Care Transition: Medicine Purpose
Identifying Attributes
Care Settings
Country
Publishing Organisation
Type of Quality Indicator
IOM Quality Dimension
Domain
Defining Attributes
Definition
Average "top-box" score for the question: When I left the hospital, I clearly understood the purpose for taking each of my medications. (Part of the 3-Item Care Transition Measure (CTM-3)) 1 Strongly disagree 2 Disagree 3 Agree 4 Strongly agree 5 I was not given any medication when I left the hospital.
Numerator
Number of respondents reporting the most positive response (Strongly Agree).
Denominator
The number of respondents who replied to the question.
Exclusions
No-Publicity patients; Patients who request that they not be contacted; Court/Law enforcement patients (i.e., prisoners); Patients with a foreign home address; Patients discharged to hospice care; Patients who are excluded because of state regulations ; Patients discharged to nursing homes and skilled nursing facilities.
Use of Risk Adjustment
Risk Adjustments
Adjusted to the overall national mean of patient-mix variables across all hospitals reporting in a given quarter. Four sets of numbers are needed to calculate final patient-mix adjusted scores for a given hospital: (1) Means of HCAHPS outcomes (top-box proportions or bottom-box proportions) for the hospital in question that have been adjusted for survey mode; (2) individual-level patient-mix adjustments; (3) that hospital's means on patient-mix variables; and (4) national means on patient-mix variables www.hcahpsonline.org/en/mode--patient-mix-adj/
Stratifications
Data Attributes
Type of Data Collection
Data Collection Methods
Data collected using the HCAHPS (Hospital Consumer Assessment of Healthcare Providers and Systems) Survey, which is administered to a random sample of adult inpatients between 48 hours and six weeks after discharge. Patients admitted in the Medical, Surgical and Maternity Care service lines are eligible for the survey. Hospitals may use an approved survey vendor or collect their own HCAHPS data, if approved by CMS to do so. HCAHPS can be implemented in four survey modes, each of which requires multiple attempts to contact patients: Mail Only, Telephone Only, Mixed (mail with telephone follow-up), or Active Interactive Voice Response (IVR).
Frequency of Data Collection
Frequency of Data Collection in Days
Reporting Methods
HCAHPS Star Ratings on CMS Care Compare website - Hospitals Publicly-reported HCAHPS results are based on four consecutive quarters of patient surveys. Published on CMS Provider Data Catalogue (data.cms.gov/provider-data/dataset/99ue-w85f) and HCAHPS website www.hcahpsonline.org/en/summary-analyses/
Reporting Frequency
Reporting Frequency in Days
Indicator Has Recommended Targets
Source and Reference Attributes
Evidence Source
Kemp E, Trivitt J, Davis C. Evidence-Based Performance Indicators of Positive Inpatient Experiences. J Healthc Manag. 2023 Mar-Apr 01;68(2):106-120. doi: 10.1097/JHM-D-22-00147. PMID: 36892453. www.hcahpsonline.org/en/
Link to Measurement Tools
The HCAHPS (Hospital Consumer Assessment of Healthcare Providers and Systems) Survey www.hcahpsonline.org/en/