The NHS has launched a patient experience tool to enable NHS staff to access key sources of published patient experience measures all in one place – friends and family, ambulance survey, A&E survey, community mental health survey, PLACE, CQC inspection ratings and more. The tool enables organizations to get a sense of how they are doing compared to others with similar characteristics.
Hospital quality data has been updated on CMS Hospital Compare as follows:
1. Structural measures
SM-PART-CARD, SM-PART-NURSE, SM-PART-GEN-SURG, SM-SS-CHECK, OP-12, OP-17, OP-25 reporting 14Q1-14Q4. ACS-REGISTRY reporting 14Q4_15Q3
2. HCAHPS measures reporting 15Q1-15Q4
3. Timely & effective care: Colonoscopy follow-up OP-29, OP-30 reporting 14Q2_14Q4
4. Timely and effective care: AMI, HF, PN
AMI: OP-3b, OP-2, OP-5, OP-4, AMI-7a reporting to 15Q1_15Q4. AMI-8a reporting 15Q1_15Q3
HF: HF-2 reporting 15Q1_15Q3
PN: PN-6 reporting 15Q1_15Q3
SCIP:SCIP-Inf-1a, SCIP-Inf-3a, SCIP-VTE-2, SCIP-CARD-2, SCIP-Inf-2a, SCIP-INF-9 reporting 15Q1_15Q3
ED-1b, ED-2b, OP-18b, OP-20, OP-21, OP-23 reporting 15Q1_15Q4. OP-22, EDV reporting 14Q1_14Q4
6. Preventive care:
IMM-2 reporting 14Q4_15Q1
IMM-3 reporting 15Q4_16Q1
7. HAI Measures reporting 15Q1_15Q4
8. 30 day Readmission Measures:
READM-30-COPD, READM-30-AMI, READM-30-HF, READM-30-PN, READM-30-STK, READM-30-CABG, READM-30-HIP-KNEE reporting 14Q3_15Q2. READM-30-HOSP-WIDE reporting 14Q3_15Q2
9. 30 day Mortality Measures: MORT-30-COPD, MORT-30-AMI, MORT-30-HF, MORT-30-PN, MORT-30-STK, MORT-30-CABG reporting 12Q3_15Q2
10. Outpatient Imaging Efficiency: OP-8, OP-9, OP-10, OP-11, OP-13, OP-14 reporting 14Q3_15Q2
11. Payment & Value of Care
PAYM-AMI, PAYM-30-HF, PAYM-30-PN reporting 12Q3_15Q2.
MSPB-1 reporting 15Q1_15Q4
12. Children’s asthma care: CAC-3 reporting 15Q1_15Q4
13. Stroke care: STK-4, STK-1, STK-6, STK-8 reporting 15Q1_15Q4. STK-3 STK-2, STK-5, STK-10 reporting 15Q1_15Q3
14. Blood clot prevention and treatment:
VTE-1, VTE-2, VTE-3, VTE-5, VTE-6 reporting 15Q1_15Q4. VTE-4 reporting 15Q1_15Q3
15. Pregnancy & delivery care: PC-01 reporting 15Q1_15Q4
16. Surgical complications:
PSI-90-SAFETY, PSI-3-ULCER, PSI-4-SURG-COMP, PSI-6-IAT-PTX, PSI-7-CVCBI, PSI-8-POST-HIP, PSI-12-POSTOP-PULMEMB-DVT, PSI-13-POST-SEPSIS, PSI-14-POSTOP-DEHIS, PSI-15-ACC-LAC reporting 13Q3_15Q2.
COMP-HIP-KNEE reporting 12Q2_15Q1
17. HAI measures:
HAI-1, HAI-1a, HAI-2, HAI-2a, HAI-3, HAI-4, HAI-5, HAI-6 reporting 15Q1_15Q4
Ireland: National Healthcare Quality Reporting System to Include Findings from New National Patient Experience SurveysMartina Dolan | September 20, 2016
In Ireland, new national patient experience surveys are to be launched that will also be conducted from next year to feed the patients’ voice for the first time into statistical health service quality reports. The surveys, a key patient safety initiative between the Department of Health, the Health Service Executive (HSE) and the Health Information Quality Authority (HIQA) will improve understanding of the performance, quality and safety of the health service, as well as helping inform service development and planning. Findings from the national patient experience survey will be included in the report of the National Healthcare Quality Reporting System, published by the DoH on an annual basis.
A National Patient Safety Office will also be established in the Department of Health later this year. This Office would lead a programme of significant patient safety measures focused on initiatives such as new legislation, establishment of a National Patient Advocacy Service, introduction of patient safety surveillance systems, and setting up a National Advisory Council for patient safety.
