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  CAHPS® Hospital Survey
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Quick links:
2017 QualityNet Maintenance and Downtime Schedule | 25 Completed HCAHPS Surveys Required for Hospital HCAHPS Scores to be Publicly Reported on Hospital Compare | Submission of HCAHPS Administrative Data | Contacting QualityNet HelpDesk Regarding HCAHPS Data Submission Issues | HCAHPS Public Reporting Periods | Data Submission Deadlines Through 2018 | Slides Illustrating the Calculations of HCAHPS Scores | V.34 MS-DRG Codes Effective October 1, 2016 | HCAHPS Service Line and V.31 APR-DRG Crosswalk | HCAHPS V3.8 Submission of "5 or Fewer Eligible HCAHPS Discharges in a Month" | HCAHPS V3.8 Submission of "Zero Cases" | XML File Specifications V3.8


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 below for the schedule of upcoming regular QualityNet maintenance weekends.

  • May 19, 20, 21
  • June 23, 24, 25
  • July 14, 15, 16
  • August 18, 19, 20
  • September 15, 16, 17
  • October 20, 21, 22
  • November 17, 18, 19
  • December 15, 16, 17

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.


Submission of HCAHPS Administrative Data (03/31/2016)

The HCAHPS Project Team would like to remind hospitals and survey vendors that hospitals are required to provide, in a timely manner, all patient administrative data required for the HCAHPS Survey, including service line and patient age; see FY 2014 IPPS Final Rule (Federal Register/Vol. 78, No. 160/Monday, August 19, 2013/Rules and Regulations, Section. 412.140). These data are required for Patient-Mix Adjustment. Failure to provide this information is considered a deviation from HCAHPS data collection protocols.


Contacting QualityNet HelpDesk Regarding HCAHPS Data Submission Issues (03/31/2016)

When contacting the QualityNet HelpDesk about issues related to HCAHPS data submission, the HCAHPS Project Team requests that the survey vendor or hospital copy the HCAHPS Project Team on these communications. Please “cc” HCAHPS Technical Assistance hcahps@hcqis.org on data submission related emails sent to the QualityNet HelpDesk. Also be sure to provide HCAHPS Technical Assistance with any ticket number assigned by the QualityNet HelpDesk. In addition, if you contact the QualityNet HelpDesk via telephone, please send a follow-up email to the HCAHPS Technical Assistance as documentation of telephone conversation with QualityNet, and please include the ticket number.


HCAHPS Public Reporting Periods for October 2016 Through December 2018 Have Been Posted

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 thus are subject to change.


Data Submission Deadlines Through July 2018

The HCAHPS Data Submission Deadlines through July 2018 are listed below. Following the HCAHPS Data Submission Deadline, hospitals self-administering the HCAHPS Survey and HCAHPS Survey vendors will have a one week opportunity to correct data previously submitted for the quarter. The Review and Correct Period is only for correcting previously submitted data and cannot be used to submit new data records.

The process for submitting corrected data will be the same as the current process used for correcting data. During the Review and Correct Period only administrative data and survey record data can be corrected.

The Review and Correct Report, which summarizes the data submitted to the HCAHPS Data Warehouse, is available to hospitals and survey vendors in the Review and Correction Period.

The 2017 through 2018 HCAHPS Data Submission Deadlines are as follows:

  • January 4, 2017 is the data submission deadline for the patients discharged in July, August, and September 2016 (3Q16). September 2016 Dry Run data must also be submitted by this date.
    • January 5 - 11, 2017 Review and Correct Period
  • April 5, 2017 is the data submission deadline for the patients discharged in October, November, and December 2016 (4Q16). December 2016 Dry Run data must also be submitted by this date.
    • April 6 - 12, 2017 Review and Correct Period
  • July 5, 2017 is the data submission deadline for the patients discharged in January, February, and March 2017 (1Q17). March 2017 Dry Run data must also be submitted by this date.
    • July 6 - 12, 2017 Review and Correct Period
  • October 4, 2017 is the data submission deadline for the patients discharged in April, May, and June 2017 (2Q17). June 2017 Dry Run data must also be submitted by this date.
    • October 5 - 11, 2017 Review and Correct Period
  • January 3, 2018 is the data submission deadline for the patients discharged in July, August, and September 2017 (3Q17). September 2017 Dry Run data must also be submitted by this date.
    • January 4 - 10, 2018 Review and Correct Period
  • April 4, 2018 is the data submission deadline for the patients discharged in October, November, and December 2017 (4Q17). December 2017 Dry Run data must also be submitted by this date.
    • April 5 - 11, 2018 Review and Correct Period
  • July 5, 2018 is the data submission deadline for the patients discharged in January, February, and March 2018 (1Q18). March 2018 Dry Run data must also be submitted by this date.
    • July 6 – 12, 2018 Review and Correct Period

Slides Illustrating the Calculations of HCAHPS Scores

For a refresher on how HCAHPS scores are calculated, click here to view or download the slides.


V.34 MS-DRG Codes Effective October 1, 2016

CMS has adopted V.34 MS-DRG Codes effective October 1, 2016. Please click here for the Table of V.34 MS-DRG Codes and HCAHPS Service Line Categories.


