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Hospital Care Quality Information from the Consumer Perspective
  CAHPS® Hospital Survey
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Participation Form Submission Deadline has Closed (03/23/2017)

The time period for submitting requests for consideration of approval to administer the HCAHPS Survey has closed.


URGENT: HCAHPS Survey Materials and Attestation Statement Submission (03/23/2017)

Survey vendors, hospitals administering HCAHPS for multiple sites, and self-administering hospitals approved to administer the HCAHPS survey are required to submit all survey materials that will be used for July 1, 2017 patient discharges and forward to the HCAHPS Project Team via HCAHPS Technical Assistance by April 7, 2017.

Survey materials include:

  • HCAHPS Mail Survey Packet (questionnaires, cover letters and outgoing envelopes)
  • Telephone Interviewer Screen Shots and/or Scripts
  • IVR Screen Shots and/or Scripts

   Note: Be sure to send survey material samples for all of the language translations utilized by your organization

All approved organizations must also submit an HCAHPS Attestation Statement form that acknowledges annual updates to the Quality Assurance Plan (QAP) are complete, comprehensive, and accurate in reflecting updates made to the HCAHPS Quality Assurance Guidelines V12.0, as well as any changes in key personnel, resources and processes. The submission of this form will replace the previously required email acknowledgement confirming QAP updates have been made.

Please click here to view and print the HCAHPS Attestation Statement form. The executed form must be submitted to the HCAHPS Project Team via HCAHPS Technical Assistance by April 7, 2017.


FOLLOW-UP: April 5, 2017 HCAHPS Data Submission Deadline (03/15/2017)

April 5, 2017 is the data submission deadline for patients discharged in October, November, and December 2016 (4Q16). December 2016 Dry Run data must also be submitted by this date.

Please make sure to allow adequate time to submit data in case resubmissions are necessary. A successful submission to the QualityNet Secure Portal is defined as a file that has been accepted by the QualityNet Secure Portal, as indicated on the Data Submission Report. Be sure to check the HCAHPS Data Submission Reports (if your hospital uploaded data) or the HCAHPS Warehouse Feedback Reports (if your hospital has contracted with an approved survey vendor).

After you have uploaded your files, you should receive an email confirmation within twenty-four hours with a batch number indicating that your batch has been processed. If you do not receive this email, please contact the QualityNet Help Desk at qnetsupport@hcqis.org, or by telephone at 866.288.8912.

Should you encounter any data submission issues, be sure to open a ticket with the QualityNet Help Desk at qnetsupport@hcqis.org, or by telephone at 866.288.8912. In addition, please forward the QualityNet Help Desk Ticket/Incident number to the HCAHPS Project Team via the HCAHPS Technical Assistance email (hcahps@hcqis.org).


Agendas and Training Slides Posted for the 2017 Introduction to HCAHPS and HCAHPS Update Training Sessions (02/21/2017)

The March 2017 Introduction to HCAHPS Training slides and agendas are available on the Training Materials page.

The March 2017 HCAHPS Update Training slides and agendas are available on the Training Materials page.


HCAHPS Quality Assurance Guidelines V12.0 Now Available Online (02/21/2017)

The HCAHPS Project Team is pleased to announce the release of the HCAHPS Quality Assurance Guidelines V12.0. This manual has been revised from V11.0 and includes additional updates and enhancements that provide a comprehensive resource for hospitals and survey vendors participating in the HCAHPS initiative. This updated version is now available online to view or download on the Quality Assurance page.

In addition, the HCAHPS Quality Assurance Guidelines V12.0 manual, on CD-ROM, is in the process of being distributed to each organization’s contact person registered for the upcoming Introduction to HCAHPS or HCAHPS Update Training sessions.


Patient-Mix Coefficients for April 2017 HCAHPS Results Have Been Posted (01/09/2017)

The Patient-Mix Coefficients for the April 2017 HCAHPS results are now available. Please click here to access the Mode & Patient-Mix Adjustment page.


Star Ratings: April 2017 Technical Notes Have Been Posted (01/09/2017)

The Technical Notes for the April 2017 HCAHPS results are now available. The April 2017 HCAHPS Star Ratings are included in the hospital Preview Reports (available to hospitals from January 9, 2017 through February 7, 2017), and will be Publicly Reported on Hospital Compare in April 2017. Please click here to access the HCAHPS Star Ratings page.


Hospital Compare Has Been Refreshed (12/19/2016)

The December 2016 Hospital Compare Refresh includes HCAHPS scores from April 2015 through March 2016 data collections.