New results from AHRQ’s CAHPS Clinician & Group Survey are now available at www.cahpsdatabase.ahrq.gov/cahpsidb. The survey asked patients about their recent experiences with clinicians and their staff. Results are based on voluntary submission of survey data to the CAHPS Database by health systems, medical practices, and other survey sponsors administering the CAHPS Clinician & Group Survey. The 2015 CG-CAHPS Database includes 636,468 surveys submitted by 2,829 practice sites.
Read more: https://www.cahpsdatabase.ahrq.gov/cahpsidb/
The following is a summary of the latest quarterly quality data refresh on CMS Home Health Compare – updated July 2016:
Note: number of measures are contained in () for each measure group:
A) Quality of Care
Managing daily activities (3 measures) 15Q1_15Q4
Managing pain and treating symptoms (5 measures) 15Q1_15Q4
Treating wounds and preventing pressure sores (4 measures) 15Q1_15Q4
Preventing harm (9 measures – including HHCAHPS Survey Summary Star Rating)15Q1_15Q4
Preventing unplanned hospital care (4 measures) – reporting to 15Q3
B) Patient survey results (5 measures) 14Q4_15Q3
Kaiser Health Network writes: The federal government released its first overall hospital quality rating on Wednesday, slapping average or below average scores on many of the nation’s best-known hospitals while awarding top scores to dozens of unheralded ones.
The Centers for Medicare & Medicaid Services rated 3,617 hospitals on a one- to five-star scale, angering the hospital industry, which has been pressing the Obama administration and Congress to block the ratings. Hospitals argue the ratings will make places that treat the toughest cases look bad, but Medicare has held firm, saying that consumers need a simple way to objectively gauge quality. Medicare does factor in the health of patients when comparing hospitals, though not as much as some hospitals would like.
Just 102 hospitals received the top rating of five stars, and few are those considered as the nation’s best by private ratings sources such as U.S. News & World Report or viewed as the most elite within the medical profession.
The Centers for Medicare & Medicaid (CMS) have updated the star ratings on CMS Hospital Compare including the Overall Hospital Quality Star Rating that reflects comprehensive quality information about the care provided at our nation’s hospitals. The new Overall Hospital Quality Star Rating methodology takes 64 existing quality measures already reported on the Hospital Compare website and summarizes them into a unified rating of one to five stars. The rating includes quality measures for routine care that the average individual receives, such as care received when being treated for heart attacks and pneumonia, to quality measures that focus on hospital-acquired infections, such as catheter-associated urinary tract infections. Specialized and cutting edge care that certain hospitals provide such as specialized cancer care, are not reflected in these quality ratings. More information available at https://www.medicare.gov/hospitalcompare/Data/Measure-groups.html
Hospital quality data has also been updated on CMS Hospital Compare as follows:
1. HCAHPS measures updated to report 14Q4_15Q3
2. Timely & effective care – Colonoscopy follow-up (2 new measures):
OP-29: Percentage of patients receiving appropriate recommendation for follow-up screening colonoscopy: 14Q2_14Q4 (updated annually)
OP-30: Percentage of patients with history of polyps receiving follow-up colonoscopy in the appropriate timeframe: 14Q2_14Q4 (updated annually)
3. Timely and effective care: AMI, HF, PN
AMI: OP3b, OP-5, OP-2, OP-4, AMI-7a, AMI-8a: updated to report 14Q4_15Q3
HF: HF-2 : updated to report 14Q4_15Q3
PN: PN-6: updated to report 14Q4_15Q3
SCI: SCIP-Inf-1a, SCIP-Inf-2a, SCIP-Inf-3a, SCiP-INF-9, SCIP-VTE-2, SCIP-CARE-2: updated to report 14Q4_15Q3
EDV measure reporting 14Q1_14Q4
ED-1b, ED-2b, OP-18b, OP-20, OP-21, OP-23: 14Q4_15Q3 OP-22 (Percentage of patients who left the emergency department before being seen – updated annually) reporting 14Q1_14Q4
5. Preventive care
IMM-2, IMM-3-OP-27-FAC-ADHPCT: reporting 14Q4_15Q1
6. Stroke Care
STK-1. STK-2, STK-3, STK-4, STK-5, STK-6, STK-8, STK-10: reporting 14Q4_15Q3
7. Blood Clot Prevention
VTE-1, VTE-2, VTE-3, VTE-4, VTE-5, VTE-6: reporting 14Q4_15Q3
8. Pregnancy Care
PC-01: reporting 14Q4_15Q3
9. Surgical Complication
COMP-HIP-KNEE: reporting 12Q2_15Q1
PSI-90-SAFETY, PSI-4-SURG-COMP: reporting 13Q3_15Q2
Measures with data updated but not displayed on CMS hospital compare (data available on data.medicare.gov): PSI-3-ULCER, PSI-6-IAT-PTX, PSI-7-CVCBI, PSI-8-POST-HIP, PSI-12-POSTOP-PULMEMB-DVT, PSI-13-POST-SEPSIS, PSI-14-POSTOP-DEHIS, PSI-15-ACC-LAC: reporting 13Q3_15Q2
