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Quality Assurance

Quality Assurance Guidelines


The HCAHPS Quality Assurance Guidelines Version 3.0 has been released. This manual has been revised from Version 2.0 and includes additional updates and enhancements that provide a comprehensive resource for hospitals and survey vendors participating in the HCAHPS initiative. Please use Version 3.0 going forward.

  • Quality Assurance Guidelines (QAG) Version 3.0
    • Please click here to view or download the QAG Version 3.0.

  • Quality Assurance Guidelines (QAG) Change Matrix
    • Please click here to view or download the Change Matrix.

Quality Assurance Plan Specifications



Quality Assurance Plan Template and Specifications Document

Hospitals self-administering the HCAHPS Survey, hospitals administering the survey for multiple sites, and approved Survey Vendors must develop a Quality Assurance Plan (QAP).

The QAP should provide documentation of the hospital's or vendor's understanding, application and compliance with the HCAHPS Quality Assurance Guidelines, and should serve as the organization-specific guide for administering and training project staff and subcontractors to conduct the HCAHPS survey. A comprehensive QAP, reviewed and approved by HCAHPS, is required for participation in the HCAHPS program.

The HCAHPS Project Team has developed an outline of items to address when you prepare and submit your QAP. The Quality Assurance Plan Outline, is contained in Appendix S of the Quality Assurance Guidelines Version 3.0. We recommend that you make every effort to address all of the items listed in the outline, in the order in which they are presented. Note: Any revisions to your QAP should be submitted using "tracked changes."

  • Quality Assurance Plan Outline (1/25/2008)
    • Please click here to view or download a copy.




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