CAHPS® Hospital Survey (HCAHPS) & Public Reporting
PRC’s HCAHPS Approach and Promise
PRC recommends sampling either hospital-wide or by discharge nursing unit, and we will work with you to identify which will best deliver actionable data for your users. We also recommend asking patients about issues that we know have a strong relationship to feelings of patient loyalty, and we’ll learn about your hospital’s process improvement philosophy in order to recommend an appropriate survey instrument.
For more than 30 years, we have developed expertise in conducting telephone surveys with patients, and we strongly believe it is the most reliable method for collecting responses that accurately represent the perceptions of your patient population. This holds true for HCAHPS as well.
HCAHPS Fast Facts
| PATIENT SAMPLE | |
| Eligible | Excluded |
| Eighteen (18) years or older at the time of admission | ”No-Publicity” patients |
| Admission includes at least one overnight stay in a hospital | Court/Law Enforcement patients |
| Non-psychiatric MS-DRG/principal diagnosis at discharge | Patients with a foreign home address |
| Alive at the time of discharge | Patients discharged to hospice care |
| Patients who are excluded because of state regulations | |
| Patients discharged to nursing homes and skilled nursing facilities | |
Telephone Methodology and Timing of Survey Administration
- First telephone attempt must be administered 48 hours to six weeks after discharge
- A total of five attempts must be done within six weeks of initial contact
- Attempts are to be made at different times of the day, on different days of the week, and in different weeks. The vast majority of our HCAHPS interviews are completed within 2-3 weeks after the patient has been discharged.
Data Submission
- PRC submits monthly data files through QualityNet on a quarterly basis and notifies you when your files have been submitted and accepted. We have submitted files completely, accurately, and on time for every data submission cycle, for every client.
Public Reporting
- Results are reported as a rolling four quarters
- HCAHPS results are published quarterly; January, April, July and October
Value-Based Purchasing (VBP) – Quality Incentive Program
- Components – Clinical Measures & HCAHPS Dimensions to end up with a Total Performance Score
- Clinical Measures count for 70% of the score and HCAHPS Dimensions the remaining 30%
- Scores from the performance period are compared to published thresholds to evaluate Achievement
- Scores from the performance period are compared to the baseline period to evaluate Improvement
- FY2013 Baseline period – July 1, 2009 to March 31, 2010
- FY2013 Performance period – July 1, 2011 to March 31, 2012
- FY2014 Baseline period – April 1, 2010 to December 31, 2010
- FY2014 Performance period – April 1, 2012 to December 31, 2012
Online Resources
HCAHPS® Online – www.HCAHPSonline.org
HCAHPS® Consumer Reporting Site – www.HospitalCompare.hhs.gov
Consumer Assessment of Healthcare Providers and Systems (CAHPS ®) – www.cahps.ahrq.gov
CMS Hospital VBP Information – https://www.cms.gov/HospitalQualityInits
CMS Hospital Compare VBP Site – http://www.hospitalcompare.hhs.gov/staticpages/for-consumers/value-based-purchasing.aspx
FROM THE FEDERAL REGISTER:
January 13, 2011 Proposed Rule for FY 2013 - http://www.gpo.gov/fdsys/pkg/FR-2011-01-13/pdf/2011-454.pdf
April 29, 2011 Final Rule for FY 2013 – http://www.gpo.gov/fdsys/pkg/FR-2011-05-06/pdf/2011-10568.pdf
July 18, 2011 Proposed Rule for FY 2014 – http://www.gpo.gov/fdsys/pkg/FR-2011-07-18/pdf/2011-16949.pdf