Crosswalk - HCAHPS Survey

Attachment D -- Crosswalk of HCAHPS Survey to Updated HCAHPS Survey - OMB 0938-0981.pdf

National Implementation of Hospital Consumer Assessment of Health Providers and Systems (HCAHPS) (CMS-10102)

Crosswalk - HCAHPS Survey

OMB: 0938-0981

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Table 1. Crosswalk of Current HCAHPS Survey items (29) to Updated HCAHPS Survey items (32).
Composite Measure
Communication with
Nurses
Communication with
Nurses
Communication with
Nurses
Responsiveness of Hospital
Staff
Communication with
Doctors
Communication with
Doctors
Communication with
Doctors
Individual Item: Clean
Individual Item: Quiet
Restfulness of Hospital
Environment
Restfulness of Hospital
Environment
Care Coordination

Current HCAHPS Survey Items
1. During this hospital stay, how often did
nurses treat you with courtesy and respect?
2. During this hospital stay, how often did
nurses listen carefully to you?
3. During this hospital stay, how often did
nurses explain things in a way you could
understand?
4. During this hospital stay, after you pressed
the call button, how often did you get help as
soon as you wanted it?

Updated HCAHPS Survey Items
1. During this hospital stay, how often did nurses
treat you with courtesy and respect?
2. During this hospital stay, how often did nurses
listen carefully to you?
3. During this hospital stay, how often did nurses
explain things in a way you could understand?

5. During this hospital stay, how often did
doctors treat you with courtesy and respect?
6. During this hospital stay, how often did
doctors listen carefully to you?
7. During this hospital stay, how often did
doctors explain things in a way you could
understand?
8. During this hospital stay, how often were
your room and bathroom kept clean?
9. During this hospital stay, how often was the
area around your room quiet at night?
N/A (not on current survey)

4. During this hospital stay, how often did doctors
treat you with courtesy and respect?
5. During this hospital stay, how often did doctors
listen carefully to you?
6. During this hospital stay, how often did doctors
explain things in a way you could understand?

(Individual item (Quiet) on current survey)
N/A (not on current survey)

N/A (removed from updated survey)

7. During this hospital stay, how often were your
room and bathroom kept clean?
N/A (moved into new composite measure:
Restfulness of Hospital Environment)
8. During this hospital stay, how often were you
able to get the rest you needed?
9. During this hospital stay, how often was the
area around your room quiet at night?
10. During this hospital stay, how often were
doctors, nurses and other hospital staff informed
and up-to-date about your care?

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Composite Measure
Care Coordination

Current HCAHPS Survey Items
N/A (not on current survey)

Screener item

10. During this hospital stay, did you need help
from nurses or other hospital staff in getting to
the bathroom or in using a bedpan?

Updated HCAHPS Survey Items
11. During this hospital stay, how often did
doctors, nurses and other hospital staff work well
together to care for you?
12. During this hospital stay, did you need help
from nurses or other hospital staff in getting to the
bathroom or in using a bedpan?

Responsiveness of Hospital
Staff

11. How often did you get help in getting to
the bathroom or in using a bedpan as soon as
you wanted?

13. How often did you get help in getting to the
bathroom or in using a bedpan as soon as you
wanted?

Responsiveness of Hospital
Staff

N/A (not on current survey)

Screener item

12. During this hospital stay, were you given
any medicine that you had not taken before?
13. Before giving you any new medicine, how
often did hospital staff tell you what the
medicine was for?

14. During this hospital stay, when you asked for
help right away, how often did you get help as
soon as you needed?
15. During this hospital stay, were you given any
medicine that you had not taken before?
16. Before giving you any new medicine, how often
did hospital staff tell you what the medicine was
for?

Communication About
Medicines

14. Before giving you any new medicine, how
often did hospital staff describe possible side
effects in a way you could understand?

17. Before giving you any new medicine, how often
did hospital staff describe possible side effects in a
way you could understand?

Restfulness of Hospital
Environment

N/A (not on current survey)

Care Coordination

N/A (not on current survey)

18. During this hospital stay, did doctors, nurses
and other hospital staff help you to rest and
recover?
19. Did doctors, nurses or other hospital staff work
with you and your family or caregiver in making
plans for your care after you left the hospital?

Individual Item:
Information about
Symptoms

N/A (not on current survey)

Communication About
Medicines

20. Did doctors, nurses or other hospital staff give
your family or caregiver enough information about
what symptoms or health problems to watch for
after you left the hospital?

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Composite Measure
Screener item

Current HCAHPS Survey Items
15. After you left the hospital, did you go
directly to your own home, to someone else’s
home, or to another health facility?

Updated HCAHPS Survey Items
21. When After you left the hospital, did you go
directly to your own home, to someone else’s
home, or to another health facility?

Discharge Information

16. During this hospital stay, did doctors,
nurses or other hospital staff talk with you
about whether you would have the help you
needed when you left the hospital?

22. During this hospital stay, did doctors, nurses or
other hospital staff talk with you about whether
you would have the help you needed after when
you left the hospital?

Discharge Information

17. During this hospital stay, did you get
information in writing about what symptoms
or health problems to look out for after you
left the hospital?
18. Using any number from 0 to 10, where 0 is
the worst hospital possible and 10 is the best
hospital possible, what number would you use
to rate this hospital during your stay?

23. During this hospital stay, did you get
information in writing about what symptoms or
health problems to look out for after you left the
hospital?
24. Using any number from 0 to 10, where 0 is the
worst hospital possible and 10 is the best hospital
possible, what number would you use to rate this
hospital during your stay?

19. Would you recommend this hospital to
your friends and family?
20. During this hospital stay, staff took my
preferences and those of my family or
caregiver into account in deciding what my
health care needs would be when I left.

25. Would you recommend this hospital to your
friends and family?
N/A (removed from updated survey)

Care Transition

21. When I left the hospital, I had a good
understanding of the things I was responsible
for in managing my health.

N/A (removed from updated survey)

Care Transition

22. When I left the hospital, I clearly
understood the purpose for taking each of my
medications.
23. During this hospital stay, were you
admitted to this hospital through the
Emergency Room?
N/A (not on current survey)

N/A (removed from updated survey)

Global Item

Global Item
Care Transition

"About You" item

"About You" item

N/A (removed from updated survey)

26. Was this hospital stay planned in advance?

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Composite Measure
"About You" item
"About You" item
"About You" item
"About You" item
"About You" item
"About You" item

Current HCAHPS Survey Items
24. In general, how would you rate your
overall health?
25. In general, how would you rate your
overall mental or emotional health?
29. What language do you mainly speak at
home?
26. What is the highest grade or level of school
that you have completed?
27. Are you of Spanish, Hispanic or Latino
origin or descent?

Updated HCAHPS Survey Items
27. In general, how would you rate your overall
health?
28. In general, how would you rate your overall
mental or emotional health?
29. What language do you mainly speak at home?

28. What is your race? Please choose one or
more.

32. What is your race? Please choose one or more.

30. What is the highest grade or level of school
that you have completed?
31. Are you of Spanish, Hispanic or Latino origin or
descent?

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File Typeapplication/pdf
File TitleAttachment C -- Crosswalk of HCAHPS Survey to Updated HCAHPS Survey (OMB 0938-0981)
SubjectHCAHPS, Crosswalk
AuthorCenters for Medicare and Medicaid
File Modified2024-03-07
File Created2024-02-14

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