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Rehabilitation Dataset Directory: Dataset Profile

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

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

The Adult HCAHPS survey asks people aged 18 and over to report their recent experience of inpatient care. The purpose of the HCAHPS is to provide patient feedback that can be used for institutional quality projects and rating the quality of inpatient facilities. It includes 10 measures of patient experience including 6 composite measures, two individual items and two global ratings.


Information from HCAHPS is also aggregated for star ratings in Medicare's Hospital Compare database.


The Centers for Medicare & Medicaid Services (CMS) is responsible for implementing the study and it is used in both quality reporting and value-based purchasing decisions. 

Key Terms

Inpatient, Acute, Hospitalization, Patient-Centered Outcomes, CMS, Value-Based Purchasing, Quality of Care Outcomes, Survey, Adult, Hospital, Patient Reported, AHRQ, Outcomes

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

Department of Health and Human Services (HHS):

Agency for Healthcare Research and Quality (AHRQ): 

Center for Quality Improvement and Patient Safety (CQuIPS)

Health Conditions/Disability Measures
Health Condition(s)

NA

Disability Measures

NA

Measures/Outcomes of Interest
Topics

Patient perception of the following measures: Nurse Communication, Physician Communication, Receiving help, Pain control, Medication Education, Room and Bathroom Cleanliness, Quiet Room at Night, Discharge Information, Care Transition, Global Rating of Hospital.

Sample
Sample Population

Random sample of discharged patients 18 years or older, with at least one overnight stay as inpatient in a hospital with a non-psychiatric Medicare Severity-Diagnosis Related Group (MS-DRG).

Sample Size/Notes

As of 2017 there were over 4,100 participating hospitals.

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

Individual/Patient surveys aggregated at the hospital level

Continent(s)

North America

Countries

United States

Geographic Coverage

National

Geographic specificity

Individual Hospitals

Data Collection
Data Collection Mode

Four Methods:

  • Mail Only
  • Telephone Only
  • Mail with Telephone Follow-Up
  • Active Interactive Voice Response
Years Collected

January 2008 - present

Data Collection Frequency

Quarterly

Strengths and Limitations
Strengths
  • Comparable data collected across most US hospitals
  • Multiple modes available for survey completion increases response rates
  • Patient-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 is not available
  • Some survey questions have changed over time (ie pain items)
  • Approximately a 30% survey response rate
  • No clinical correlation of patient reports
  • Designed for acute-care hospitals only, majority of specialty hospitals are excluded
Data Details
Primary Website

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

Data Access

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

Data Access Requirements

Public Use Dataset

Summary Tables/reports

National & State level averages:

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


Hospital level (see "Survey of patients' experiences" tab):

    https://www.medicare.gov/hospitalcompare/search.html?

Data Components

Data available at a variety of geographic levels & hospital "types":

  • 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
Similar/Related Dataset(s)

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

Selected papers
Other Papers

HCAHPS Publications by the HCAHPS Project Team

http://www.hcahpsonline.org/globalassets/hcahps/home/october_2016_home_bibliography.pdf

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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Acknowledgements: This tool was developed through the efforts of William Erickson and Arun Karpur, and web designers Jason Criss and Jeff Trondsen at Cornell University. Many thanks to graduate students Kyoung Jo Oh and Yeong Joon Yoon who developed much of the content used in this tool.

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