Quick links: Self-Rated Mental Health to be Added to HCAHPS Patient-Mix Adjustment Model Beginning with July 2018 Discharges | Updates to All Documents Pertaining to April 2018 Public Report and the Pain Management Composite | FY 2019 IPPS Proposed Rule Has Been Published | The Star Ratings Distributions Have Been Updated | CMS Will No Longer Report the HCAHPS Pain Management Composite Measure | Star Ratings: July 2018 Technical Notes Have Been Posted | Patient-Mix Coefficients for July 2018 Technical Notes Have Been Posted | Hospital Compare Has Been Refreshed | Summary Analyses Page Tables Have Been Updated | Extraordinary Circumstances Exceptions (ECE) | HCAHPS Quality Assurance Guidelines V13.0 Change Matrix: Updates and Emphasis Has Been Posted | NEW! HCAHPS Podcast Now Available – Improving Response Rates of HCAHPS Hospitals | HCAHPS Quality Assurance Guidelines V13.0 Now Available Online | 2018 QualityNet Maintenance and Downtime Schedule | V.35 MS-DRG Codes | HCAHPS Public Reporting Periods for April 2017 Through July 2019 Have Been Posted | HCAHPS Patient-Mix Adjustment for Service Line and Gender | Mode Adjustment Table Has Been Posted | CMS Finalizing Removal of the Pain Management Dimension from Hospital Value-Based Purchasing in FY 2018
The HCAHPS Patient-Mix Adjustment (PMA) model will be updated to add Question 28, patient’s self-reported overall mental or emotional health, beginning with July 1, 2018 (Quarter 3, 2018) discharges. The new PMA variable will be called Self-Rated Mental Health. In addition, the label for overall health will be changed to “Self-Rated Overall Health.”
Self-Rated Mental Health will follow the same linear parameterization as Self-Rated Overall Health: patient responses are coded as 1 (“Excellent”) through 5 (“Poor”). The patient-mix adjustment model will thus include both Self-Rated Overall Health and Self-Rated Mental Health.
On May 23, 2018, the Hospital Compare Web site posted the following announcement regarding the HCAHPS Pain Management composite scores:
May 23, 2018 update: The Centers for Medicare & Medicaid Services (CMS) has suppressed the HCAHPS Pain Management composite scores on Hospital Compare and in the downloadable databases. In July, CMS is planning to remove the Pain Management composite from Hospital Compare and downloadable databases, and exclude it from the calculation of the HCAHPS Summary Star Rating and the Hospital Compare Overall Hospital Quality Star Rating.
As a result, HCAHPS Online is making the corresponding updates to all documents pertaining to the April 2018 public report period that are posted on this web site.
The FY 2019 IPPS Proposed Rule, establishing the Hospital Inpatient Prospective Payment System (IPPS), is now available on the Federal Register.
The Final Rule and related tables are available at the following URL: https://federalregister.gov/d/2018-08705.
The following tables have been added to the HCAHPS Web site Star Ratings page:
The survey questions comprising Pain Management Composite 4 were removed from the HCAHPS Survey in the FY 2018 IPPS/LTCH PPS Final Rule (81 FR 38342). Composite 4 is no longer needed and will no longer be reported on Hospital Compare. July 2018 Preview Reports and public reporting will display “N/A” and Footnote 5 for the Pain Management measure and will display “N/A” and Footnote 15 for the Pain Management star rating. In addition, Pain Management is no longer included in the calculation of the HCAHPS Summary Star Rating or the Hospital Compare Overall Hospital Quality Star Rating.
The Technical Notes for the July 2018 HCAHPS results are now available. The July 2018 HCAHPS Star Ratings are included in the hospital Preview Reports (available to hospitals from May 4, 2018 through June 3, 2018), and will be Publicly Reported on Hospital Compare in July 2018. Please click here to access the HCAHPS Star Ratings page.
The Patient-Mix Coefficients for the July 2018 HCAHPS results are now available. Please click here to access the Mode & Patient-Mix Adjustment page.
The April 2018 Hospital Compare Refresh includes HCAHPS scores from July 2016 through June 2017 data collections.
The following tables have been added to the HCAHPS Web site Summary Analyses Page:
For recent Extraordinary Circumstances Extensions (ECE) the key HCAHPS content is displayed below. Please review the entire notification for additional details.
To review the entire Quality Reporting Notifications for Hurricane Nate, Hurricane Irma, Hurricane Harvey, and the California Wildfires, please click below:
The National Support Team for the Hospital 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.
The HCAHPS Quality Assurance Guidelines V13.0 Change Matrix: Updates and Emphasis is a reference tool that highlights the major changes from the HCAHPS Quality Assurance Guidelines V12.0 to V13.0. The reference tool is available on the Quality Assurance page.
Please click here to view the Improving Response Rates of HCAHPS Hospitals on the HCAHPS Survey Podcast page.
The HCAHPS Project Team is pleased to announce the release of the HCAHPS Quality Assurance Guidelines V13.0. This manual has been revised from V12.0 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 V13.0 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.
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.
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 July 2019.
Please Note: The dates of future preview periods and public reporting are estimates based on current timetables and are subject to change.
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The HCAHPS Patient-Mix Adjustment (PMA) model has been updated to incorporate more detailed information about patient Service Line and Gender.
The Mode & Patient-Mix Adjustment page can be found by clicking here.
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An updated Mode Adjustments of Top Box and Bottom Box Percentages (after PMA) table is now available. Please click here to access the Mode & Patient-Mix Adjustment page.
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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 Hospital Compare.
Please monitor the HCAHPS Web site for future announcements about the Pain Management measure.
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This page was last modified on (7/13/18)