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https://www.readbyqxmd.com/read/27913084/quality-of-communication-about-medicines-in-united-states-hospitals-a-national-retrospective-study
#1
Lauren Mullings, Jayashri Sankaranarayanan
BACKGROUND: Despite the benefits of improving transitions across care, literature is very limited on inpatient "Communication about Medicines" (ComMed) by staff across United States (U.S.) hospitals. OBJECTIVES: To evaluate ComMed quality variations by hospital characteristics. METHODS: In a cross-sectional, retrospective study of publicly available U.S. Medicare's Hospital Consumer Assessment of Health Care Plans Survey (HCAHPS) data (January 2013-September 2014), ComMed quality (high = above average/excellent vs...
October 26, 2016: Research in Social & Administrative Pharmacy: RSAP
https://www.readbyqxmd.com/read/27906530/medicare-program-hospital-outpatient-prospective-payment-and-ambulatory-surgical-center-payment-systems-and-quality-reporting-programs-organ-procurement-organization-reporting-and-communication-transplant-outcome-measures-and-documentation-requirements-electronic
#2
(no author information available yet)
This final rule with comment period revises the Medicare hospital outpatient prospective payment system (OPPS) and the Medicare ambulatory surgical center (ASC) payment system for CY 2017 to implement applicable statutory requirements and changes arising from our continuing experience with these systems. In this final rule with comment period, we describe the changes to the amounts and factors used to determine the payment rates for Medicare services paid under the OPPS and those paid under the ASC payment system...
November 14, 2016: Federal Register
https://www.readbyqxmd.com/read/27887676/trauma-patients-i-can-t-get-no-patient-satisfaction
#3
Karalyn Bentley-Kumar, Theresa Jackson, Danny Holland, Brian LeBlanc, Vaidehi Agrawal, Michael S Truitt
BACKGROUND: The Centers for Medicare and Medicaid Services (CMS) provides financial incentives to hospitals based on the Hospital Consumer Assessment of Healthcare Providers and Systems (HCAHPS) patient satisfaction survey. This data is made publicly available on their website to be utilized by patients and insurers. Hospitals are profoundly interested in identifying patient populations that negatively contribute to overall patient satisfaction scores. Hospitals consider trauma patients "high risk" from a HCAHPS perspective, but there is no data to inform this opinion...
October 20, 2016: American Journal of Surgery
https://www.readbyqxmd.com/read/27851708/the-relationship-between-nurse-reported-safety-culture-and-the-patient-experience
#4
Kathleen Abrahamson, Zach Hass, Kristopher Morgan, Bradley Fulton, Rangaraj Ramanujam
OBJECTIVE: The purpose of this study was to better understand the relationship between nurse-reported safety culture and the patient experience in a multistate sample of nurses and patients, matched by hospital unit/service line and timeframe of care delivery. BACKGROUND: Nurses play a key role in the patient experience and patient safety. A strong safety culture may produce positive spillover effects throughout the nurse caregiving experience, resulting in patient perception of a high-quality experience...
December 2016: Journal of Nursing Administration
https://www.readbyqxmd.com/read/27849669/hospital-rating-systems-and-implications-for-patient-travel-to-better-rated-hospitals
#5
Arun Subramanian, Joel T Adler, Nilay D Shah, Joseph A Hyder
Publicly reported hospital ratings aim to encourage transparency, spur quality improvement, and empower patient choice. Travel burdens may limit patient choice, particularly for older adults (aged 65 years and more) who receive most medical care. For 3 major hospital ratings systems, we estimated travel burden as the additional 1-way travel distance to receive care at a better-rated hospital.Distances were estimated from publicly available data from the US Census, US News Top Hospitals, Society of Thoracic Surgeons composite rating for coronary artery bypass grafting (STS-CABG), and Centers for Medicare and Medicaid Services Hospital Consumer Assessment of Healthcare Providers and Services (HCAHPS)...
