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 email@example.com, 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 firstname.lastname@example.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 (email@example.com).
HCAHPS Survey Materials and Attestation Statement Submission (03/09/2017)
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.
HCAHPS Participation Forms Posted (03/02/2017)
The HCAHPS Participation Forms are now available. Forms to request consideration for approval to administer the HCAHPS Survey
must be submitted by March 23, 2017. The Participation Forms can be found on the
Participation Forms page. Prior to completing the Participation Form,
organizations requesting consideration for approval to administer the HCAHPS Survey must have successfully completed participation
in the March 2017 Introduction to HCAHPS Training Session, and must meet the current HCAHPS Minimum Survey
Requirements to administer the survey.
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.
Hospital/Survey Vendor HCAHPS Minimum Survey Requirements to Administer the HCAHPS Survey
(Minimum Business Requirements) (01/27/2017)
To administer the HCAHPS Survey, organizations must meet all of the HCAHPS Minimum Business Requirements.
A hospital self-administering the HCAHPS Survey must meet ALL of the Self-administering Hospital Minimum
Survey Requirements, and an independent survey vendor or a hospital administering the HCAHPS Survey for multiple sites must
meet ALL of the Survey Vendor Minimum Survey Requirements. In addition, subcontractors or other
organization(s) performing major HCAHPS Survey Administration functions (e.g., mail/telephone/IVR operations,
XML file preparation) must also meet ALL of the HCAHPS Minimum Survey Requirements which pertain to that
role. For more information regarding the HCAHPS Minimum Business Requirements, please click here
or on the left-hand Quality Assurance navigation button.
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
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
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:
- 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
- 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
- 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
- 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.