Inside the program: HCAHPS aggregation process

HCPro's Weekly Update on the ANCC Magnet Recognition Program®*, April 19, 2010

CMS does not report the responses to each of the 18 substantive Hospital Consumer Assessment of Healthcare Providers and Systems (HCAHPS) questions on Hospital Compare. Instead, CMS combines several of the questions into composites, which summarize a particular aspect of care. The composite performance score combines the scores on each individual question into one number for the composite as a whole. CMS reports HCAHPS data for the following six composites:

  • Communication with Nurses (combines three questions)
  • Communication with Doctors (combines three questions)
  • Responsiveness of Hospital Staff (combines two questions)
  • Pain Management (combines two questions)
  • Communication about Medicines (combines two questions)
  • Discharge Information (combines two questions)

The other four publicly reported HCAHPS categories (cleanliness, quietness, overall rating, and willingness to recommend) are each based on only one survey question, so they are not aggregated.

Source: HCAHPS Basics: A Resource Guide for Healthcare Managers

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