November 15, 2016: Annals of Surgery
https://www.readbyqxmd.com/read/27755212/nurse-engagement-in-shared-governance-and-patient-and-nurse-outcomes
#6
Ann Kutney-Lee, Hayley Germack, Linda Hatfield, Sharon Kelly, Patricia Maguire, Andrew Dierkes, Mary Del Guidice, Linda H Aiken
OBJECTIVE: The objectives of this study were to examine differences in nurse engagement in shared governance across hospitals and to determine the relationship between nurse engagement and patient and nurse outcomes. BACKGROUND: There is little empirical evidence examining the relationship between shared governance and patient outcomes. METHODS: A secondary analysis of linked cross-sectional data was conducted using nurse, hospital, and Hospital Consumer Assessment of Healthcare Providers and Systems (HCAHPS) survey data...
November 2016: Journal of Nursing Administration
https://www.readbyqxmd.com/read/27749716/comprehensive-unit-based-safety-program-cusp-to-improve-patient-experience-how-a-hospital-enhanced-care-transitions-and-discharge-processes
#7
Brent C Pottenger, Richard O Davis, Joanne Miller, Lisa Allen, Melinda Sawyer, Peter J Pronovost
OBJECTIVE: To determine whether Comprehensive Unit-based Safety Program (CUSP) teams could be used to enhance patient experience by improving care transitions and discharge processes in a 318-bed community hospital. METHODS: In 2015, CUSP teams produced feasible solutions by participating in a design-thinking initiative, coupled with performance improvement tools involving data analytics and peer-learning communities. Teams completed a 90-day sprint challenge, involving weekly meetings, monthly department leader meetings, and progress trackers...
October 2016: Quality Management in Health Care
https://www.readbyqxmd.com/read/27729679/pharmacy-initiated-transitions-of-care-services-an-opportunity-to-impact-patient-satisfaction
#8
EDITORIAL
Jeffrey S Reichard, Scott Savage, Stephen F Eckel
PURPOSE: A transitions of care program at an academic teaching hospital was designed to reengineer the fragmented discharge process. The team included a pharmacy technician, called a transition specialist, who coordinated the medication needs of discharging patients. This study intends to assess the impact of the transitions of care program on patient satisfaction scores. METHODS: Two datasets of Press Ganey and Hospital Consumer Assessment of Healthcare Providers (HCAHPS) were analyzed...
November 2015: Hospital Pharmacy
https://www.readbyqxmd.com/read/27687381/perioperative-factors-associated-with-hospital-consumer-assessment-of-healthcare-providers-and-systems-responses-of-total-hip-arthroplasty-patients
#9
Dermot P Maher, Pauline Woo, Waylan Wong, Xiao Zhang, Roya Yumul, Charles Louy
OBJECTIVE: To determine perioperative treatments and events associated with Hospital Consumer Assessment of Healthcare Providers and Systems (HCAHPS) responses among patients who undergo total hip arthroplasties (THAs) and total knee arthroplasties (TKAs). DESIGN: Retrospective analysis. SETTING: Single tertiary care, academic, urban, level 1 trauma center. PARTICIPANTS: Final cohort represents 301 consecutive surgical inpatients meeting criteria for evaluation by HCAHPS survey...
November 2016: Journal of Clinical Anesthesia
https://www.readbyqxmd.com/read/27648899/nursing-professional-development-organizational-value-demonstration-project
#10
Mary G Harper, Julia Aucoin, Joan I Warren
A common question nursing professional development (NPD) practitioners ask is, "How many NPD practitioners should my organization have?" This study examined correlations among facility size and structure, NPD practitioner characteristics and time in service, and organizational outcomes. Organizations with a higher rate of NPD full-time equivalents per bed had higher patient satisfaction with nurses' communication and provision of discharge instruction on their HCAHPS (Hospital Consumer Assessment of Healthcare Provider and Systems) scores...
