Tallahassee Memorial HealthCare, Inc., Submitted Incomplete Quality Measure Data to CMS

Tallahassee Memorial Health Care, Inc. (the Hospital) submitted quality measure data that was not always complete. Specifically, the Hospital submitted incomplete data for pneumonia cases. These errors occurred because of an undetected coding error in the Hospital's database. In addition, the Hospital did not have sufficient written policies and procedures necessary for effective controls over quality measure data submissions. As a result, the Hospital's information available to the public on the HospitalCompare Web site was not always reliable.