name = "Atlas Commons research objects — hospital quality surface for Northern Mariana Islands (2026)"
description = "Northern Mariana Islands's hospital quality data from CMS Care Compare, with each figure's epistemic status labeled so a consuming agent can weight it correctly: measured hospital/subtype/ownership counts; the CMS Overall Star Rating distribution (a model CMS computes, not a direct measurement); the atlas-computed state mean HCAHPS star and median measure comparisons (in-house aggregations CMS does not publish); and the interpretive boundary (these are state aggregates, not a verdict on any one hospital). Source: CMS Care Compare. CC0."
license = "CC0-1.0"
jsonld = "https://care-atlas.ryanjhunter.workers.dev/care/states/mp.jsonld"

[[claims]]
id = "https://care-atlas.ryanjhunter.workers.dev/care/states/mp/hospital-census"
warrant = "RECORDED"
name = "1 hospitals are listed in Northern Mariana Islands on CMS Care Compare (2026)"
text = "CMS Care Compare lists 1 hospitals in Northern Mariana Islands for 2026; 0 carry an Overall Star Rating and 1 do not. A census of listed hospitals."
source = "CMS Care Compare (2026)"
sourceUrl = "https://www.medicare.gov/care-compare/"
falsifier = "A RECORD of measured/reported events (occurred=true) from CMS Care Compare (2026); superseded when CMS Care Compare (2026) publishes its next release."

[[claims]]
id = "https://care-atlas.ryanjhunter.workers.dev/care/states/mp/subtype-distribution"
warrant = "RECORDED"
name = "Hospital counts by CMS facility type in Northern Mariana Islands (2026): Acute Care Hospitals 1"
text = "Counts of the 1 hospitals by CMS facility type: Acute Care Hospitals 1. A count of listed facilities per CMS type."
source = "CMS Care Compare (2026)"
sourceUrl = "https://www.medicare.gov/care-compare/"
falsifier = "A RECORD of measured/reported events (occurred=true) from CMS Care Compare (2026); superseded when CMS Care Compare (2026) publishes its next release."

[[claims]]
id = "https://care-atlas.ryanjhunter.workers.dev/care/states/mp/ownership-distribution"
warrant = "RECORDED"
name = "Hospital counts by ownership in Northern Mariana Islands (2026): Government - State 1"
text = "Counts of the 1 hospitals by CMS ownership category: Government - State 1. A count of listed facilities per ownership type."
source = "CMS Care Compare (2026)"
sourceUrl = "https://www.medicare.gov/care-compare/"
falsifier = "A RECORD of measured/reported events (occurred=true) from CMS Care Compare (2026); superseded when CMS Care Compare (2026) publishes its next release."

[[claims]]
id = "https://care-atlas.ryanjhunter.workers.dev/care/states/mp/measures-median"
warrant = "DERIVED"
name = "Median Northern Mariana Islands hospital's measures vs national (2026): 0 better, 3 no different, 2 worse"
text = "For the median Northern Mariana Islands hospital, the count of quality measures rated better than / no different from / worse than the national rate is 0 / 3 / 2. The better/worse determination is CMS's risk-adjusted comparison (modeled); the MEDIAN across hospitals is an in-house aggregation, not a CMS-published figure."
source = "CMS Care Compare (2026) — atlas-computed state median of CMS risk-adjusted measure comparisons"
sourceUrl = "https://www.medicare.gov/care-compare/"
falsifier = "occurred=FALSE (a calculation, not an event) and adjudged=FALSE (a transparent in-house formula, not an authority's verdict — no external adjudicator). Reproduce it from its named inputs; falsified if the formula or inputs are wrong. Lower warrant than the adjudged figures above."

[[claims]]
id = "https://care-atlas.ryanjhunter.workers.dev/care/states/mp/boundary"
warrant = "INTERPRETATION"
name = "What these care figures are — and are NOT — for Northern Mariana Islands (the epistemic boundary)"
text = "Every figure above is a STATE-LEVEL aggregate over CMS Care Compare: counts of listed hospitals (recorded), the distribution of CMS's MODELED Overall Star Rating (modeled), and atlas-computed state means/medians (derived). They are NOT a verdict on any individual hospital, a measure of outcomes you will personally experience, or a substitute for CMS Care Compare's per-hospital detail. For a specific hospital, use CMS Care Compare directly."
source = "Care Atlas framing (over the CMS Care Compare facts above)"
sourceUrl = "https://care-atlas.ryanjhunter.workers.dev/"
falsifier = "occurred=FALSE (a framing, not an event) and adjudged=FALSE (the atlas's reading, not a CMS verdict) — the LOWEST-warrant claim here. The figures above span recorded counts, CMS modeled star ratings, and atlas-derived aggregates; the four-status labels each, and this is the only interpretation."

[[careIndicators]]
indicator = "Hospitals listed"
value = 1
warrant = "RECORDED"
source = "CMS Care Compare (2026)"

[[careIndicators]]
indicator = "Hospitals with an Overall Star Rating"
value = 0
warrant = "RECORDED"
source = "CMS Care Compare (2026)"

[[careIndicators]]
indicator = "Hospitals without an Overall Star Rating"
value = 1
warrant = "RECORDED"
source = "CMS Care Compare (2026)"

[[careIndicators]]
indicator = "Median hospital — measures better than national"
value = 0
warrant = "DERIVED"
source = "CMS Care Compare (2026) — atlas-computed state median"

[[careIndicators]]
indicator = "Median hospital — measures no different from national"
value = 3
warrant = "DERIVED"
source = "CMS Care Compare (2026) — atlas-computed state median"

[[careIndicators]]
indicator = "Median hospital — measures worse than national"
value = 2
warrant = "DERIVED"
source = "CMS Care Compare (2026) — atlas-computed state median"

[[careIndicators]]
indicator = "Data year"
value = 2026
warrant = "RECORDED"
source = "CMS Care Compare (2026)"

[[careIndicators]]
indicator = "CMS source dataset"
value = "care_gold.hospital_quality_serving_surface"
warrant = "—"
source = "CMS Care Compare (2026)"

[[careIndicators]]
indicator = "CMS source id"
value = "src:cms:care-compare:2026"
warrant = "—"
source = "CMS Care Compare (2026)"

[[careIndicators]]
indicator = "Content hash"
value = "a427e3b4fd175fa9"
warrant = "—"
source = "CMS Care Compare (2026)"

[[careIndicators]]
indicator = "Generated at"
value = "2026-06-20T03:42:08.398414+00:00"
warrant = "—"
source = "CMS Care Compare (2026)"

[[subtypeDistribution]]
facility_type = "Acute Care Hospitals"
hospitals = 1

[[ownershipDistribution]]
ownership = "Government - State"
hospitals = 1
