The dataset reports the hospital-level results for the Hospital Consumer Assessment of Healthcare Providers and Systems (HCAHPS) Patient Survey. The HCAHPS Patient Survey is part of a national initiative by the United States Department of Health and Human Services to measure the quality of care in hospitals. It is a survey instrument and data collection methodology designed for measuring patients’ perception of their hospital experience. The data collected from the survey will be provided to help consumers make informed choices when selecting a hospital. It is also be used to help improve the quality of care provided by hospitals.
The HCAHPS survey contains patient perspectives on care and patient rating items that encompass key topics: communication with hospital staff, responsiveness of hospital staff, pain management, communication and medicines, discharge information, cleanliness of hospital environment, quietness of hospital environment, and transition of care. The HCAHPS survey is administered to a random sample of adult patients across medical conditions between 48 hours and 6 weeks after discharge; the survey isn’t restricted to Medicare beneficiaries.
The HCAHPS survey is 32 questions in length and contains 21 substantive items that encompass critical aspects of the hospital experience, 4 screening items to skip patients to appropriate questions, and 7 demographic items that are used for adjusting the mix of patients across hospitals for analytical purposes.
Hospital Compare currently reports results for 7 composite topics, 2 individual topics and 2 global topics, as follows:
– Nurse communication (questions 1, 2, 3)
– Doctor communication (questions 5, 6, 7)
– Responsiveness of hospital staff (questions 4, 11)
– Pain management (questions 13, 14)
– Communication about medicines (questions 16, 17)
– Discharge information (questions 19, 20)
– Care transition (questions 23, 24, 25)
– Cleanliness of hospital environment (question 8)
– Quietness of hospital environment (question 9)
– Overall rating of hospital (question 21)
– Willingness to recommend hospital (question 22)
HCAHPS was created with three goals:
– First, the standardized survey and implementation protocol produces data that allow objective and meaningful comparisons of hospitals on topics that are important to patients and consumers.
– Second, public reporting of HCAHPS results creates new incentives for hospitals to improve quality of care.
– Third, public reporting enhances accountability in health care by increasing transparency of the quality of hospital care provided in return for the public investment.
Additional incentives to participate in HCAHPS include:
– Hospitals subject to the Inpatient 2 Prospective Payment System (IPPS) annual payment update provisions must collect and submit HCAHPS data in order to receive their full annual payment update, and
– Patient Protection and Affordable Care Act of 2010 specifically included HCAHPS performance in the calculation of the value-based incentive payment in the Hospital Value-Based Purchasing program
Hospital-level results are publicly reported on the Hospital Compare website 4 times a year. HCAHPS results are based on 4 quarters of data on a rolling basis. Over 4,000 hospitals participate in HCAHPS, including short-term, acute care, and non-specialty hospitals.