HCAHPS Service Line and V.31 APR-DRG Crosswalk

The Crosswalk of HCAHPS Service Line Categories and V.31 APR-DRG Codes is available below.1

APR-DRG
HCAHPS Service
Line
Eligible for
HCAHPS
540-542, 560
1 = Maternity Care
Yes
40-58, 80, 82, 98, 110-111, 113-115, 130-144, 190, 193-194, 196-201, 203-207, 240-254, 279-284, 313-317, 340-344, 346-347, 349, 351, 380-385, 420-425, 460-463, 465-466, 468, 500-501, 530-532, 561, 563, 565-566, 660-663, 690-694, 720-724, 811-813, 815-816, 843-844, 861-862, 890, 892-894
2 = Medical
Yes
1-6, 20-24, 26, 70, 73, 89, 90-93, 95, 97, 120-121, 160-163, 165-167, 169-171, 173-177, 180, 191-192, 220-229, 260-264, 301-305, 308-310, 312, 320-321, 361-364, 401, 403-405, 440-447, 480-484, 510-514, 517-519, 544-546, 564, 650-651, 680-681, 710-711, 791, 841-842, 850, 910-912, 930, 950-952
3 = Surgical
Yes
580-581, 583, 588-589, 591, 593, 602-603, 607-609, 611-614, 621-623, 625-626, 630-631, 633-634, 636, 639, 640, 740, 750-760, 770, 772-776, 860, 863
Ineligible
No
A missing APR-DRG code does not exclude a patient from being drawn into the sample frame
M = Missing
Yes

1This table of APR-DRG codes is based on “APR-DRG Weights and ALOS for Acute Services,” New York State
Department of Health, https://www.health.ny.gov/facilities/hospital/reimbursement/apr-drg/weights/ (April 30, 2015)


HCAHPS V3.8 Submission of "5 or Fewer Eligible HCAHPS Discharges in a Month"

Below please find instructions for uploading "5 or Fewer Eligible HCAHPS Discharges in a Month" information via My QualityNet using the Online Data Entry Tool or the XML file format for July 1, 2016 patient discharges and forward.

Online Tool

Please note the following:

  • One header record must be completed for each month that an organization has "5 or Fewer Eligible HCAHPS Discharges in a Month."
  • The NPI element is not required at this time, but may be entered if the information is available.
  • For "survey mode," select "Mail only."
  • For "determination of service line," select the method used to determine the patient's eligibility.
  • For "number eligible discharge," enter actual count of eligible discharges for the month.
  • For "sample size," enter zero.
  • For "sample type," select "Simple Random Sample."

XML File Format

Below is an example of the header record layout that must be submitted for each month that an organization has "5 or Fewer Eligible HCAHPS Discharges in a Month."

  • <header>
    • <provider-name>Some Hospital</provider-name>
    • <provider-id>123456</provider-id>
    • (NPI is not required)
    • <discharge-yr>2016</discharge-yr>
    • <discharge-month>7</discharge-month> (for July)
    • <survey-mode>1</survey-mode > (for Mail only)
    • <determination-of-service-line>1</determination-of-service-line> (for V.33, V.32, V.31, V.30, V.29, V.28, V.26, or V.25 MS-DRG codes)
    • <number-eligible-discharge> enter actual count i.e. 1, 2, 3, 4 or 5</number-eligible-discharge>
    • <sample-size>0</sample-size>
    • <sample-type>1</sample-type> (for Simple Random Sample)
    </header>

Please contact HCAHPS Information and Technical Support by email at hcahps@hcqis.org or by telephone at 1-888-884-4007 with any questions.



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HCAHPS V3.8 Submission of "Zero Cases"

Below please find instructions for uploading "Zero Case" information via My QualityNet using the Online Data Entry Tool or the XML file format for July 1, 2016 patient discharges and forward.

Online Tool

Please note the following:

  • One header record must be completed for each month that an organization has "Zero Cases."
  • The NPI element is not required at this time, but may be entered if the information is available.
  • For "survey mode," select "Mail only."
  • For "determination of service line," select "1 – V.33, V.32, V.31, V.30, V.29, V.28, V.26, or V.25 MS-DRG codes."
  • For "number eligible discharge," and "sample size" enter 0.
  • For "sample type," select "Simple Random Sample."

XML File Format

Below is an example of the header record layout that must be submitted for each month that an organization has "Zero Cases."

  • <header>
    • <provider-name>Some Hospital</provider-name>
    • <provider-id>123456</provider-id>
    • (NPI is not required)
    • <discharge-yr>2016</discharge-yr>
    • <discharge-month>7</discharge-month> (for July)
    • <survey-mode>1</survey-mode > (for Mail only)
    • <determination-of-service-line>1</determination-of-service-line> (for V.33, V.32, V.31, V.30, V.29, V.28, V.26, or V.25 MS-DRG codes)
    • <number-eligible-discharge> enter actual count i.e. 1, 2, 3, 4 or 5</number-eligible-discharge>
    • <sample-size>0</sample-size>
    • <sample-type>1</sample-type> (for Simple Random Sample)
    </header>
<sample-size>0</sample-size>
<sample-type>1</sample-type> (for Simple Random Sample)
</header>

Please contact HCAHPS Information and Technical Support by email at hcahps@hcqis.org or by telephone at 1-888-884-4007 with any questions.



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XML File Specifications Version 3.8

XML File Specifications Version 3.8 is effective beginning with third quarter 2016 patient discharges.

HCAHPS survey data for eligible discharges from July 1, 2016 forward may now be submitted via XML format or the HCAHPS Online Data Entry Tool accessed from My QualityNet.

Click here for the XML File Specifications Version 3.8, the XML File Sample Layout without DSRS Version 3.8 and the XML File Sample Layout with DSRS Version 3.8.



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