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

OMB 0935-0243

The Child Hospital CAHPS Survey (Child HCAHPS) assesses the experiences of pediatric patients (less than 18 years old) and their parents or guardians with inpatient care. It complements the Adult Hospital CAHPS Survey (Adult HCAHPS), which asks adult inpatients about their experiences. In contrast to the adult version of HCAHPS, there is no publicly available comprehensive database for Child HCAHPS that allows survey users to analyze and compare their survey results in order to assess their performance and identify opportunities for improvement. The proposed Child HCAHPS Database will fill this critical information gap by creating 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. AHRQ supported the development of the Child HCAHPS survey by the Center of Excellence for Pediatric Quality Measurement at Boston Children’s Hospital. The Child HCAHPS survey is currently used by approximately 300 hospitals. Hospitals using Child HCAHPS, including the 25 hospital members of the Pediatric Patient Experience Collaborative, have expressed strong interest in working with AHRQ to develop a database that can provide a centralized repository of data. Rationale for the information collection. Like the survey instrument itself and related toolkit materials to support survey implementation, the 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 will also be provided to support Child HCAHPS data submission.

The latest form for Child Hospital Consumer Assessment of Healthcare Providers and Systems (Child HCAHPS) Survey Database expires 2022-07-31 and can be found here.

Latest Forms, Documents, and Supporting Material

Document Name
Form 4 Attachment E: Submission Emails Form and Instruction
Form 3 Attachment D: Hospital Information Submission Form Form and Instruction
Form 2 Attachment B: Child HCAHPS Database Data Use Agreement Form and Instruction
Form 1 Attachment A: Child HCAHPS Registration Form Form and Instruction
Child HCAHPS Database_OMB Statement A_updated 09062022.docx Supporting Statement A
Response to your comment on Child HCAHPS database.msg Supplementary Document
Attachment E: Submission Emails Form and Instruction
Attachment D: Hospital Information Submission Form Form and Instruction
Attachment B: Child HCAHPS Database Data Use Agreement Form and Instruction
Attachment A: Child HCAHPS Registration Form Form and Instruction

All Historical Document Collections

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 HCAHPS Registration Form

Fillable Fileable

Form and instruction

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