Care Transition: Medicine Purpose

Identifying Attributes

Care Settings
Care Transitions
Country
United States of America
Publishing Organisation
Agency for Healthcare Research & Quality and Centers for Medicare and Medicaid Services (CMS): Hospital Consumer Assessment of Healthcare Providers and Systems Survey (HCAHPS)
Type of Quality Indicator
Outcome
IOM Quality Dimension
Person-Centredness
Domain
Medication-Related

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
Yes
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
Surveys
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
Hospitals must survey patients throughout each month of the year
Frequency of Data Collection in Days
30
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
Quarterly
Reporting Frequency in Days
91
Indicator Has Recommended Targets
No

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/

Quality Indicator Confirmed to be Part of a Program Used to Monitor Quality and Safety of Care Among Older People at a Population-Level between 2012-2022
Yes
Assessed by the Australian Consortium for Aged Care Collaborators as Generally Containing Good Properties (Importance and Scientific Acceptability)
Yes
Australian Consortium for Aged Care Endorsed
No
Identified by PHARMA-Care Project
No
Upload Date
12 March 2025