OMB control number
National Implementation of Hospital Consumer Assessment of Health Providers and Systems (HCAHPS) (CMS-10102)
OMB 0938-0981 · HHS/CMS.
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 2027-11-30 and is listed under ICR 202408-0938-037.
Latest Forms, Documents, and Supporting Material
| Document | Type |
|---|---|
 Form CMS-10102 HCAHPS Survey (Patients) | Form and Instruction |
| Form CMS-10102 HCAHPS Survey (Patients via Hospital Data Collection) | Form and Instruction |
 CMS-10102 SUPPORTING STATEMENT B - 03-07-24.docx | Supporting Statement B |
| CMS-10102 SUPPORTING STATEMENT A 8-27-24.docx | Supporting Statement A |
 HCAHPS Survey (Patients) |
Form and Instruction |
| HCAHPS Survey (Patients via Hospital Data Collection) |
Form and Instruction |
All Historical Document Collections
OMB Details
HCAHPS Survey (Patients)
Federal Enterprise Architecture: Health - Health Care Services
| Form | Name | Electronic access | Type |
|---|---|---|---|
| Form CMS-10102 | HCAHPS Survey Instrument (Telephone Script) | Fillable Fileable | Form and instruction |
| Form CMS-10102 | HCAHPS Survey Instrument (Mail) - Spanish | Fillable Fileable | Form and instruction |
| Form CMS-10102 | HCAHPS Survey Instrument (Mail) and Supporting Materials | Fillable Fileable | Form and instruction |
Review document collections for all forms, instructions, and supporting documents - including paper/printable forms.