Care Transition Composite

Identifying Attributes

Care Settings
Care Transitions
Country
United States of America
Publishing Organisation
Centers for Medicare & Medicaid Services (CMS): Hospital Value-Based Purchasing (VBP) Program
Type of Quality Indicator
Outcome
IOM Quality Dimension
Person-Centredness
Domain
Consumer Experience

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
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

Collection and Reporting Attributes

Type of Data Collection
Surveys
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
Monthly
Frequency of Data Collection in Days
30
Reporting Methods

Not publicly reported based on available evidence

Reporting Frequency
Quarterly
Reporting Frequency in Days
91
Indicator Has Recommended Targets
No

Source and Reference Attributes

Technical Specifications
Link to Measurement Tools
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
No
Assessed by the Australian Consortium for Aged Care Collaborators as Generally Containing Good Properties (Importance and Scientific Acceptability)
No
Australian Consortium for Aged Care Endorsed
No
Identified by PHARMA-Care Project
No
Upload Date
02 December 2025