the hospital.
Case mix
The mix of patient conditions and severities a hospital treats. Comparing raw scores between hospitals with very different case mixes can be misleading - most CMS outcome measures are risk-adjusted for exactly this reason.
CAUTI
Catheter-associated urinary tract infection - a urinary tract infection tied to indwelling urinary catheter use.
CLABSI
Central-line-associated bloodstream infection - an infection that develops when a central venous catheter becomes contaminated. One of the CDC's tracked healthcare-associated infections.
CMS (Centers for Medicare & Medicaid Services)
The federal agency that runs Medicare, oversees state Medicaid programs, and publishes the hospital quality data used on this site. CMS Provider Data Catalog
Denominator / Sample
The number of eligible cases a measure is based on. Larger samples produce more statistically reliable scores; very small denominators can swing widely release to release.
ED throughput
Emergency-department timing measures, including median time from ED arrival to departure for admitted and discharged patients.
HCAHPS
Hospital Consumer Assessment of Healthcare Providers and Systems - the standardized patient-experience survey CMS uses. Covers communication with nurses and doctors, responsiveness, cleanliness, pain management, and whether patients would recommend the hospital.
MRSA
Methicillin-resistant Staphylococcus aureus - a strain of staph bacteria resistant to several common antibiotics. CMS tracks hospital-onset MRSA bloodstream infections.
Overall star rating
A 1–5 summary rating CMS calculates by combining up to 47 quality measures across five categories: mortality, safety, readmission, patient experience, and timely & effective care. Not every hospital receives a star - some report too few measures.
PSI-90 (Patient Safety Indicator composite)
AHRQ's composite of serious, potentially preventable in-hospital complications - pressure ulcers, iatrogenic pneumothorax, postoperative sepsis, and others.
Risk adjustment
A statistical method that accounts for patient characteristics (age, other diagnoses, severity) so hospitals can be compared on outcomes without penalizing those that treat sicker patients.
Sepsis bundle (SEP-1)
The share of severe-sepsis and septic-shock patients who received the recommended bundle of care (labs, antibiotics, fluids) within the target time window.
SIR (Standardized Infection Ratio)
The ratio of infections actually observed at a hospital to the number that would be predicted based on a national baseline. An SIR below 1.0 is better than expected; above 1.0 is worse.
SSI (Surgical Site Infection)
An infection at or near the surgical incision within 30 days of the procedure (up to 90 days for some implant procedures).

Last reviewed: 2026-07-14.