Do you know how HCAHPS impacts CMS payments to your hospital ?


How HCAHPS Survey affects hospitals, patients, and healthcare workers diagram

Beginning in 2002, CMS partnered with the Agency for Healthcare Research and Quality (AHRQ) to develop and test the Hospital Consumer Assessment of Healthcare Providers and Systems (HCAHPS) Survey. The Deficit Reduction Act of 2005 created an additional incentive for acute-care hospitals to participate in the HCAHPS survey. Since July 2007, IPPS hospitals which receive CMS payments must collect and submit HCAHPS data in order to receive full annual payment updates. Failing to do so may result in a reduction of hospital payments by 2%.

Beginning in 2014, the Hospital Value-Based Purchasing (Hospital VBP) program has linked a portion of IPPS hospitals' payments from CMS to the hospital's performance on a set of quality measures. These measures include the Clinical Process of Care Domain - (45%),The Patient Experience of Care Domain - (30%), and the New Outcome Domain - (25% ), which make up the hospital's score. The HCAHPS survey is the basis of the Patient Experience of Care Domain and asks recently-discharged patients for their hospital experience. The core of the HCAHPS survey emphasizes the following items:

- Response time

- How responsive hospital staff are to patients’ needs

- Staff communication

- How well nurses and doctors communicate with patients

- Pain management and medication

- How well the staff communicates with patients about new medicines

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