September 2016: Journal for Nurses in Professional Development
https://www.readbyqxmd.com/read/27635753/effectiveness-of-culturally-focused-interventions-in-increasing-the-satisfaction-of-hospitalized-asian-patients-a-systematic-review
#11
Millicent Alfred, Karolina Ubogaya, Xing Chen, Diana Wint, Priscilla Sandford Worral
BACKGROUND: Patient satisfaction is a driving force for healthcare organizations to enhance patient services. As the Asian population in the United States is increasing at a significant rate, it is important to understand the needs of this population to implement culturally focused services that will lead to increased Asian in-patient satisfaction. OBJECTIVE: The objective of the systematic review was to identify the best available evidence on the effectiveness of culturally focused interventions in increasing satisfaction of hospitalized adult Asian patients...
August 2016: JBI Database of Systematic Reviews and Implementation Reports
https://www.readbyqxmd.com/read/27612390/predictors-of-satisfaction-with-doctor-and-nurse-communication-a-national-study
#12
Daniel C McFarland, Megan Johnson Shen, Randall F Holcombe
Prior research indicates that effective communication between medical providers and patients is associated with a number of positive patient outcomes, yet little research has examined how ecological factors (e.g., hospital size, local demographics) influence patients' reported satisfaction with doctor and nurse communication. Given the current emphasis on improving patient satisfaction in hospitals across the United States, understanding these factors is critical to interpreting patient satisfaction and improving patient-centered communication, particularly in diverse and dense populations...
September 9, 2016: Health Communication
https://www.readbyqxmd.com/read/27605650/understanding-the-role-played-by-medicare-s-patient-experience-points-system-in-hospital-reimbursement
#13
Marc N Elliott, Megan K Beckett, William G Lehrman, Paul Cleary, Christopher W Cohea, Laura A Giordano, Elizabeth H Goldstein, Cheryl L Damberg
In 2015 the Medicare Hospital Value-Based Purchasing (VBP) program paid hospitals $1.4 billion in performance-based incentives; 30 percent of a hospital's VBP Total Performance Score was based on performance on Hospital Consumer Assessment of Healthcare Providers and Systems (HCAHPS) measures of the patient experience of care. Hospitals receive patient experience points based on three components: achievement, improvement, and consistency. For 2015 we examined how the three components affected reimbursement for 3,152 hospitals, including their impact on low-performing and high-minority hospitals...
September 1, 2016: Health Affairs
https://www.readbyqxmd.com/read/27579266/patient-race-and-provider-predict-patient-satisfaction-following-post-mastectomy-breast-reconstruction
#14
Ashkaun Shaterian, Jessica Gandy, Shadi Lalezari, Sarah Smith, Keyianoosh Paydar
BACKGROUND: Post-mastectomy breast reconstruction is commonly performed in the United States with numerous options available to patients and providers. This study evaluated patient race and provider in prediction of patient satisfaction following post-mastectomy breast reconstruction. METHODS: The patient satisfaction for women who underwent post mastectomy breast reconstruction at University of California, Irvine Medical Center was evaluated between 2012 and 2014, randomly using Press Ganey Hospital Consumer Assessment of Healthcare Providers and Systems (HCAHPS) surveys...
May 2016: World Journal of Plastic Surgery
https://www.readbyqxmd.com/read/27569933/do-patient-assessments-of-hospital-quality-correlate-with-kidney-transplantation-surgical-outcomes
#15
A K Chakrabarti, K H Sheetz, N N Katariya, A L Singer, W R Hewitt, R L Heilman, H Khamash, K S Reddy, A A Moss, A K Mathur
BACKGROUND: Currently, transplant patients have limited metrics available to understand transplant center quality. Graft and patient survival do not capture the patient experience, and patients may use more general consumer assessments of hospital care to help select transplant centers. We evaluated whether consumer assessments of hospital quality correlate with short- and long-term kidney transplant center performance. MATERIALS AND METHODS: CMS uses the Hospital Consumer Assessment of Healthcare Providers and Systems (HCAHPS) to publicly report patients' perspectives on hospital care...
