HCAHPS Star Ratings

Star Ratings Overview  As part of a new initiative to add five-star quality ratings to its Compare Web sites, the Centers for Medicare & Medicaid Services (CMS) will add HCAHPS Star Ratings to the Hospital Compare Web sit  Easier for consumers to spotlight excellence in healthcare quality  Alternative, statistically valid methods for summarizing HCAHPS performance  Much broader: Summarizes all of the responses to all the patient experience items on the HCAHPS Survey  Is NOT used in determination of VPB. *

Participation  Which hospitals are included in HCAHPS Star Ratings? All hospitals that participate in the HCAHPS Survey.  Both Inpatient Prospective Payment System (IPPS) hospitals and Critical Access Hospitals (CAH).  Provided hospitals have 100+ completed HCAHPS Surveys in the 12-month reporting period. *

Measures for Star Ratings All 11 HCAHPS measures receive a Star Rating: Composite Measures  Communication with Nurses  Communication with Doctors  Staff Responsiveness  Pain Management  Communication about Medicines  Discharge Information  Care Transition Individual Items  Cleanliness of Hospital Environment  Quietness of Hospital Environment Global Items  Recommend Hospital  Overall Hospital Rating *

Eligibility  Hospitals must have at least 100 completed surveys over the four-quarter reporting period to receive HCAHPS Star Ratings  Hospital must be eligible for public reporting on Hospital Compare  Hospitals that do not have sufficient completed surveys for calculation of Star Ratings will still have their HCAHPS measures publicly reported on Hospital Compare *

Scoring Methodology  Star ratings will NOT follow “Top Box” methodology  CMS employs all survey responses in the construction of the HCAHPS Star Ratings  Each response assigned a score  Scores are calculated, assigned an average and rounded up or down  Final scores will be patient mix and mode adjusted *

STAR Linear Mean Scores  All responses are converted to a score from  Top Box (Always,Rating 9,10, Def, Yes, Strongly Agree) – 100  Usually, Agree, Probably Yes –  Sometimes, Disagree, Probably No –  Never, Strongly Disagree, No, Def. No – 0  Overall Rating – 1=10, 2=20, 3=30…..10=100  HCAHPS scores are averaged to obtain linear means for each measure  A statistical clustering technique is applied to HCAHPS liner mean scores (Maximize differences between groups) *

Scoring Methodology Example *

* 39% (28) of Hospitals in Alabama were a 4 or 5 Star Texas leads the nation at “19” 5-Stars.

Contact Us: J. L. Morgan & Associates 7057 Meadowlark Drive| Birmingham, Al | Fax: Jeff Morgan, President Office Jay Bishop, MSHA, CPHQ, COO Office Tanya Harris-Haynes HCAHPS Manager Office Wendy Dew Programs Director (Preventative Care / Pat Sat) Office Latrice Lawson Data Manager Office DeAnna Bagwell Marketing / Sales