In a commentary for the Journal of the American Medical Association, Medicare officials write that common misperceptions persist regarding the role of Hospital Consumer Assessment of Healthcare Providers and Systems (HCAHPS) surveys. Used properly, HCAHPS scores can be a valuable tool in the quest to improve patient experience and accounts for 30 percent of a hospital’s Total Performance Score (TPS) under the Hospital Value-Based Purchasing program. The report states while there is concern expressed that patient satisfaction is given too much weight relative to other measures, a CMS analysis indicates no single HCAHPS measure can throw off a hospital’s scores by itself.
The following is a summary of the latest quality data refresh (updated May 4th) on CMS Hospital Compare:
HCAHPS measures: data updated to report for 14Q3_15Q2
HQA measures: data updated to report for 14Q3_15Q2
Heart Attack: AMI_7a, AMI_8a
Heart Attack outpatients: OP_3b, OP_5, OP_2, OP_4
Heart Failure: HF_2 (note: no data reported for HF_1, HF_3)
Pneumonia : PN_6
SCIP_INF_1a, SCIP_INF_3a, SCIP_VTE_2, SCIP_CARD_2, SCIP_INF_2a, SCIP_INF_9
(note: data not reported for SCIP_INF_1, SCIP_INF-2, SCIP_INF_3)
Emergency Department Care measures data updated to report 14Q3_15Q2
ED_1b, ED_2b, OP_18b, OP_20, OP_21, OP_23
Data not updated for 2 measures: EDV (13Q1_13Q4), OP_22 (13Q1_13Q4)
Preventive Care measures data reporting for 14Q4_15Q1
IMM_2l: 2, IMM_3_OP_27_FAC_ADHPCT
Stroke Care measures data updated to report for 14Q3_15Q2
STK_4, STK_5, STK_1, STK_2, STK_3, STK_6, STK_8, STK_10
Blood Clot Prevention and Treatment measures data updated to report for 14Q3_15Q2
VTE_1, VTE_2, VTE_6, VTE_3, VTE_4, VTE_5
Pregnancy & Delivery Care measure data updated to report for 14Q3_15Q2
Surgical Complications measures: data updated annually in July – still reporting data for following reporting time periods:
Note: data for the following measures is not posted on CMS Hospital Compare but is available for download on data.medicare.gov :
PSI-12, PSI-14, PSI-15: 12Q3_14Q2
HAI measures: data updated to report as follows:
HAI_1_SIR, HAI_2_SIR: 15Q1_15Q2
HAI_1a_SIR, HAI_2a, HAI_3_SIR, HAI_4_SIR, HAI_5_SIR, HAI_6_SIR: 14Q3_15Q2
Readmissions & Deaths measures: data updated annually in July, still reporting 11Q3_14Q2 for Readm_30_COPD, Readm_30_AMI, Readm_30_HF, Readm_30_PN, Readm_30_STK, Readm_30_CABG, Readm_30_HIP-KNEE
Readm_30_Hosp-Wide reporting data for 13Q3_14Q2
Use of Imaging measures data not updated, still reporting for 13Q3-14Q2:
OP_8, OP_9, OP_11, OP_10, OP_13, OP_14
Payment & value of care measures: data updated annually in July, still reporting 11Q3_14Q2 for PAYM_30_AMI, PAYM_30_HF, PAYM_30_PN
Except for 1 measures: MSPB_1: 14Q1_14Q4
Structural measures (6 measures): data updated as follows:
SM-PART-CARD, SM-PART-NURSE, SM-PART-GEN-SURG, SM-SS-Check: 14Q1_14Q4
OP-12, OP-17, OP-25: 13Q1_13Q4
HIT Measures (2 measures) – data not updated – reporting 13Q1_13Q4 for OP-12, OP-17
The following is a summary of the latest quarterly quality data refresh on CMS Home Health Compare – updated 4/20/2016:
Note: number of measures are contained in () for each measure group:
A) Quality of Care
- Managing daily activities (3 measures) 14Q4_15Q3
- Managing pain and treating symptoms (5 measures) 14Q4_15Q3
- Treating wounds and preventing pressure sores (4 measures) 14Q4_15Q3
- Preventing harm (9 measures – including HHCAHPS Survey Summary Star Rating) 14Q4_15Q3
- Preventing unplanned hospital care (4 measures) – reporting to 15Q2
B) Patient survey results (5 measures) 14Q4_15Q3
Note: Data collection period for the quality of patient care star ratings
The quality of patient care star ratings are calculated by combining data for a number of individual quality measures, so they’re based on data from a combination of the data collection time periods shown above.
