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  "name": "Atlas Commons research objects — hospital quality surface for Mississippi (2026)",
  "description": "Mississippi'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.",
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      "@type": "schema:Claim",
      "name": "108 hospitals are listed in Mississippi on CMS Care Compare (2026)",
      "text": "CMS Care Compare lists 108 hospitals in Mississippi for 2026; 52 carry an Overall Star Rating and 56 do not. A census of listed hospitals.",
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      "@type": "schema:Claim",
      "name": "Hospital counts by CMS facility type in Mississippi (2026): Acute Care Hospitals 59, Critical Access Hospitals 29, Psychiatric 9, Rural Emergency Hospital 7",
      "text": "Counts of the 108 hospitals by CMS facility type: Acute Care Hospitals 59, Critical Access Hospitals 29, Psychiatric 9, Rural Emergency Hospital 7, Acute Care - Veterans Administration 2, Acute Care - Department of Defense 1, Long-term 1. A count of listed facilities per CMS type.",
      "claimType": "official_fact",
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      "epistemicStatus": {
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        "value": "Acute Care Hospitals 59, Critical Access Hospitals 29, Psychiatric 9, Rural Emergency Hospital 7, Acute Care - Veterans Administration 2, Acute Care - Department of Defense 1, Long-term 1",
        "adjudicator": {
          "name": "CMS Care Compare (2026)",
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      },
      "falsifier": "A RECORD of measured/reported events (occurred=true) from CMS Care Compare (2026); superseded when CMS Care Compare (2026) publishes its next release."
    },
    {
      "@id": "https://care-atlas.ryanjhunter.workers.dev/care/states/ms/ownership-distribution",
      "@type": "schema:Claim",
      "name": "Hospital counts by ownership in Mississippi (2026): Government - Local 36, Proprietary 28, Voluntary non-profit - Private 25, Government - State 8",
      "text": "Counts of the 108 hospitals by CMS ownership category: Government - Local 36, Proprietary 28, Voluntary non-profit - Private 25, Government - State 8, Voluntary non-profit - Other 5, Voluntary non-profit - Church 2, Veterans Health Administration 2, Government - Federal 1, Department of Defense 1. A count of listed facilities per ownership type.",
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      "epistemicStatus": {
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        "supported": true,
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        "value": "Government - Local 36, Proprietary 28, Voluntary non-profit - Private 25, Government - State 8, Voluntary non-profit - Other 5, Voluntary non-profit - Church 2, Veterans Health Administration 2, Government - Federal 1, Department of Defense 1",
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      "falsifier": "A RECORD of measured/reported events (occurred=true) from CMS Care Compare (2026); superseded when CMS Care Compare (2026) publishes its next release."
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      "name": "CMS Overall Star Rating distribution for Mississippi hospitals (2026): 5★ 1, 4★ 6, 3★ 14, 2★ 19, 1★ 12",
      "text": "Counts of the 52 rated hospitals by CMS Overall Star Rating: 5★ 1, 4★ 6, 3★ 14, 2★ 19, 1★ 12. The Overall Star Rating is a LATENT-VARIABLE STATISTICAL MODEL CMS computes by combining measure-group scores — it is NOT a direct measurement; the count by star is mechanical over CMS's published per-hospital ratings.",
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        "value": "5★ 1, 4★ 6, 3★ 14, 2★ 19, 1★ 12",
        "adjudicator": {
          "name": "CMS Care Compare (2026)",
          "url": "https://www.medicare.gov/care-compare/"
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      },
      "falsifier": "occurred=FALSE: a MODELED figure — an authority's computed quantity ESTIMATING an independent/latent value (an index or annualized expectation), REPRODUCIBLE from its disclosed inputs, NOT a record of an event. adjudged=TRUE because CMS Care Compare (2026) (an external authority) computes and publishes it. The grounding promises \"reproduce this from the inputs\" — so a categorical authority VERDICT that is NOT reproducible (a star rating, a risk class) is a 'determination', not 'modeled'. Superseded by the next release."
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    {
      "@id": "https://care-atlas.ryanjhunter.workers.dev/care/states/ms/avg-hcahps-star",
      "@type": "schema:Claim",
      "name": "State mean HCAHPS patient-experience star for Mississippi is 3.419 (a computed average, 2026)",
      "text": "The mean of the CMS HCAHPS summary star (patient experience) across rated Mississippi hospitals is 3.419. Each HCAHPS star is a CMS survey-based composite; this STATE MEAN is an in-house aggregation (the atlas computed it), not a CMS-published figure.",
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        "source": "CMS Care Compare (2026) — atlas-computed state mean of CMS HCAHPS stars",
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        "value": "3.419 mean HCAHPS star",
        "adjudicator": null
      },
      "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."
    },
    {
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      "@type": "schema:Claim",
      "name": "Median Mississippi hospital's measures vs national (2026): 0 better, 4 no different, 0 worse",
      "text": "For the median Mississippi hospital, the count of quality measures rated better than / no different from / worse than the national rate is 0 / 4 / 0. 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.",
      "claimType": "derived_measure",
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      "grounding": {
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        "source": "CMS Care Compare (2026) — atlas-computed state median of CMS risk-adjusted measure comparisons",
        "sourceUrl": "https://www.medicare.gov/care-compare/",
        "value": "median: 0/4/0 better/same/worse",
        "adjudicator": null
      },
      "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."