Summary Analyses Page Tables Have Been Updated (12/19/2016)

The following tables have been added to the HCAHPS Web site Summary Analyses page:

  • December 2016 Summary of HCAHPS Survey Results Table
  • December 2016 HCAHPS Percentiles Table

The Star Ratings Distributions Have Been Updated (12/19/2016)

The following tables have been added to the HCAHPS Web site Star Ratings page:

  • December 2016 HCAHPS Stars Ratings Distributions
  • December 2016 HCAHPS Summary Star Distributions by US State

2017 QualityNet Maintenance and Downtime Schedule (12/19/2016)

The HCAHPS Project Team is alerting approved HCAHPS Survey vendors and self-administering hospitals of upcoming regular QualityNet maintenance weekends. During this time organizations will not be able to upload HCAHPS data to the HCAHPS Data Warehouse. This alert is provided so that survey vendors and self-administering hospitals can plan data submission as needed.

Please see the Technical Specifications page for a schedule of upcoming regular QualityNet maintenance weekends.


CMS Finalizing Removal of the Pain Management Dimension from Hospital Value-Based Purchasing in FY 2018 (11/15/2016)

The CY 2017 OPPS Final Rule has been published and is now available on the Federal Register.

The Final Rule is available at the following URL: https://federalregister.gov/d/2016-26515

CMS is finalizing the removal of the Pain Management dimension from the scoring formula used in the Hospital Value-Based Purchasing Program (Hospital VBP), beginning with the FY 2018 payment adjustments. The Pain Management dimension is derived from Questions 12, 13 and 14 on the HCAHPS Survey.

Please note that the Pain Management questions will remain on the HCAHPS Survey and the Pain Management measure will continue to be publicly reported on Hospital Compare.

Please monitor the HCAHPS Web site for future announcements about the Pain Management measure.


Extraordinary Circumstances Extension / Exception (ECE) due to Hurricane Matthew (11/03/2016)

The Centers for Medicare & Medicaid Services (CMS) recently issued a Quality Reporting Notification memo on this topic. Key excerpts pertaining to HCAHPS are included below.

The purpose of this communication is to notify facilities of the Centers for Medicare & Medicaid Services (CMS) intent to grant quality reporting data submission and validation exceptions to Medicare providers in several care settings adversely affected by the devastating impact of Hurricane Matthew. For the specified reporting quarter(s), as indicated in this communication, affected providers will not be required to submit quality measure data to meet submission requirements or medical records to meet validation requirements.

CMS is exercising its authority to grant exceptions for data submission and validation requirements for the several quality reporting programs for providers located within the Federal Emergency Management Agency (FEMA)-designated “major disaster” counties of Georgia, Florida, North Carolina, and South Carolina listed below:

GEORGIA
  • Brantley County
  • Bryan County
  • Bulloch County
  • Camden County
  • Chatham County
  • Effingham County
  • Glynn County
  • Liberty County
  • Long County
  • McIntosh County
  • Pierce County
  • Screven County
  • Tattnall County
  • Toombs County
  • Wayne County
FLORIDA
  • Brevard County
  • Clay County
  • Duval County
  • Flagler County
  • Indian River County
  • Martin County
  • Nassau County
  • Putnam County
  • St. Johns County
  • St. Lucie County
  • Volusia County
NORTH CAROLINA
  • Beaufort County
  • Bertie County
  • Bladen County
  • Brunswick County
  • Camden County
  • Carteret County
  • Chowan County
  • Columbus County
  • Craven County
  • Cumberland County
  • Currituck County
  • Dare County
  • Duplin County
  • Edgecombe County
  • Gates County
  • Greene County
  • Harnett County
  • Hoke County
  • Hyde County
  • Johnston County
  • Jones County
  • Lenoir County
  • Martin County
  • Nash County
  • New Hanover County
  • Onslow County
  • Pamlico County
  • Pasquotank County
  • Pender County
  • Perquimans County
  • Pitt County
  • Robeson County
  • Sampson County
  • Tyrrell County
  • Washington County
  • Wayne County
  • Wilson County
SOUTH CAROLINA
  • Allendale County
  • Bamberg County
  • Barnwell County
  • Beaufort County
  • Berkeley County
  • Charleston County
  • Colleton County
  • Darlington County
  • Dillon County
  • Dorchester County
  • Florence County
  • Georgetown County
  • Hampton County
  • Horry County
  • Jasper County
  • Lee County
  • Marion County
  • Orangeburg County
  • Sumter County
  • Williamsburg County

CMS is issuing exemptions for several quality reporting data submission requirements because of possible damage to facilities and/or systems resulting in their inability to gather or submit data, as well as the need to prioritize immediate resources for direct patient care. Providers selected for CMS validation that are located in these counties are also granted exemption from submitting charts from the designated quarter(s), as medical records may have been destroyed due to the hurricane.

