Patient Satisfaction

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

Patient engagement is a growing area of focus for the U.S. health care system because there is an association between reported levels of patient engagement, satisfaction, and improved clinical outcomes (Hibbard & Greene, 2013, Henning-Smith et al., 2020). 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 (Kelley et al., 2014). One measure of clinical communication is the rate at which physicians always communicate well with patients in the hospital setting.

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.

Analyzing the Data

This data represents the most current publicly available information sources that are commonly used to study health care trends. The data is derived from the Data Sources listed below and combined to support the analysis.

This data is also available in a text-based table format. This alternate format also provides hospital-specific data.

Tutorial: Using the Data

Data Sources

Hospital Compare - Hospital General Information (data released July 2021)

Hospital Compare - Payment and Value of Care (data released July 2021)

Hospital Compare - Patient Surveys - HCAHPS (data released July 2021)

Hospital Compare - Unplanned Hospital Visits (data released July 2021)

Hospital Compare - Complications and Deaths (data released July 2021)

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 U.S. Census Bureau's list of 2020 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, acute care - Department of Defense 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 January 1, 2019, through December 31, 2019.

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 the reporting period. The reporting period for this measure is July 1, 2017, through December 1, 2019.

Health Outcome Measure: The coded name of the major complications and death measures. The measures include:

  • MORT_30_HF: Heart Failure 30-day mortality rate 
  • READM_30_HF: Heart Failure 30-day readmission rate

Health Outcome Rate: The rate for the specific health outcome measure. 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, 2017, through December 1, 2019.

This project is/was supported by the Health Resources and Services Administration (HRSA) of the U.S. Department of Health and Human Services (HHS) under grant number UB1RH24206, Information Services to Rural Hospital Flexibility Program Grantees, $1,560,000 (0% financed with nongovernmental sources). This information or content and conclusions are those of the author and should not be construed as the official position or policy of, nor should any endorsements be inferred by HRSA, HHS or the U.S. Government.