Reporting Hospital Quality from the Patient
Perspective: Integrating HCAHPS into Hospital
Compare
David J. Miranda, PhD, CMS
Kristin Carman, PhD, AIR
Jeanne McGee, PhD,
McGee & Evers Consulting, Inc.
AcademyHealth Research Meeting
Orlando, Florida
June 4, 2007
Outline of Presentation
1.
2.
3.
4.
Background
Research Questions
Methods
Results & Discussion
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Background
HCAHPS developed
1. By research consortium under
grant from Agency for Healthcare
Research and Quality (AHRQ)
2. To let patients tell what only they
can
3. To inform other patients about
what they want to know & should
know
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Hospital Compare--Homepage
www.hospitalcompare.hhs.gov
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Research Questions (1)
How to integrate patient
perspectives of care data to a
website that currently has very
different data?
1. HCAHPS is from patients

2.
Other data is about clinical procedures
or outcomes
HCAHPS is hospital wide

The other measures are conditionspecific
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Research Questions (2)
The HCAHPS survey was developed to
meet the needs of consumers—so
we assumed consumers will be more
interested in HCAHPS than clinical
How can the public reporting of
HCAHPS be used to foster interest in
and educate consumers about other
aspects of quality (outcomes,
standards of care)?
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Research Challenges
Can a single website do all this:
1.
Interest & educate consumers in
quality (including what other
patients can tell them about quality)
2.
Promote informed healthcare
choices
3.
Address concerns physicians have
about quality measurement and
patient survey data, and
4.
Provide useful feedback to Hospitals
for QI?
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Methods
1.
3 rounds of website audience
testing


2.
3.
Three locations
Subjects: MDs, RNs, caregivers &
patients
Review by Stakeholder workgroup
Iterative revisions of mock-ups of
displays and text
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Results & Discussion
Key Themes:
1.
2.
3.
“Clean and quiet” – 1 composite?
Patients want to know about their condition
Stating who is excluded draws undue
attention
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Results & Discussion (continued)
Key Themes (continued):
4.
MDs: “That’s critical for QI” vs. “It’s too
subjective”
5.
Once MDs see actual HCAHPS composites or
questions, Some recognize its value
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Results & Discussion (continued)
Key Themes (continued):
6.
Customized sorting might have benefits
over static performance-based sorting
(“rank ordering”)
•
•
Default of performance-based sorting helps
understanding
A high priorities is a print out of all quality
data and characteristics of each hospital of
interest
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Contact Information
David J. Miranda, Ph.D.
Social Science Research Analyst
CMS Center for Beneficiary Choices
7500 Security Boulevard
Woodlawn, MD 21244
410-786-7819
david.miranda@cms.hhs.gov
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