July 2016: Transplantation Proceedings
https://www.readbyqxmd.com/read/27567511/the-longitudinal-impact-of-aligning-forces-for-quality-on-measures-of-population-health-quality-and-experience-of-care-and-cost-of-care
#16
Yunfeng Shi, Dennis P Scanlon, Raymond Kang, Megan McHugh, Jessica Greene, Jon B Christianson, Muriel Jean-Jacques, Yasmin Mahmud, Jeffrey A Alexander
OBJECTIVE: To summarize the results from the quantitative analyses conducted during the summative evaluation of the Aligning Forces for Quality (AF4Q) initiative. STUDY DESIGN: Longitudinal design using linear difference-in-difference (DD) regression models with fixed effects. Outcomes were selected based on the AF4Q program logic model and organized according to the categories of the Triple Aim: improving population health, improving quality and experience of care, and reducing the cost of care...
August 2016: American Journal of Managed Care
https://www.readbyqxmd.com/read/27546176/hospital-advertising-competition-and-hcahps-does-it-pay-to-advertise
#17
John W Huppertz, R Alan Bowman, George Y Bizer, Mandeep S Sidhu, Colleen McVeigh
OBJECTIVE: To test whether hospital advertising expenditures predict HCAHPS global ratings. DATA SOURCES/STUDY SETTING: We examined media advertising expenditures by 2,142 acute care hospitals in 209 markets in the United States. Data on hospital characteristics, location, and revenue came from CMS reports; system ownership was obtained from the American Hospital Association. Advertising data came from Kantar Media. HCAHPS data were obtained from HospitalCompare...
August 22, 2016: Health Services Research
https://www.readbyqxmd.com/read/27503962/across-us-hospitals-black-patients-report-comparable-or-better-experiences-than-white-patients
#18
José F Figueroa, Jie Zheng, E John Orav, Ashish K Jha
Patient-reported experience is a critical part of measuring health care quality. There are limited data on racial differences in patient experience. Using patient-level data for 2009-10 from the Hospital Consumer Assessment of Healthcare Providers and Systems (HCAHPS), we compared blacks' and whites' responses on measures of overall hospital rating, communication, clinical processes, and hospital environment. In unadjusted results, there were no substantive differences between blacks' and whites' ratings of hospitals...
August 1, 2016: Health Affairs
https://www.readbyqxmd.com/read/27488124/interventions-to-improve-hospital-patient-satisfaction-with-healthcare-providers-and-systems-a-systematic-review
#19
Karina W Davidson, Jonathan Shaffer, Siqin Ye, Louise Falzon, Iheanacho O Emeruwa, Kevin Sundquist, Ifeoma A Inneh, Susan L Mascitelli, Wilhelmina M Manzano, David K Vawdrey, Henry H Ting
BACKGROUND: Many hospital systems seek to improve patient satisfaction as assessed by the Hospital Consumer Assessment of Healthcare Providers and Systems (HCAHPS) surveys. A systematic review of the current experimental evidence could inform these efforts and does not yet exist. METHODS: We conducted a systematic review of the literature by searching electronic databases, including MEDLINE and EMBASE, the six databases of the Cochrane Library and grey literature databases...
August 3, 2016: BMJ Quality & Safety
https://www.readbyqxmd.com/read/27475815/achieving-a-5-star-rating-analysis-of-hospital-consumer-assessment-of-healthcare-providers-and-systems-hcahps-scores-among-patients-undergoing-elective-colorectal-operations
#20
Cornelius A Thiels, Kristine T Hanson, Kathleen J Yost, Kellie L Mathis, Robert R Cima, Martin D Zielinski, Elizabeth B Habermann
BACKGROUND: Hospital Consumer Assessment of Healthcare Providers and Systems (HCAHPS) is a publicly reported survey of patients' hospital experience. METHODS: All inpatient, elective colorectal resections with completed HCAHPS surveys at a single institution between June 2012 and April 2015 were identified. HCAHPS measures were analyzed according to published methodologies. Univariate logistic regression evaluated associations of various HCAHPS measures with age, sex, ostomy, approach, diagnosis, and prolonged length of stay (PLOS; ≥7 days)...
October 2016: Surgery
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