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Understanding the HH CAHPS Survey and How it Impacts Your Home Health Agency

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CAHPs, Events, Survey Protocols

Understanding the HH CAHPS Survey and How it Impacts Your Home Health Agency

Live Recording from February's Select Connects With Clinicians

 
Learn the purpose of HH CAHPS survey and how it can be used to enhance accountability and reportability for clinicians, nurses, and field staff.

Understanding the HH CAHPS Survey and How it Impacts Your Home Health Agency

Objectives

  • Understand the purpose of HH CAHPS
  • Understand conducts HH CAHPS Survey
  • Understand how the HH CAHPS produces comparable data
  • Understand how the HH CAHPS produces public reporting
  • Understand how the HH CAHPS enhances accountability
To watch Understanding the HH CAHPS Survey and How it Impacts Your Home Health Agency live presentation fill out your name and email address

Select Data is committed to a strong compliance program that includes educating all personnel on mitigating HIPAA breaches. For more information about Select Data and their commitment to quality in Home Health and Hospice, call 1.800. 332.0555.

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Consumer Assessment of Healthcare Providers & Systems (CAHPS)

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CAHPs

Consumer Assessment of Healthcare Providers & Systems (CAHPS)

CAHPs  surveys ask patients about their experiences with, and ratings of, their health care providers and plans, including hospitals, home health care agencies, doctors, and health and drug plans, among others.  The surveys focus on matters that patients themselves say are important to them and for which patients are the best and/or only source of information.  CMS publicly reports the results of its patient experience surveys, and some surveys affect payments to CMS providers.

 

The Centers for Medicare & Medicaid Services (CMS) develop, implement and administer several different patient experience surveys.  These surveys ask patients (or in some cases their families) about their experiences with, and ratings of, their health care providers and plans, including hospitals, home health care agencies, doctors, and health and drug plans, among others.  The surveys focus on matters that patients themselves say are important to them and for which patients are the best and/or only source of information.  CMS publicly reports the results of its patient experience surveys, and some surveys affect payments to CMS providers.

Experience is not the same as Satisfaction
Patient experience surveys sometimes are mistaken for customer satisfaction surveys.  Patient experience surveys focus on how patients experienced or perceived key aspects of their care, not how satisfied they were with their care.  Patient experience surveys focus on asking patients whether or how often they experienced critical aspects of health care, including communication with their doctors, understanding their medication instructions, and the coordination of their healthcare needs.  They do not focus on amenities.

CAHPS®  Surveys

Many of the CMS patient experience surveys are in the Consumer Assessment of Healthcare Providers and Systems (CAHPS®) family of surveys.  Others are developed following CAHPS principles and used by CMS but are not CAHPS surveys.  All surveys officially designated as CAHPS surveys have been approved by the CAHPS Consortium, which is overseen by the Agency for Healthcare Research and Quality (AHRQ).

CAHPS surveys follow scientific principles in survey design and development.  The surveys are designed to reliably assess the experiences of a large sample of patients.  They use standardized questions and data collection protocols to ensure that information can be compared across healthcare settings.  CAHPS surveys are developed with broad stakeholder input, including a public solicitation of measures and a technical expert panel, and the opportunity for anyone to comment on the survey through multiple public comments period through the Federal Register.  Finally, many CAHPS measures are statistically adjusted to correct for differences in the mix of patients across providers and the use of different survey modes.

CAHPS surveys are an integral part of CMS’ efforts to improve healthcare in the U.S.  Some CAHPS surveys are used in Value-Based Purchasing (Pay for Performance) initiatives.  These initiatives represent a change in the way CMS pays for services.  Instead of only paying for the number of services provided, CMS also pays for providing high quality.

Home Health CAHPs (HHCAHPS)

HHCAHPS (Home Health Care Consumer Assessment of Healthcare Providers and Systems) Survey is the first national standardized and publicly reported survey of home health care patients’ perspectives of their skilled home care.  The survey was nationally implemented on a voluntary basis in October 2009, and the survey was required for the Medicare annual payment update requirements beginning with a one-month dry run in the period of July-September 2010, and monthly continuous data collection beginning in October 2010.  The National Quality Forum endorsed the HHCAHPS in March 2009.

HHCAHPS is a 34-item questionnaire and data collection methodology to measure patients’ perceptions of their skilled home care.  The survey can be completed by the patient, or the patient may have a proxy answer the questionnaire with their responses by the three survey modes of mail only, telephone only, and mixed mode.  There are 25 “core questions” and 9 “about you” questions on HHCAHPS.  Questions cover topics such as: communication about care, pain, and prescription medication use, the care received from the home health agency, staying informed about scheduling, and global ratings.

Beginning in 2012, the survey results have been publicly reported.  HHCAHPS data results are posted on www.medicare.gov on Home Health Compare.  Of the 25 core questions, 17 core questions are grouped into three survey “composites” or groupings of like topics, for the purpose of public reporting.  The three composites that are publicly reported are “Care of Patients”, “Communications Between Providers and Patients”, and “Specific Care Issues”.  We also report the results of two global or overall measures (questions) called “Overall Rating of the Home Health Agency” and “Would You Recommend this Agency to Family and Friends”.

Sources

For more information, please visit the HHCAHPS website: https://homehealthcahps.org

Hospice Experience of Care Survey

The CAHPS® Hospice Survey gathers information on the experiences of hospice patients and their informal caregivers’ perspectives of their loved ones’ care with hospice services.  Current trends are toward increased use of hospice services in the U.S.  More than a million Americans are receiving hospice services annually.  The Hospice CAHPS® Survey started national implementation in January 2015.

The Hospice CAHPS® Survey samples the primary caregivers of deceased hospice patients who meet survey criteria.  Survey administration will occur several months after the death.  The survey includes the following key topics: starting hospice care; help for the patients’ symptoms, communication with the hospice team, caregivers’ own experiences with hospice care services; an overall rating of hospice care, and a question about willingness to recommend the hospice.  There are three approved modes of survey administration: mail only, telephone only, and mixed (mail followed by telephone).

The Hospice CAHPS® Survey is required for the FY 2017 Annual Payment Update (APU) determination and subsequent FY APU periods.  Implementation started with a dry run for at least 1 month in the first quarter of CY 2015 (January 2015, February 2015, and/or March 2015) plus 3 quarters of continuous monthly participation (April 1, 2015 through December 31, 2015).  Monthly participation is required for all subsequent months.

Sources

For more information, please visit the Hospice CAHPS® Survey web site at: http://www.hospicecahpssurvey.org.  

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