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

OMB 0938-0981

OMB 0938-0981

The intent of the HCAHPS initiative is to provide a standardized survey instrument and data collection methodology for measuring patients' perspectives on hospital care. While many hospitals collect information on patient satisfaction, there is no national standard for collecting or publicly reporting this information that would enable valid comparisons to be made across all hospitals.

The latest form for National Implementation of Hospital Consumer Assessment of Health Providers and Systems (HCAHPS) (CMS-10102) expires 2021-11-30 and can be found here.

OMB Details

HCAHPS Survey (Patients)

Federal Enterprise Architecture: Health - Health Care Services

Form CMS-10102HCAHPS Survey Instrument (Mail) and Supporting MaterialsFillable FileableForm and instruction
Form CMS-10102HCAHPS Survey Instrument (Telephone Script)Fillable FileableForm and instruction
Form CMS-10102HCAHPS Survey Instrument (AVIR Script)Fillable FileableForm and instruction

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


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