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CMS Hospital Compare Star Rating SAS Pack Replica


Introduction

The initial goal is to reimplement the SAS-Pack for the CMS Hospital Compare Overall Star Rating as posted on https://www.qualitynet.org. During the reimplementation, two major issues have been found:

  • CMS's SAS Pack, which implements the k-means clustering with ONE iteratrion, failed to converge. This leads to ~ 1/4 hospitals receiving an incorrect star rating.

  • CMS's Latent Variable Model (LVM), which uses a Gaussian quadrature approximation with 30 qpoints, failed to approach the integral of the objective function. This also leads to hundreds of hospitals receiving an incorrect star rating.


Installation

require(devtools); # Install the package devtools if you didn't do so.
devtools::install_github("huangrh/rstarating");
devtools::install_github("huangrh/relvm");
devtools::install_github("huangrh/rclus");
require(rstarating); require(relvm); require(rclus)


To replicate the original sas pack (use the data from october 2016)

See https://github.com/huangrh/rstarating

License

GPL(3)

For a Python user:

hydrus is developed in parallel. It runs in less than a minute.

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