An Introduction to the HCAHPS Survey

Patient’s perception of their inpatient experience is measured by the Center for Medical Services’ (CMS) administered Hospital Consumer Assessment of Healthcare Providers & Systems (HCAHPS) survey. There is scant existing literature on physicians’ perceptions toward the HCAHPS scoring system. Understanding hospitalist knowledge and attitude toward the HCAHPS survey can help guide efforts to impact HCAHPS survey scores by improving the patient’s perception of their hospital experience. The goal of this study is to explore hospitalists’ knowledge and perspective of the physician communication domain of the HCAHPS survey at an academic medical center. Seven hospitalists at an academic medical center were interviewed for this report using a semistructured interview. Thematic analysis approach was used to analyze data. Open, line-by-line coding was performed on all 7 transcripts. Categories were derived in an inductive fashion. Categories were refined using the techniques of constant comparison and axial coding. We generated themes reflecting hospitalists’ knowledge of the HCAHPS scoring system, their perception of the HCAHPS scoring system and the impact of the HCAHPS scoring system on their practice. While hospitalists acknowledged physician–patient communication is a challenging area to study, they are unlikely to embrace the feedback provided by HCAHPS surveys. There is a need to deploy tactics that provide timely and actionable feedback to providers on their bedside communication skills.

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Impact of Isolation on Hospital Consumer Assessment of Healthcare Providers and Systems Scores: Is Isolation Isolating?

Infection Control and Hospital Epidemiology ◽

10.1086/665314 ◽

2012 ◽

Vol 33 (5) ◽

pp. 513-516 ◽

Cited By ~ 19

Author(s):

Joan Vinski ◽

Mary Bertin ◽

Zhiyuan Sun ◽

Steven M. Gordon ◽

Daniel Bokar ◽

...

Keyword(s):

Patient Satisfaction ◽

Healthcare Providers ◽

Physician Communication ◽

Hospital Consumer Assessment ◽

Consumer Assessment ◽

Hcahps Survey

The Hospital Consumer Assessment of Healthcare Providers and Systems (HCAHPS) survey was used to measure the effect of isolation on patient satisfaction. Isolated patients reported lower scores for questions regarding physician communication and staff responsiveness. Overall scores for these domains were lower in isolated than in nonisolated patients.

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The HCAHPS Survey as a Potential Tool for Measuring Organizational Interprofessional Competency at American Hospitals Nationwide: A Content Analysis Study of Concept Validity

Health and Interprofessional Practice ◽

10.7710/2159-1253.1119 ◽

2017 ◽

Vol 3 (2) ◽

Cited By ~ 1

Author(s):

Yuri T. Jadotte ◽

Sabrina M. Chase ◽

Rubab I. Qureshi ◽

Cheryl Holly ◽

Susan Salmond

Keyword(s):

Content Analysis ◽

Analysis Study ◽

Hcahps Survey ◽

Potential Tool

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IHI ID 12 Patient ratings of discharge information and care transition in HCAHPS survey predict 30-day CABG mortality and readmissions

10.1136/ihisciabs.12 ◽

2018 ◽

Author(s):

Sabran Masoud ◽

Larissa Rodriguez-Homs ◽

Oliver Jawitz ◽

Harry Phillips ◽

Paul Mosca

Keyword(s):

Care Transition ◽

Hcahps Survey

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Successes and Challenges in Patient Care Transition Programming: One Hospital’s Journey

OJIN: The Online Journal of Issues in Nursing ◽

10.3912/ojin.vol20no03man02 ◽

2015 ◽

Vol 20 (3) ◽

Author(s):

Suzanne DelBoccio ◽

Debra Smith ◽

Melissa Hicks ◽

Pamela Lowe ◽

Joy Graves-Rust ◽

...

Keyword(s):

Patient Care ◽

Healthcare Providers ◽

Care Transition ◽

Indiana University ◽

Transition Programming ◽

Patient Protection ◽

Orthopedic Patient ◽

Hospital Consumer Assessment ◽

Consumer Assessment ◽

Hcahps Survey

The 2013 addition of the Care Transition Measures to the Hospital Consumer Assessment of Healthcare Providers and Systems (HCAHPS) survey; enactment of the Patient Protection and Affordable Care Act (2010); and a greater focus on population health have brought a heightened awareness and need for action with patient transitions. Data are emerging from the additional Care Transition Measures and benchmarks have been developed. This article briefly describes the context of care transition. We describe the journey of Indiana University Health North Hospital to overcome patient care transition obstacles, ultimately achieving designation as a top performer. We will discuss our efforts to personalize patient outcomes and transition through activation and improve transitions for vulnerable populations, specifically in the bariatric and orthopedic patient populations. The article concludes with discussion of overcoming obstacles and future directions with continued focus on collaboration and improvement.

