OMB control number

Child Hospital Consumer Assessment of Healthcare Providers and Systems (Child HCAHPS) Survey Database

OMB 0935-0243 · HHS/AHRQ.

OMB 0935-0243

The Child HCAHPS survey assesses the experiences of pediatric patients (less than 18 years old) and their parents or guardians with inpatient care. It complements the CAHPS Adult Hospital Survey (HCAHPS), which asks adult inpatients about their experiences. The Child HCAHPS Database is a voluntary database available to all Child HCAHPS users to support both quality improvement and research to enhance the patient-centeredness of care delivered to pediatric hospital patients. Like the survey instrument itself and related toolkit materials to support survey implementation, aggregated Child HCAHPS Database results will be made publicly available on AHRQ’s CAHPS website. Technical assistance will be provided by AHRQ through its contractor at no charge to hospitals to facilitate the access and use of these materials for quality improvement and research. Technical assistance is also provided to support Child HCAHPS data submission. This research seeks to answer the following questions: 1) What are the key drivers of patient experience in pediatric settings? 2) How do pediatric patients experience of care vary across the West, Midwest, South, and North East regions? 3) What are the highest and lowest scoring measures in specific areas of care for pediatric hospitals? The Child HCAHPS Database supports AHRQ’s goals of promoting improvements in the quality and patient-centeredness of health care in pediatric hospital settings. This research has the following goals: 1. Improve care provided by individual hospitals and hospital systems. 2. Offer several products and services, including providing survey results presented through summary chartbooks, custom analyses, private reports and data for research purposes. 3. Provides information to help identify strengths and areas with potential for improvement in patient care.

The latest form for Child Hospital Consumer Assessment of Healthcare Providers and Systems (Child HCAHPS) Survey Database expires 2029-02-28 and can be found here.

Latest Forms, Documents, and Supporting Material

Document Name
Form 4 Attachment E: Submission Emails Form and Instruction
Form 4 Attachment E: Submission Emails Form and Instruction
Form 3 Attachment D- Hospital Information Submission Form Form and Instruction
Form 3 Attachment D: Hospital Information Submission Form Form and Instruction
Form 2 Attachment B- Child CAHPS Database DUA Form and Instruction
Form 2 Attachment B: Child HCAHPS Database Data Use Agreement Form and Instruction
Form 1 Attachment A- Child CAHPS Registration form Form and Instruction
Form 1 Attachment A: Child HCAHPS Registration Form Form and Instruction
Attachment E Submission Emails.pdf Supplementary Document
Child HCAHPS Database_OMB Statement B 1 16 26.docx Supporting Statement B
Child HCAHPS Database_OMB Statement B 1 16 26.docx Supporting Statement B
Child HCAHPS Database_OMB Statement A_2 12 26 revised clean.docx Supporting Statement A
Attachment E: Submission Emails Form and Instruction
Attachment E: Submission Emails Form and Instruction
Attachment D: Hospital Information Submission Form Form and Instruction
Attachment D: Hospital Information Submission Form Form and Instruction
Attachment B: Child HCAHPS Database Data Use Agreement Form and Instruction
Attachment B: Child HCAHPS Database Data Use Agreement Form and Instruction
Attachment A: Child HCAHPS Registration Form Form and Instruction
Attachment A: Child HCAHPS Registration Form Form and Instruction

All Historical Document Collections

202601-0935-001 Approved with change	Reinstatement with change of a previously approved collection	2026-01-21
202209-0935-001 Approved without change	Reinstatement without change of a previously approved collection	2022-09-06
201903-0935-002 Approved with change	New collection (Request for a new OMB Control Number)	2019-03-25

OMB Details

Attachment A: Child HCAHPS Registration Form

Federal Enterprise Architecture: Health - Health Care Services

Form 1

Attachment A- Child CAHPS Registration form

Fillable Fileable

Form and instruction

Review document collections for all forms, instructions, and supporting documents - including paper/printable forms.