    },
    {
      "@id": "https://care-atlas.ryanjhunter.workers.dev/care/states/ms/boundary",
      "@type": "schema:Claim",
      "name": "What these care figures are — and are NOT — for Mississippi (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.",
      "claimType": "interpretation",
      "reviewStatus": "current",
      "commercialInfluence": false,
      "epistemicStatus": {
        "occurred": false,
        "supported": true,
        "adjudged": false,
        "operative": true
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      "grounding": {
        "groundingType": "Interpretation",
        "source": "Care Atlas framing (over the CMS Care Compare facts above)",
        "sourceUrl": "https://care-atlas.ryanjhunter.workers.dev/",
        "value": "state-level aggregates; not a per-hospital verdict — use CMS Care Compare per hospital",
        "adjudicator": null
      },
      "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."
    }
  ],
  "hasPart": [
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      "name": "Mississippi — every care indicator (typed)",
      "numberOfItems": 12,
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          "position": 1,
          "item": {
            "indicator": "Hospitals listed",
            "value": 108,
            "warrant": "RECORDED",
            "source": "CMS Care Compare (2026)"
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        },
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          "item": {
            "indicator": "Hospitals with an Overall Star Rating",
            "value": 52,
            "warrant": "RECORDED",
            "source": "CMS Care Compare (2026)"
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        {
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            "indicator": "Hospitals without an Overall Star Rating",
            "value": 56,
            "warrant": "RECORDED",
            "source": "CMS Care Compare (2026)"
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        {
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          "position": 4,
          "item": {
            "indicator": "State mean HCAHPS patient-experience star",
            "value": 3.419,
            "warrant": "DERIVED",
            "source": "CMS Care Compare (2026) — atlas-computed state mean"
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          "position": 5,
          "item": {
            "indicator": "Median hospital — measures better than national",
            "value": 0,
            "warrant": "DERIVED",
            "source": "CMS Care Compare (2026) — atlas-computed state median"
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          "item": {
            "indicator": "Median hospital — measures worse than national",
            "value": 0,
            "warrant": "DERIVED",
            "source": "CMS Care Compare (2026) — atlas-computed state median"
          }
        },
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          "item": {
            "indicator": "Data year",
            "value": 2026,
            "warrant": "RECORDED",
            "source": "CMS Care Compare (2026)"
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        {
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          "item": {
            "indicator": "CMS source dataset",
            "value": "care_gold.hospital_quality_serving_surface",
            "warrant": "—",
            "source": "CMS Care Compare (2026)"
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        },
        {
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          "position": 10,
          "item": {
            "indicator": "CMS source id",
            "value": "src:cms:care-compare:2026",
            "warrant": "—",
            "source": "CMS Care Compare (2026)"
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        },
        {
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          "position": 11,
          "item": {
            "indicator": "Content hash",
            "value": "4157690ed60a06cb",
            "warrant": "—",
            "source": "CMS Care Compare (2026)"
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          "item": {
            "indicator": "Generated at",
            "value": "2026-06-20T03:42:08.398414+00:00",
            "warrant": "—",
            "source": "CMS Care Compare (2026)"
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      "name": "Mississippi — CMS Overall Star Rating distribution (MODELED)",
      "numberOfItems": 5,
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          "item": {
            "stars": 5,
            "hospitals": 1
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          "item": {
            "stars": 4,
            "hospitals": 6
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            "hospitals": 14
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            "hospitals": 19
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          "item": {
            "stars": 1,
            "hospitals": 12
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      ]
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    {
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      "name": "Mississippi — hospitals by CMS facility type (RECORDED)",
      "numberOfItems": 7,
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          "position": 1,
          "item": {
            "facility_type": "Acute Care Hospitals",
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          "item": {
            "facility_type": "Critical Access Hospitals",
            "hospitals": 29
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          "position": 3,
          "item": {
            "facility_type": "Psychiatric",
            "hospitals": 9
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        {
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          "position": 4,
          "item": {
            "facility_type": "Rural Emergency Hospital",
            "hospitals": 7
          }
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        {
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          "position": 5,
          "item": {
            "facility_type": "Acute Care - Veterans Administration",
            "hospitals": 2
          }
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        {
          "@type": "schema:ListItem",
          "position": 6,
          "item": {
            "facility_type": "Acute Care - Department of Defense",
            "hospitals": 1
          }
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        {
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          "position": 7,
          "item": {
            "facility_type": "Long-term",
            "hospitals": 1
          }
        }
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      "name": "Mississippi — hospitals by ownership (RECORDED)",
      "numberOfItems": 9,
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          "item": {
            "ownership": "Government - Local",
            "hospitals": 36
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            "ownership": "Proprietary",
            "hospitals": 28
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            "ownership": "Voluntary non-profit - Private",
            "hospitals": 25
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            "ownership": "Government - State",
            "hospitals": 8
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          "item": {
            "ownership": "Voluntary non-profit - Other",
            "hospitals": 5
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          "position": 6,
          "item": {
            "ownership": "Voluntary non-profit - Church",
            "hospitals": 2
          }
        },
        {
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          "position": 7,
          "item": {
            "ownership": "Veterans Health Administration",
            "hospitals": 2
          }
        },
        {
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          "position": 8,
          "item": {
            "ownership": "Government - Federal",
            "hospitals": 1
          }
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          "position": 9,
          "item": {
            "ownership": "Department of Defense",
            "hospitals": 1
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