Patient Satisfaction

Patient engagement is a growing area of focus for the US health care system because there is an association between reported levels of patient engagement and improved clinical outcomes (Hibbard & Greene, 2013). As a result, the Centers for Medicare & Medicaid Services (CMS) has included patient and family engagement as part of the Quality Payment Program. One primary aim of patient engagement is to improve communication between providers/organizations and patients. Patients who better understand the health information related to their care are more likely to have improved outcomes. One measure of clinical communication is the rate in which physicians always communicate well with patients in the hospital setting.

The purpose of this analysis is to compare patient-physician communication rates with heart failure readmission and mortality rates among different types of hospitals.

This scenario includes benchmarks for each appropriate variable. State-level benchmarks are accessible by filtering by state. Scenarios with multiple outcome variables require filtering by the specific outcome to return the corresponding benchmarks.

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Tutorial: Using the Data

Data Sources

Hospital Compare - Hospital General Information (data released January 26, 2018)

Hospital Compare - Payment and Value of Care Measures (data released January 26, 2018)

Hospital Compare - Hospital Consumer Assessment of Healthcare Providers and Systems (HCAHPS) (data released January 26, 2018)

Hospital Compare - Unplanned Hospital Visits (data released January 26, 2018)

Hospital Compare - Complications and Deaths (data released January 26, 2018)

Defining the Columns

A blank entry indicates unreported data. A value of zero is a defined value and does not represent unreported data.

State: The abbreviated name of the state where the hospital is located.

County: The name of the county where the hospital is located. County names are listed as provided on the US Census Bureau's list of 2010 FIPS Codes for Counties and County Equivalent Entities.

Hospital: The name of the hospital.

Hospital Type: The type of hospital, which includes acute care hospitals, critical access hospitals and children's hospitals.

Percent of Doctors That Always Communicate: The percentage of hospital inpatients reporting that doctors always communicate well from the Hospital Consumer Assessment of Healthcare Providers and Systems (HCAHPS) survey about patient experience and satisfaction. The reporting period for this measure is April 1, 2016 through March 31, 2017.

HF Payment: Average Medicare spending per beneficiary for heart failure (HF) patients spanning three days prior to an inpatient admission to 30 days after discharge.

Payment Denominator: Number of HF patients seen by the hospital during reporting period. The reporting period for this measure is July 1, 2013 through June 30, 2016.

Health Outcome Measure: The name of the major complications and death measures. The measures of interest for this scenario include HF 30-day mortality rate and HF 30-day readmission rate.

Health Outcome Rate: This risk-standardized outcome rate per 100 patients looks at the 30-day unplanned hospital-wide readmission or the death of a patient within 30-days of hospital admission for any cause related to medical conditions. A lower measure is desired as this indicates a lower proportion of HF mortality and HF readmissions. The reporting period for these measures is July 1, 2013 through June 30, 2016.

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Tutorial: Using Excel Output