In the April special issue of Health Affairs , four articles by AHRQ-funded researchers explore different facets of health care consumer engagement, including patient-reported outcomes, public deliberation, and public reporting. The research was conducted by research teams that put patients and consumers front and center in their efforts to design better evidence-based measures and tools to support informed, engaged consumers. The articles are:
- Incorporating Patient-Reported Outcomes Into Health Care To Engage Patients And Enhance Care.
- Understanding An Informed Public’s Views On The Role Of Evidence In Making Health Care Decisions.
- Use Of Nursing Home Compare Website Appears Limited By Lack Of Awareness And Initial Mistrust Of The Data.
- When Patients Customize Nursing Home Ratings, Choices And Rankings Differ From The Government’s Version.
Fierce Healthcare writes the crowdsourcing site Yelp, in which customers rate the quality of restaurants, hotels and a wide range of other businesses, does a better job than the Hospital Consumer Assessment of Healthcare Providers and Systems (HCAHPS) survey in rating the quality of hospital stays, according to a new study. The study, published in the April issue of Health Affairs, found that Yelp reviews went deeper into the patient experience than the HCAHPS survey, Reviews included assessments of comfort, billing issues and hospital costs, in part because family members posted reviews along with patients. Only discharged patients are queried in the HCAHPS survey.
A new study published in the Journal of Patient Experience found that better patient experiences was associated with favorable clinical outcomes. The study – Association Between Medicare Summary Star Ratings for Patient Experience and Clinical Outcomes in US Hospitals – tested the association between CMS patient experience star ratings and clinical outcomes. Researchers analyzed risk-adjusted data for over 3,000 US hospitals from CMS Hospital Compare. Findings from the study showed a higher number of stars for patient experience had a statistically significant association with lower rates of many in-hospital complications. Researchers concluded that better patient experience according to the CMS star ratings is associated with favorable clinical outcomes. These results support the inclusion of patient experience data in the framework of how hospitals are paid for service.
Read full study: Association Between Medicare Summary Star Ratings for Patient Experience and Clinical Outcomes in US Hospitals. Journal of Patient Experience
An article published in the NEJM Cataylst discusses why health care providers should publish physician ratings. Early efforts to publish performance data about doctors and hospitals usually required a strong external force, such as pressure from a state department of health. But that’s changing. Some leading health care systems are now publishing ratings of their physicians on their own websites, not just ceding that activity to consumer outlets. This development may seem small, but if the trend grows, it will drive improvements in the quality of care. The article states that providers will build trust by empowering patients to shape the quality of care, through the publishing of physician ratings, along with getting to define the terms of transparency.
A new National Quality Forum (NQF) report provides guidance on how to measure the safety and safe use of health information technology (health IT). Widely viewed as critical to accelerating widespread improvements in healthcare quality and the shift to value-based care, the use of health IT has introduced new patient safety challenges into the healthcare system. The report provides a framework for how to consider the effect of health IT on patient safety and prioritizes key measurement areas.
Read full report: Identification and Prioritization of HIT Patient Safety Measure. National Quality Forum. February 2016
Kaiser Health News writes:Patients looking for home health care services will be impressed if they check out the federal government’s ratings of Brookdale Senior Living. Four of the company’s home health agencies — in Florida, North Carolina, Ohio and Rhode Island — each earned five stars, the top quality score, primarily based on Medicare’s assessment of how often patients got better. But further research may lead to confusion. Medicare also posts stars to convey how patients rate agencies after their care is over. There, these same four Brookdale agencies earned no more than two stars. Such contradictory results between how patients view home health agencies and how the government rates them are hardly unusual. One in five agencies had clinical and patient ratings that differed by two stars or more, a Kaiser Health News analysis of government records shows.
Modern Healthcare writes: About 70% of more than 5,700 agencies in the U.S. got four or five stars on patient satisfaction, according to federal ratings posted Thursday. But while patients may be giving high marks for satisfaction, previous data found the agencies had only mediocre performance on outcomes.The CMS’ Home Health star ratings are drawn from consumers’ responses to surveys known as HCAHPS, which ask home health patients about the professionalism and the communication skills of care teams, among other things.But many of these agencies aren’t reducing the need for hospital admissions or improving patients’ mobility and pain.