10. HAI measures:
HAI-1, HAI-2: reporting 15Q1_15Q3
HAI-3, HAI-4, HAI-5, HAI-6, HAI-1a, HAI-2A: reporting 14Q4_15Q3
11. Readmission measures:
READM-30-COPD, READM-30-AMI, READM-30-HF, READM-30-PN, READM-30-STK, READM-30-CABG, READM-30-HIP-KNEE: reporting 12Q3_15Q2
READM-30-HOSP-WIDE: reporting 14Q3_15Q2
12. Mortality measures:
MORT-30-COPD, MORT-30-AMI, MORT-30-HF, MORT-30-PN, MORT-30-STK, MORT-30-CABG: reporting 12Q3_15Q2
13. Imaging efficiency measures:
OP-8, OP-9, OP-10, OP-11, OP-13, OP-14: reporting 14Q3_15Q2
14. Payment measures
MSPB-1: reporting 14Q1_14Q4
PAYM-30-AMI, PAYM-30-HF, PAYM-30-PN: reporting 12Q3_15Q2
15. Structural measures
SM-PART-CARD, SM-PART-NURSE, SM-PART-GEN-SURG, OP-12, OP-17, OP-25, SM-SS-CHECK: reporting 14Q1_14Q4
ACS-REGISTRY: reporting 14Q3_15Q2
Data on the Illinois Hospital Report Card and consumer guide to health care Web site (healthcarereportcard.illinois.gov) has been updated. Data updates included updates to quality, infection, procedures, nurse staffing and patient safety data, was published. Hospital quality measures reported are for time-period July 1, 2014 to June 30, 2015.
Also included in this data update were:
- Updated healthcare-associated infection data on Methicillin-resistant Staphylococcus Aureus (MRSA) and Clostridium difficile events from January 1, 2015 through December 31, 2015. A statewide aggregate report of these infections is also provided.
- Updated health care-associated infection data on central line-associated blood stream infections, based on data from January 1, 2015 through December 31, 2015. Also included is a statewide aggregate report of these infections and major contributing organisms.
- Updated the adult inpatient conditions and procedures for hospitals to include data from October 1, 2014 to September 30, 2015.
- Updated the Agency for Health Research and Quality (AHRQ) “Inpatient Quality”, “Patient Safety”, and “Pediatric Quality” measures to report data from October 1, 2014 to September 30,2015.
- Updated composite “Process of Care Measures” from the Center for Medicare and Medicaid Services Hospital Compare performance measure data from July 1, 2014 to June 30, 2015.
- Updated all Process of Care measures that are used to calculate the composite data and provided state/national average for July 1, 2014 to June 30, 2015 except for those measures with insufficient data.
- Updated “Satisfaction Survey Responses” data to report the Center for Medicare and Medicaid Services Hospital Compare satisfaction measure data from July 1, 2014 to June 30, 2015.
- Updated Surgical Care Improvement Project measure data from July 1, 2014 to June 30, 2015.
- Updated nurse staffing data for the intensive care units, medical-surgical units, and maternal – child care units for hospitals to report data from October 1, 2014 to September 30, 2015. Updates include nursing hours per patient day and nursing skill mix. Also updated data on hospital employed and contract nurse staffing for each of the three unit types. For maternal-child care units, nurse staffing levels for Level III designated Neonatal Intensive Care Units is delineated in facilities with such designations.
- Updated Emergency Department measures on wait time from the Center for Medicare and Medicaid Services Hospital Compare performance measure data from July 1, 2014 to June 30, 2015.
- Updated data on the total volume of hospital emergency department visits, including the volume of patient visits admitted to hospital as well as those treated as outpatients only (treated and released) from October 1, 2014 to September 30, 2015. Also updated hospital emergency department bypass hours and the percentage of emergency department visits where patients left before being seen or against medical advice for October 1, 2014 to September 30, 2015.
- Updated state hospital designations for Trauma center and Emergency Department Approved for Pediatrics, as well as Magnet hospital designation, Baby Friendly hospital status, and Perinatal designation.
- Updated ambulatory surgical treatment centers outpatient conditions and charges on the Services page from October 1, 2014 to September 30, 2015.
Interesting commentary from Yelp CEO who states that online reviews could beat ‘gold standard’ healthcare measures. He writes consumer sites encourage the free flow of information, allowing people to provide nuanced accounts of their experiences. This means that they’re likely to include pertinent firsthand details, such as the quality of the food or any rodent sightings, among other distinctions that could help to identify a health violation.
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.