Higher Readmission Penalties Linked to Low HCAHPS Scores

Hospitals that score the lowest on Hospital Consumer Assessment of Healthcare Providers and Systems surveys are most likely to be penalized the maximum 1% of their Medicare DRG payments, analysis finds.

2 comments on "Higher Readmission Penalties Linked to Low HCAHPS Scores"
Michael Solomon, Ph.D. (1/24/2013 at 3:57 PM)

Recognizing that patient satisfaction may be a factor in helping patients avoid returning to the hospital is a good starting point, but the emphasis on HCAHPS diverts attention from the more important goal of having patients who are actively engaged in managing their health and healthcare post-discharge. Providing a patient with a discharge summary and education materials about his or her condition and helping a patient comply with having a physician exam post-discharge are practices shown to be related with reduced readmissions. Except for the patient-provider communications item, the HCAHPS does not measure these important indicators of actively engaged patients. Programs to reduce preventable readmissions should move beyond satisfied to actively engaged patients. A reliable and valid measure of patient activation, known as the PAM-13 exists. Interventions such as web-based self-management tools have been shown to increase patient activation.
Steve Wilkins (12/13/2012 at 11:37 AM)

Correlation is not the same as causality. The conclusions drawn linking patient experience (as nebulously defined by HCAHPS) to reduced hospital readmissions sure seems like a big reach to me. Steve Wilkins, MPH Mind the Gap www.healthecommunications.wordpress.com


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