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Dataset: Consumer Assessment of Healthcare Providers and Systems (CAHPS)- Child Hospital Survey (Child HCAHPS)

Basic Information
Dataset Full Name Consumer Assessment of Healthcare Providers and Systems (CAHPS)- Child Hospital Survey
Dataset Acronym Child HCAHPS
Summary

Child HCAHPS surveys the parent or legal guardian of children aged ≤17 years old to assess their experiences of inpatient care. The purpose of the Child HCAHPS is to provide parent/guardian feedback that can be used for institutional quality projects and for rating the quality of inpatient facilities. Information is also aggregated for star ratings in the ‘Hospital Compare’. 

Key Terms

Inpatient, Acute, Hospitalization, Patient-Centered Outcomes, CMS, Value-Based Purchasing, Quality of Care Outcomes, Survey, Pediatric, Child, Youth, Adolescent, Parent, Hospital, Guardian

Study Design Cross-Sectional
Data Type(s) Survey
Sponsoring Agency/Entity

Agency for Healthcare Research and Quality (AHRQ)

Department of Health and Human Services (HHS), 

Health Conditions/Disability Measures
Health Condition(s)

NA

Disability Measures

NA

Measures/Outcomes of Interest
Topics

Parent/Guardian perception of the following measures: Communication with Parent, Communication with Child, Attention to Safety and Comfort, Hospital Environment, Global Rating.

Sample
Sample Population

Hospitals and health care facilities/providers,

Random sample of patients 17 years or younger, at least one overnight stay as inpatient in a hospital with a non-psychiatric MS-DRG.

Sample Size/Notes

Random sample of eligible patients’ parents/guardians discharged from a hospital.

Goal of at 300 completed surveys per year per hospital.

Sampling Guidelines and Protocols Document: 

http://www.hcahpsonline.org/globalassets/hcahps/quality-assurance/2018_qag_v13.0.pdf

Unit of Observation

Hospital

Continent(s) North America
Countries

United States

Geographic Coverage

National

Geographic specificity

Hospital

Special Population(s)

Children/Youth

Data Collection
Data Collection Mode

Four Methods:

  • Mail Only
  • Telephone Only
  • Email with Mail or Telephone
  • Mixed Mode

Years Collected

2014 - present

Data Collection Frequency

Quarterly

Strengths and Limitations
Strengths
  • Comparable among most US hospitals
  • Parent/Guardian-centered outcome measures
  • Strong incentive for hospital participation due to value-based purchasing 
  • Vendors must be CMS approved to conduct the survey, increasing quality
Limitations
  • Surveys are aggregated by hospital, patient-level data not available
  • No clinical correlation of patient reports
  • Designed for acute-care hospitals only, majority of specialty hospitals are excluded. 
  • Data collection began in 2014
  • Does not assess child’s perceived experience separate from the parent/guardian
Data Details
Primary Website

https://www.ahrq.gov/cahps/surveys-guidance/hospital/about/child_hp_survey.html

NOTE: Child HCHAPS data is nested within the adult dataset.


Data Access

https://data.medicare.gov/data/hospital-compare?sort=relevance&tag=patient%20survey%20results

NOTE: Child HCHAPS data is nested within the adult dataset.

Data Access Requirements

Public Use Dataset

Summary Tables/reports

National averages:

http://www.hcahpsonline.org/en/summary-analyses/

NOTE: Child HCHAPS data is nested within the adult dataset.


Data Components
  • Patient Survey (HCAHPS)- Hospital
  • Patient Survey (HCAHPS)- National
  • Patient Survey (HCAHPS)- State
  • Patient Survey (PCH-HCAHPS)- PPS exempt Cancer Hospital- Hospital
  • Patient Survey (PCH-HCAHPS)- PPS exempt Cancer Hospital- National
  • Patient Survey (PCH-HCAHPS)- PPS exempt Cancer Hospital- State

NOTE: Child HCHAPS data is nested within the adult dataset.

Selected papers
Other Papers

Variation in Family Experience of Pediatric Inpatient Care As Measured by Child HCAHPS

Sara L. Toomey, Marc N. Elliott, Alan M. Zaslavsky, David J. Klein, Sifon Ndon, Shannon Hardy, Melody Wu, Mark A. Schuster

Pediatrics, Apr 2017, 139 (4)

http://pediatrics.aappublications.org/content/early/2017/03/20/peds.2016-3372


Validation of New Quality Measures for Transitions Between Sites of Care

Layla Parast, Q. Burkhart, Arti D. Desai, Tamara D. Simon, Carolyn Allshouse, Maria T. Britto, JoAnna K. Leyenaar, Courtney A. Gidengil, Sara L. Toomey, Marc N.Elliott, Eric C. Schneider, Rita Mangione-Smith

Pediatrics, Apr 2017

http://pediatrics.aappublications.org/content/early/2017/04/12/peds.2016-4178


The Development of a Pediatric Inpatient Experience of Care Measure: Child HCAHPS®

Sara L. Toomey, Alan M. Zaslavsky, Marc N. Elliott, Patricia M. Gallagher, Floyd J.Fowler, David J. Klein, Shanna Shulman, Jessica Ratner, Caitriona McGovern, Jessica L. LeBlanc, Mark A. Schuster

Pediatrics, Jul 2015

http://pediatrics.aappublications.org/content/early/2015/07/15/peds.2015-0966

Technical

http://www.hcahpsonline.org/en/technical-specifications/ 


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The Rehabilitation Research Cross-dataset Variable Catalog has been developed through the Center for Large Data Research & Data Sharing in Rehabilitation (CLDR). The Center for Large Data Research and Data Sharing in Rehabilitation involves a consortium of investigators from the University of Texas Medical Branch, Cornell University's Yang Tan Institute (YTI), and the University of Michigan. The CLDR is funded by NIH - National Institute of Child Health and Human Development, through the National Center for Medical Rehabilitation Research, the National Institute for Neurological Disorders and Stroke, and the National Institute of Biomedical Imaging and Bioengineering. (P2CHD065702).

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