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Hourly rounding boosts HCAHPS performance

Quality Improvement Monitor, February 1, 2008

As hospitals brace for the public unveiling of their patient satisfaction scores, one expert is recommending hourly rounding as a way for organizations to improve their ratings as well as their care.

"Hourly rounding is very, very popular, and it's popular for a variety of reasons," says Deirdre Mylod, PhD, vice president of public policy for Press Ganey Associates, Inc., and an expert on Hospital Consumer Assessment of Healthcare Providers and Systems (HCAHPS).

"In terms of targeting some of the key drivers of patients' perceptions that go into HCAHPS . . . if you have someone checking on you on an hourly basis, you essentially tick off almost all of the major things that are driving the important outcomes."

A 2006 study by Press Ganey of more than 2.3 million patients found the five areas that drive up overall scores. They are:

  • Attentiveness to personal needs
  • Responsiveness to concerns/complaints
  • Level of courtesy/respect with which the nurses treat patients
  • Care with which doctors listen to patients
  • Extent of efforts by staff members to help with pain

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