Please note that hospitals located outside of the counties covered under this memo in need of an extension or exemption from program requirements are required to follow the submission process described in this memo.

Please Note: For the Hospital Consumer Assessment of Healthcare Providers and Systems (HCAHPS) Survey for hospitals in covered counties, patient experience of care requirements are exempt as follows:

  • January 4, 2017 and April 5, 2017 HCAHPS submission deadline for the following respective discharge periods:
    • July 1, 2016 – September 30, 2016 (3rd Quarter 2016)
      October 1, 2016 – December 31, 2016 (4th Quarter 2016)

The National Support Team for the IQR Program is available to answer questions or supply any additional information you may need. Please contact the team at InpatientSupport@viqrc1.hcqis.org or call toll-free at 844.472.4477.


Disaster Exemption for Louisiana Hospitals Affected by Severe Storms and Flooding (10/27/2016)

The Centers for Medicare & Medicaid Services (CMS) recently issued a Quality Reporting Notification memo on this topic. Key excerpts pertaining to HCAHPS are included below.

The purpose of this communication is to notify facilities of the Centers for Medicare & Medicaid Services (CMS) intent to grant quality reporting data submission and validation exceptions to Medicare providers in several care settings adversely affected by the devastating impact of recent Louisiana flooding. For the specified reporting quarter(s), as indicated in this communication, affected providers will not be required to submit quality measure data to meet submission requirements or medical records to meet validation requirements.

CMS is exercising its authority to grant exceptions for data submission and validation requirements for the several quality reporting programs (QRP) for providers located within the FEMA-designated “major disaster” parishes of Louisiana listed below:

• Acadia Parish
• Pointe Coupee Parish
• Ascension Parish
• St. Helena Parish
• Avoyelles Parish
• St. James Parish
• East Baton Rouge Parish
• St. Landry Parish
• East Feliciana Parish
• St. Martin Parish
• Evangeline Parish
• St. Tammany Parish
• Iberia Parish
• Tangipahoa Parish
• Iberville Parish
• Vermilion Parish
• Jefferson Davis Parish
• Washington Parish
• Lafayette Parish
• West Baton Rouge Parish
• Livingston Parish
• West Feliciana Parish

CMS is issuing exceptions for the several quality reporting data submission requirements because of possible damage to facilities and/or systems resulting in their inability to gather or submit data, as well as the need to prioritize immediate resources for direct patient care. Providers selected for CMS validation that are located in these parishes are also granted exception from submitting charts from the designated quarter(s), as medical records may have been destroyed due to the flooding.

Please note that hospitals located outside of the parishes covered under this memo in need of an extension or extension from program requirements are required to follow the submission process described in this memo.

Please Note: For the Hospital Consumer Assessment of Healthcare Providers and Systems (HCAHPS) Survey for hospitals in covered parishes, patient experience of care requirements are exempt as follows:

  • January 4, 2017 and April 2017 HCAHPS submission deadlines for discharge periods:
    • July 1, 2016 – September 30, 2016 (3rd Quarter 2016)
    • October 1, 2016 – December 31, 2016 (4th Quarter 2016)

For further assistance regarding the information contained in this message, please contact the Hospital Inpatient Value, Incentives, and Quality Reporting Outreach and Education Support Team at https://cms-ip.custhelp.com or 844-472-4477.


25 Completed HCAHPS Surveys Required for Hospital HCAHPS Scores to be Publicly Reported on Hospital Compare (10/11/2016)

Beginning with the December 2016 Hospital Compare refresh, HCAHPS scores based on fewer than 25 completed surveys will no longer be publicly reported. From December forward, the Hospital Compare Web site will report “Not Applicable” and Footnote 5, “Results are not available for this reporting period,” for hospitals that have fewer than 25 completed HCAHPS Surveys. However, the Public Reporting Preview Report, which a hospital can access during the preview period, will continue to include the hospital’s HCAHPS scores and number of completed surveys.


HCAHPS Public Reporting Periods for October 2016 Through December 2018 Have Been Posted (09/14/2016)

Click here to view the HCAHPS Public Reporting Periods document. This document indicates which calendar quarters of HCAHPS results will be publicly reported on the Hospital Compare Web site through December 2018.

Please Note: The dates of future preview periods and public reporting are estimates based on current timetables and are subject to change.