Rehabilitation Dataset Directory: Dataset Profile

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. 

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

Department of Health and Human Services (HHS):

Agency for Healthcare Research and Quality (AHRQ): 

Center for Quality Improvement and Patient Safety (CQuIPS)

NA

NA

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.

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).

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

Individual/Patient surveys aggregated at the hospital level

North America

United States

National

Individual Hospitals

Four Methods:

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

January 2008 - present

Quarterly

• 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

• 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

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

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

Public Use Dataset

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 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

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

HCAHPS Publications by the HCAHPS Project Team

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

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