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Mode & Patient-Mix Adjustment

Quick links:
HCAHPS Patient-Mix Adjustment for Service Line and Gender Have Been Posted | New Communication About Pain Composite Measure | 2016 Mode Experiment | 2006 Mode Experiment | Updated Mode & Patient-Mix Adjustment Abstract | Mode Adjustment Table | Patient-Mix Coefficients for October 2017 Publicly Reported HCAHPS Results Have Been Posted |



HCAHPS Patient-Mix Adjustment for Service Line and Gender Have Been Posted (09/29/17)

The HCAHPS Patient-Mix Adjustment (PMA) model has been updated to incorporate more detailed information about patient Service Line and Gender. Prior to Quarter 1 2017, the patient-mix adjustment derived from this item distinguished between Medical, Surgical, and Maternity (3 categories). Beginning with Quarter 1 2017 discharges, the patient-mix adjustment will distinguish among Female Medical, Male Medical, Female Surgical, Male Surgical, and Maternity (5 categories). Female Medical will serve as the reference category for this update. HCAHPS Survey results will be adjusted using the new PMA model beginning with January 1, 2017 discharges.

The Patient-Mix Adjustment document can be found by clicking here.



New Communication About Pain Composite Measure (08/04/2017)

CMS has released new Pain Management items for the HCAHPS Survey (Questions 12, 13 and 14). The Pain Management items, which focus on communication about pain during the hospital stay, were tested as part of the 2016 HCAHPS mode experiment. A summary of key empirical results from this test, as well as discussion of the “Communication About Pain” measure, can be found here.



2016 Mode Experiment

The 2016 Mode Experiment was based on a nationwide random sample of short-term acute care hospitals. Hospitals from each of CMS' ten geographic regions participated in the Mode Experiment. A hospital's probability of being selected for the sample was proportional to its volume of discharges, which guaranteed that each patient would have an equal probability of being sampled for the experiment. The participating hospitals contributed patient discharges from a three-month period: January, February, and March 2016. Within each hospital, an equal number of patients were randomly assigned to each of the four modes of survey administration. A randomized mode experiment of 25,504 discharges from 51 hospitals was used to develop adjustments for the effects of survey mode (Mail Only, Telephone Only, Mixed mode, or Active Interactive Voice Response) on responses to the CAHPS® Hospital Survey (also known as Hospital CAHPS or HCAHPS).



2006 Mode Experiment

The 2006 Mode Experiment was based on a nationwide random sample of short-term acute care hospitals. Hospitals from each of CMS' ten geographic regions participated in the Mode Experiment. A hospital's probability of being selected for the sample was proportional to its volume of discharges, which guaranteed that each patient would have an equal probability of being sampled for the experiment. The participating hospitals contributed patient discharges from a four-month period: February, March, April, and May 2006. Within each hospital, an equal number of patients were randomly assigned to each of the four modes of survey administration. A randomized mode experiment of 27,229 discharges from 45 hospitals was used to develop adjustments for the effects of survey mode (Mail Only, Telephone Only, Mixed mode, or Active Interactive Voice Response) on responses to the CAHPS® Hospital Survey (also known as Hospital CAHPS or HCAHPS).



Mode & Patient-Mix Adjustment Abstract (revised 5/2/08)

An abstract describing the Mode & Patient-Mix Adjustment of HCAHPS is available.

Click here to view the complete Mode & Patient-Mix Adjustment Abstract of HCAHPS document.



Mode Adjustment Table

For your convenience, the Mode Adjustments of Top Box and Bottom Box Percentages (after PMA) table is now available.

Click here to view the Mode Adjustment HCAHPS table.


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Patient-Mix Coefficients for October 2017 Publicly Reported HCAHPS Results

A document that provides the Patient-Mix Coefficients for the October 2017 public reporting of HCAHPS results has been posted. The October 2017 public report includes discharges from January 2016 to December 2016.

Click here to view the complete Patient-Mix Coefficients for October 2017 Publicly Reported HCAHPS Results Document.

