Reporting Hospital Quality from the Patient Perspective: Integrating HCAHPS into Hospital Compare...

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 MeetingOrlando, Florida

June 4, 2007

Orlando FL, June 4, 2007 ARM 2

Outline of Presentation

1. Background2. Research Questions3. Methods4. Results & Discussion


Background

HCAHPS developed1. 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


Hospital Compare--Homepagewww.hospitalcompare.hhs.gov


Research Questions (1)

How to integrate patientperspectives of care data to awebsite that currently has verydifferent data?1. HCAHPS is from patients

Other data is about clinical procedures or outcomes

2. HCAHPS is hospital wide The other measures are condition-

specific


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)?


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?


Methods

1. 3 rounds of website audience testing

Three locations Subjects: MDs, RNs, caregivers &

patients

2. Review by Stakeholder workgroup3. Iterative revisions of mock-ups of

displays and text


Results & Discussion

Key Themes:

1. “Clean and quiet” – 1 composite?2. Patients want to know about their condition 3. Stating who is excluded draws undue

attention


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


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


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

[email protected]

Reporting Hospital Quality from the Patient Perspective: Integrating HCAHPS into Hospital Compare...

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