PPS-Exempt Cancer Hospital Quality Reporting program

PPS-Exempt Cancer Hospital Quality Reporting Program

The Social Security Amendments of 1983 exempted classified cancer hospitals from the Medicare Inpatient Prospective Payment System (IPPS). These PPS-exempt cancer hospitals were also exempted from reporting on hospital inpatient quality measures. In 2010, the Affordable Care Act required the Centers for Medicare & Medicaid Services (CMS) to establish a specialized quality reporting program for the PPS-exempt cancer hospitals. The resulting PPS-Exempt Cancer Hospital Quality Reporting (PCHQR) Program measures allow consumers to compare the quality of care given at the 11 PPS-exempt cancer hospitals currently participating in the program.

The measures publicly reported under the PCHQR Program fall into these categories:

  • Safety and healthcare-associated infections
  • Oncology care
  • Clinical effectiveness
  • Claims-based outcomes

Hospital Consumer Assessment of Healthcare Providers and Systems (HCAHPS) Survey results are also publicly reported.


PPS-exempt cancer hospital quality data – by facility

The tables below show hospital (provider) results. You can also visit Data.Medicare.gov- Opens in a new window to download the PCHQR Program- Opens in a new window datasets.

View more details about these measures- Opens in a new window


Safety and heathcare-associated infections

  • Surgical site infection (SSI) from colon surgery
  • Surgical site infection (SSI) from abdominal hysterectomy
  • Methicillin-resistant Staphylococcus Aureus (MRSA) blood infections
  • Clostridium difficile (C.diff) intestinal infections
  • Healthcare workers given influenza vaccination


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Oncology care

  • Oncology: Radiation dose limits to normal tissues
  • Oncology: Plan of care for pain
  • Oncology: Pain intensity quantified
  • Prostate cancer: Combination androgen deprivation therapy for high or very high risk patients
  • Prostate cancer: Avoidance of overuse of bone scan for staging low risk patients


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Clinical effectiveness

  • External beam radiotherapy (EBRT) for bone metastases


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Claims-based outcomes

  • Admissions and emergency department (ED) visits for patients receiving outpatient chemotherapy
    • Unplanned hospital admission rate
    • Unplanned emergency department visit rate


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Hospital Consumer Assessment of Healthcare Providers and Systems (HCAHPS) survey data - by facility

The data reporting periods are included in the embedded dataset.
Higher numbers are better for all measures.

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Hospital Consumer Assessment of Healthcare Providers and Systems (HCAHPS) survey data - by state

The data reporting periods are included in the embedded dataset.
Higher numbers are better for all measures.

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Hospital Consumer Assessment of Healthcare Providers and Systems (HCAHPS) survey data - national

The data reporting periods are included in the embedded dataset.
Higher numbers are better for all measures.

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