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 one of the five goals of the Electronic Health Records (EHR) Incentive Programs. 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.
Tutorial: Using the Data
Hospital Compare - Hospital General Information (data released October 19, 2016)
Hospital Compare - Payment and Value of Care Measures (data released October 19, 2016)
Hospital Compare - Hospital Consumer Assessment of Healthcare Providers and Systems (HCAHPS) (data released October 19, 2016)
Hospital Compare - Readmissions and Death Measures (data released October 19, 2016)
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 Name: The name of the county where the hospital is located. County names are listed as provided on the United States Census Bureau's list of 2010 FIPS Codes for Counties and County Equivalient 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 October 1, 2014 through September 30, 2015
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 Denom: Number of HF patients seen by the hospital during reporting period. The reporting period for this measure is July 1, 2012 through June 30, 2015
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, 2012 through June 30, 2015