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Racial/Ethnic Differences in Patients’ Perceptions of Inpatient Care Using the HCAHPS Survey

Medical Care Research and Review ◽

10.1177/1077558709341066 ◽

2009 ◽

Vol 67 (1) ◽

pp. 74-92 ◽

Cited By ~ 97

Author(s):

Elizabeth Goldstein ◽

Marc N. Elliott ◽

William G. Lehrman ◽

Katrin Hambarsoomian ◽

Laura A. Giordano

Keyword(s):

Ethnic Differences ◽

Inpatient Care ◽

Hcahps Survey ◽

Racial Ethnic

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Patient Satisfaction After Lower Extremity Total Joint Arthroplasty: An Analysis of Medical Comorbidities and Patient Demographics

Journal of Patient Experience ◽

10.1177/23743735211018089 ◽

2021 ◽

Vol 8 ◽

pp. 237437352110180

Author(s):

Nicholas Frane ◽

Erik J Stapleton ◽

Brandon Petrone ◽

Aaron Atlas ◽

Larry Lutsky ◽

...

Keyword(s):

Patient Satisfaction ◽

Knee Arthroplasty ◽

Joint Arthroplasty ◽

Patient Specific ◽

Total Hip ◽

Hip And Knee Arthroplasty ◽

Total Knee ◽

Specific Factors ◽

Hip Arthroplasties ◽

Hcahps Survey

The Hospital Consumer Assessment of Healthcare Providers and Systems (HCAHPS) survey has received increased attention to determine which demographics may influence patient satisfaction after Total Hip and Knee Arthroplasty. The purpose of this study was to evaluate the various effects that patient-specific factors, medical comorbidities, and demographics had on patient satisfaction. Two thousand and ninety-two patients underwent lower extremity total joint arthroplasty at our institution between 2014 and 2018. Nine hundred twenty-three of these patients responded to their HCAHPS survey (44%). Most patients (609, 66%) underwent primary total knee arthroplasty followed by 244 (26.4%) total hip arthroplasties, 35 (3.8%) revision total knee arthroplasties, 28 (3.0%) bilateral total knee arthroplasties, and 7 (0.8%) revision total hip arthroplasties. Increasing age and length of stay were associated with a decrease in patient satisfaction whereas patients who were married reported higher satisfaction. Patients discharged to a rehabilitation facility had a 12% decrease in top-box response rate compared to those discharged home. Contrary to our hypothesis, specific procedure type and the presence of comorbidities failed to predict patient satisfaction. The results of this study shed light on the intricate relationship between patient satisfaction and patient-specific factors. Furthermore, health care workers can counsel patients on expected satisfaction when considering total hip and knee arthroplasty.

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Validation of a 5-Item Tool to Measure Patient Assessment of Clinician Compassion in Hospitals

Journal of General Internal Medicine ◽

10.1007/s11606-021-06733-5 ◽

2021 ◽

Author(s):

Brian W. Roberts ◽

Michael B. Roberts ◽

Anthony Mazzarelli ◽

Stephen Trzeciak

Keyword(s):

Health Care ◽

Factor Analysis ◽

Confirmatory Factor Analysis ◽

Patient Experience ◽

Convergent Validity ◽

Inpatient Setting ◽

Patient Assessment ◽

Inpatient Hospital ◽

Confirmatory Factor ◽

Hcahps Survey

Abstract Background We previously validated a 5-item compassion measure to assess patient experience of clinician compassion in the outpatient setting. However, currently, there is no validated and feasible method for health care systems to measure patient experience of clinician compassion in the inpatient setting across multiple hospitals. Objective To test if the 5-item compassion measure can validly and distinctly measure patient assessment of physician and nurse compassion in the inpatient setting. Design Cross-sectional study between July 1 and July 31, 2020, in a US health care network of 91 community hospitals across 16 states consisting of approximately 15,000 beds. Patients Adult patients who had an inpatient hospital stay and completed the Hospital Consumer Assessment of Healthcare Providers and Systems (HCAHPS) survey. Measurements We adapted the original 5-item compassion measure to be specific for physicians, as well as for nurses. We disseminated both measures with the HCAHPS survey and used confirmatory factor analysis for validity testing. We tested reliability using Cronbach’s alpha, as well as convergent validity with patient assessment of physician and nursing communication and overall hospital rating questions from HCAHPS. Results We analyzed 4756 patient responses. Confirmatory factor analysis found good fit for two distinct constructs (i.e., physician and nurse compassion). Both measures demonstrated good internal consistency (alpha > 0.90) and good convergent validity but reflected a construct (compassionate care) distinct from what is currently captured in HCAHPS. Conclusion We validated two 5-item tools that can distinctly measure patient experience of physician and nurse compassion for use in the inpatient hospital setting in conjunction with HCAHPS.

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