Click here to view the complete Patient-Mix Coefficients for July 2017 Publicly Reported HCAHPS Results Document.

Click here to view the complete Patient-Mix Coefficients for April 2017 Publicly Reported HCAHPS Results Document.

Click here to view the complete Patient-Mix Coefficients for December 2016 Publicly Reported HCAHPS Results Document.

Click here to view the complete Patient-Mix Coefficients for October 2016 Publicly Reported HCAHPS Results Document.

Click here to view the complete Patient-Mix Coefficients for July 2016 Publicly Reported HCAHPS Results Document.

Click here to view the complete Patient-Mix Coefficients for April 2016 Publicly Reported HCAHPS Results Document.

Click here to view the complete Patient-Mix Coefficients for December 2015 Publicly Reported HCAHPS Results Document.

Click here to view the complete Patient-Mix Coefficients for October 2015 Publicly Reported HCAHPS Results Document.

Click here to view the complete Patient-Mix Coefficients for July 2015 Publicly Reported HCAHPS Results Document.

Click here to view the complete Patient-Mix Coefficients for April 2015 Publicly Reported HCAHPS Results Document.

Click here to view the complete Patient-Mix Coefficients for December 2014 Publicly Reported HCAHPS Results Document.

Click here to view the complete Patient-Mix Coefficients for July 2014 Publicly Reported HCAHPS Results Document.

Click here to view the complete Patient-Mix Coefficients for April 2014 Publicly Reported HCAHPS Results Document.

Click here to view the complete Patient-Mix Coefficients for December 2013 thru January 2014 Publicly Reported HCAHPS Results Document.

Click here to view the complete Patient-Mix Coefficients for October 2013 Publicly Reported HCAHPS Results Document.

Click here to view the complete Patient-Mix Coefficients for July 2013 Publicly Reported HCAHPS Results Document.

Click here to view the complete Patient-Mix Coefficients for April 2013 Publicly Reported HCAHPS Results Document.

Click here to view the complete Patient-Mix Coefficients for December 2012 Publicly Reported HCAHPS Results Document.

Click here to view the complete Patient-Mix Coefficients for October 2012 Publicly Reported HCAHPS Results Document.

Click here to view the complete Patient-Mix Coefficients for July 2012 Publicly Reported HCAHPS Results Document.

Click here to view the complete Patient-Mix Coefficients for April 2012 Publicly Reported HCAHPS Results Document.

Click here to view the complete Patient-Mix Coefficients for January 2012 Publicly Reported HCAHPS Results Document.

Click here to view the complete Patient-Mix Coefficients for October 2011 Publicly Reported HCAHPS Results Document.

Click here to view the complete Patient-Mix Coefficients for July 2011 Publicly Reported HCAHPS Results Document.

Click here to view the complete Patient-Mix Coefficients for March 2011 Publicly Reported HCAHPS Results document.

Click here to view the complete Patient-Mix Coefficients for December 2010 Publicly Reported HCAHPS Results document.

Click here to view the complete Patient-Mix Coefficients for September 2010 Publicly Reported HCAHPS Results document.

Click here to view the complete Patient-Mix Coefficients for June 2010 Publicly Reported HCAHPS Results document.

Click here to view the complete Patient-Mix Coefficients for March 2010 Publicly Reported HCAHPS Results document.

Click here to view the complete Patient-Mix Coefficients for December 2009 Publicly Reported HCAHPS Results document.

Click here to view the complete Patient-Mix Coefficients for September 2009 Publicly Reported HCAHPS Results document.

Click here to view the complete Patient-Mix Coefficients for June 2009 Publicly Reported HCAHPS Results document.

Click here to view the complete Patient-Mix Coefficients for March 2009 Publicly Reported HCAHPS Results document.

Click here to view the complete Patient-Mix Coefficients for December 2008 Publicly Reported HCAHPS Results document.

Click here to view the complete Patient-Mix Coefficients for September 2008 Publicly Reported HCAHPS Results document.

Click here to view the Patient-Mix Coefficients for July 2008 Publicly Reported HCAHPS Results document.


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