AHRQ carried out a rigorous scientific process, including a public call for measures review of literature cognitive interviews consumer focus groups stakeholder input a three-state pilot test extensive psychometric analyses consumer testing and numerous small-scale field tests. The survey and its protocols for sampling, data collection and coding, and file submission can be found in the current HCAHPS Quality Assurance Guidelines, which is available on the official HCAHPS website, HCAHPS Development, Testing and Endorsementīeginning in 2002, CMS partnered with the Agency for Healthcare Research and Quality (AHRQ), another agency in the federal Department of Health and Human Services, to develop and test the HCAHPS survey. The survey is available in official English, Spanish, Chinese, Russian and Vietnamese versions. Hospitals must survey patients throughout each month of the year. Hospitals can use the HCAHPS survey alone, or include additional questions after the core HCAHPS items. HCAHPS can be implemented in four different survey modes: mail, telephone, mail with telephone follow-up, or active interactive voice recognition (IVR). Hospitals may either use an approved survey vendor, or collect their own HCAHPS data (if approved by CMS to do so). The HCAHPS survey is administered to a random sample of adult patients across medical conditions between 48 hours and six weeks after discharge the survey is not restricted to Medicare beneficiaries. The survey also includes four items to direct patients to relevant questions, three items to adjust for the mix of patients across hospitals, and two items that support Congressionally-mandated reports. The survey contains 18 core questions about critical aspects of patients' hospital experiences (communication with nurses and doctors, the responsiveness of hospital staff, the cleanliness and quietness of the hospital environment, pain management, communication about medicines, discharge information, overall rating of hospital, and would they recommend the hospital). The HCAHPS survey asks discharged patients 27 questions about their recent hospital stay. With these goals in mind, the Centers for Medicare & Medicaid Services (CMS) and the HCAHPS Project Team have taken substantial steps to assure that the survey is credible, useful, and practical. Third, public reporting serves to enhance accountability in health care by increasing transparency of the quality of hospital care provided in return for the public investment. Second, public reporting of the survey results creates new incentives for hospitals to improve quality of care. First, the survey is designed to produce data about patients' perspectives of care that allow objective and meaningful comparisons of hospitals on topics that are important to consumers. While many hospitals have collected information on patient satisfaction for their own internal use, until HCAHPS there was no national standard for collecting and publicly reporting information about patient experience of care that allowed valid comparisons to be made across hospitals locally, regionally and nationally. HCAHPS (pronounced "H-caps"), also known as the CAHPS� Hospital Survey, is a survey instrument and data collection methodology for measuring patients' perceptions of their hospital experience. The HCAHPS (Hospital Consumer Assessment of Healthcare Providers and Systems) survey is the first national, standardized, publicly reported survey of patients' perspectives of hospital care.
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