Care Transition Composite
Identifying Attributes
Care Settings
Country
Publishing Organisation
Type of Quality Indicator
IOM Quality Dimension
Domain
Defining Attributes
Definition
Average "top-box" score for for 20. During this hospital stay, staff took my preferences and those of my family or caregiver into account in deciding what my health care needs would be when I left. 21. When I left the hospital, I had a good understanding of the things I was responsible for in managing my health. 22. When I left the hospital, I clearly understood the purpose for taking each of my medications. 1 Strongly disagree 2 Disagree 3 Agree 4 Strongly agree
Numerator
Top box 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
Collection and Reporting Attributes
Type of Data Collection
Data Collection Methods
The HCAHPS (Hospital Consumer Assessment of Healthcare Providers and Systems) Survey 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). Hospitals must survey patients throughout each month of the year
Frequency of Data Collection
Frequency of Data Collection in Days
Reporting Methods
Not publicly reported based on available evidence