The Consumer Assessment of Healthcare Providers and Systems (CAHPS®) Hospital Survey (HCAHPS) was first implemented on a voluntary basis in 2006 to assess patientsâ experiences with care. Today, hospitals subject to the Inpatient Prospective Payment System (IPPS) annual payment update provisions are required to collect and submit HCAHPS data in order to receive their full annual payment update (CMS, HCAHPS: Patientsâ Perspectives of Care Survey; Goldstein et al., 2005). In October 2012, HCAHPS performance was added to the calculation of the value-based incentive payment in the Hospital Value-Based Purchasing (Hospital VBP) program by the Patient Protection and Affordable Care Act of 2010 (CMS, HCAHPS Fact Sheet). The FY 2015 Hospital VBP program links 30% of the Inpatient Prospective Payment System hospitals' payment from CMS to HCAHPS performance (Medicare.gov).
Despite the high stakes associated with HCAHPS scores, little is known about the ways in which hospitals are using HCAHPS data and supplemental information about patient experience to understand and improve their patientsâ experiences.
This research has the following goals:
1) to characterize the role of HCAHPS in hospitalsâ efforts to improve patient experiences
2) to identify the types of quality improvement activities hospitals implement to improve their HCAHPS scores
3) to describe hospitalsâ perspectives on HCAHPS
4) to determine the types of information collected by hospitals beyond those required for VBP
To achieve the goals of this project, the following data collections will be implemented:
1) Survey of Hospital Quality Leaders: this survey will elicit information from approximately 500 hospital quality leaders in a variety of hospital settings, including high- and low-performing hospitals, facilities of varying sizes, and hospitals representing all nine geographic Census divisions. Hospital quality leaders will be asked to provide information about the use of HCAHPS in their hospital, with questions addressing all of the substantive areas identified in the goals section above.
This study is being conducted by AHRQ through a cooperative agreement with the RAND Corporation, pursuant to AHRQâs statutory authority to conduct and support research on healthcare and on systems for the delivery of such care, including activities with respect to the quality, effectiveness, efficiency, appropriateness and value of healthcare services and with respect to quality measurement and improvement. 42 U.S.C. 299a(a)(1) and (2).
US Code:
42 USC Sec. 299
Name of Law: Healthcare Research and Quality Act of 1999
On behalf of this Federal agency, I certify that the collection of information encompassed by this request complies with 5 CFR 1320.9 and the related provisions of 5 CFR 1320.8(b)(3).
The following is a summary of the topics, regarding the proposed collection of information, that the certification covers:
(i) Why the information is being collected;
(ii) Use of information;
(iii) Burden estimate;
(iv) Nature of response (voluntary, required for a benefit, or mandatory);
(v) Nature and extent of confidentiality; and
(vi) Need to display currently valid OMB control number;
If you are unable to certify compliance with any of these provisions, identify the item by leaving the box unchecked and explain the reason in the Supporting Statement.
Form 1 USE OF PATIENT EXPERIENCE INFORMATION IN HOSPITALS: A SURVEY OF HOSPITAL QUALITY LEADERS
Attachment 5 SHQL_survey invitation third mail reminder.docx
Survey of Hospital Quality Leaders OMB Statement A revised 12062016.doc
USE OF PATIENT EXPERIENCE INFORMATION IN HOSPITALS: A SURVEY OF HOSPITAL QUALITY LEADERS