The Centers for Medicare &
Medicaid Services (CMS) has already implemented patient experience
surveys in a number of settings including Original Medicare,
Medicare Advantage, and Part D Prescription Drug Plans, hospitals,
home health agencies, in-center hemodialysis facilities and
hospices. Other Consumer Assessment of Healthcare Providers and
Systems (CAHPS) surveys exist for nursing homes and physician
practices. However, the emergency room is a unique environment
within the health care system, bridging the world of outpatient and
inpatient care. In particular, the emergency department is a
pivotal arena for the provision of acute care services, handling 28
percent of all acute care visits in the U.S., half of all such
visits by Medicaid and SCHIP beneficiaries, and nearly two-thirds
of such visits among the uninsured. In addition, the emergency
department is the portal of entry for nearly half of all hospital
admissions for more than half of all hospital admissions involving
Medicare beneficiaries. In 2012, the Centers for Medicare &
Medicaid Services (CMS) launched the development of the Emergency
Department Patient Experience of Care (EDPEC) survey to measure the
experiences of patients (18 and older) with emergency department
care. This survey will provide patient experience with care data
that enables comparisons of emergency department and support for
improving the quality of patient experience in the emergency
department. CMS now plans to conduct two experiments: one focused
on patients admitted via the ED, using the EDPEC Survey admitted
instruments; and one focused on patients who are discharged to the
community, using the EDPEC Survey for this population. These
experiments are designed to answer outstanding questions about the
feasibility of national implementation of the EDPEC Survey and to
explore response rates and patterns by mode.
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