{
 "id": "pdc:9n3s-kdb3",
 "slug": "hospital-readmissions-reduction-program",
 "source": "provider-data",
 "title": "Hospital Readmissions Reduction Program",
 "summary": "Hospitals in the Hospital Readmissions Reduction Program and their excess readmission ratios for heart attack, heart failure, pneumonia, COPD, hip or knee replacement and bypass surgery.",
 "description": "In October 2012, CMS began reducing Medicare payments for subsection(d) hospitals with excess readmissions under the Hospital Readmissions Reduction Program (HRRP). Excess readmissions are measured by a ratio, calculated by dividing a hospital's predicted rate of readmissions for heart attack (AMI), heart failure (HF), pneumonia, chronic obstructive pulmonary disease (COPD), hip/knee replacement (THA/TKA), and coronary artery bypass graft surgery (CABG) by the expected rate of readmissions, based on an average hospital with similar patients.",
 "aliases": [
  "readmissions penalty",
  "HRRP",
  "excess readmissions",
  "readmission ratio"
 ],
 "keywords": [
  "Hospital Readmissions Reduction Program",
  "Readmissions",
  "Acute Myocardial Infarction",
  "Heart Failure",
  "Pneumonia",
  "Chronic Obstructive Pulmonary Disease",
  "Total Hip and/or Total Knee Arthroplasty",
  "Coronary Artery Bypass Graft"
 ],
 "themes": [
  "Hospitals"
 ],
 "topics": [
  "hospitals"
 ],
 "category": "Hospitals",
 "publisher": "Centers for Medicare & Medicaid Services (CMS)",
 "contact": null,
 "landing_url": "https://data.cms.gov/provider-data/dataset/9n3s-kdb3",
 "csv_url": "https://data.cms.gov/provider-data/sites/default/files/resources/a171bc36c488d3e0dc33ec63abb469a6_1770163617/FY_2026_Hospital_Readmissions_Reduction_Program_Hospital.csv",
 "api_url": "https://data.cms.gov/provider-data/api/1/datastore/query/9n3s-kdb3/0",
 "api_kind": "dkan-datastore",
 "preview_url": null,
 "dictionary_url": "https://data.cms.gov/provider-data/sites/default/files/data_dictionaries/hospital/HOSPITAL_Data_Dictionary.pdf",
 "dictionary_kind": "pdf",
 "methodology_urls": [],
 "state_column": "state",
 "row_count": 18330,
 "posted": "2026-08-13",
 "modified": "2026-01-26",
 "period_start": null,
 "period_end": null,
 "latest_period": null,
 "cadence": null,
 "next_update": null,
 "versions": [],
 "columns": [
  {
   "name": "facility_name",
   "label": "Facility Name",
   "type": "text",
   "meaning": null,
   "source": "dkan-schema"
  },
  {
   "name": "facility_id",
   "label": "Facility ID",
   "type": "text",
   "meaning": null,
   "source": "dkan-schema"
  },
  {
   "name": "state",
   "label": "State",
   "type": "text",
   "meaning": null,
   "source": "dkan-schema"
  },
  {
   "name": "measure_name",
   "label": "Measure Name",
   "type": "text",
   "meaning": null,
   "source": "dkan-schema"
  },
  {
   "name": "number_of_discharges",
   "label": "Number of Discharges",
   "type": "text",
   "meaning": null,
   "source": "dkan-schema"
  },
  {
   "name": "footnote",
   "label": "Footnote",
   "type": "text",
   "meaning": null,
   "source": "dkan-schema"
  },
  {
   "name": "excess_readmission_ratio",
   "label": "Excess Readmission Ratio",
   "type": "text",
   "meaning": null,
   "source": "dkan-schema"
  },
  {
   "name": "predicted_readmission_rate",
   "label": "Predicted Readmission Rate",
   "type": "text",
   "meaning": null,
   "source": "dkan-schema"
  },
  {
   "name": "expected_readmission_rate",
   "label": "Expected Readmission Rate",
   "type": "text",
   "meaning": null,
   "source": "dkan-schema"
  },
  {
   "name": "number_of_readmissions",
   "label": "Number of Readmissions",
   "type": "text",
   "meaning": null,
   "source": "dkan-schema"
  },
  {
   "name": "start_date",
   "label": "Start Date",
   "type": "text",
   "meaning": null,
   "source": "dkan-schema"
  },
  {
   "name": "end_date",
   "label": "End Date",
   "type": "text",
   "meaning": null,
   "source": "dkan-schema"
  }
 ],
 "caveats": [
  "The ratio compares a hospital's predicted readmissions with the expected rate for an average hospital with similar patients. It is not a raw readmission rate."
 ],
 "curated": true,
 "license": "https://www.usa.gov/publicdomain/label/1.0/",
 "detail_key": "9n3s-kdb3|2026-01-26|https://data.cms.gov/provider-data/sites/default/files/resources/a171bc36c488d3e0dc33ec63abb469a6_1770163617/FY_2026_Hospital_Readmissions_Reduction_Program_Hospital.csv",
 "checked": "2026-10-25",
 "source_name": "Provider Data Catalog"
}