HealthStream Insights Online TM HCAHPS Report Card

Transcription

1 HealthStream Insights Online TM HCAHPS Report Card Description This report allows the user to view responses to the HCAHPS inpatient survey by the CMS-defined themes (or question categories), as well as by the individual questions. The standard HCAHPS Report Card includes the Adjusted N, correlation, top-box score by question, HealthStream Database and percentile rank. It is also possible to apply filters, include trending and specify other reporting parameters & Mode Adjustment. Results generated may be aggregated for the facilities and/or units selected, or reported in separate HCAHPS Report Cards. Key Features Values to Display: The HCAHPS Report Card offers many options for customization in terms of the output (see Step 10 & 10a). Multi-level Reporting: With the HCAHPS Report Card you can run a single report, or generate HCAHPS Report Cards for as many units and/or facilities as you select (see Step 10). Trending: The HCAHPS Report Card lends itself well to monthly and annual trend reports (see Output Examples). Updated: 12/01/14 Elements of the HCAHPS Report Card

2 A. If specified when building the report, separate HCAHPS Report Cards can be generated for each facility and/or unit. Use the arrows to scroll through each available HCAHPS Report Card. B. Click on this icon to export the report to the desired format (e.g., Word, Excel, PDF). C. The HCAHPS Report Card automatically includes Adjusted N, Correlation, Your Top Box, the HealthStream Top Box, and the HealthStream Database Top Box Percentile Rank. The user may select additional values to include under Select Values to Include in the Report. D. The header row (e.g., Nurse Communication, Doctor Communication) identifies the HCAHPS survey category. The categories are defined by CMS and include 1-3 questions each. E. The questions included in each HCAHPS category are listed below the header row. Creating a HCAHPS Report Card on Insights Online Step 1. Step 2. Click on the Create a Report tab from the navigation bar at the top of the page. Show Saved Reports. If you have any saved or scheduled reports you will access them here. If you are creating a new report, you may bypass this step. o Show/Select Saved Reports: Expand this section to access any previously-created and saved reports. Step 3. Select Report Settings. Use the plus/minus icons to expand or minimize selections. o Show/Select Report Settings: Expand this section to build a new report. Step 4. Step 5. Expand the Report Type window. Select HCAHPS Report Card. The Survey Type will default to the Inpatient Survey.

3 Step 6. Step 7. Step 8. Select the Reporting Group and Organization(s). These options may or may not appear based on your organization s set-up. Specify the Unit(s) to be included in the report. This option may or may not appear based on your organization s set-up. Select all units or specific units if you want the output to include separate report cards for each. If No units selected appears, the rendered report will aggregate data for the facility (or facilities) selected. Select the Date Range to include in the report. There are three options, as described below. For additional information about this step, refer to the Date Range Show Me How in the Help Center. o o o Option 1: By reporting period. The default setting is for the report to display data collected as part of a defined reporting period (e.g., Jan Mar 14) for the most recent active project. You may adjust the time period to reflect any of the defined study periods. For Patient Insights surveys, this option will yield responses based on patient discharge date. Option 2: Custom date range by patient discharge date. This option is only available for Patient Insights surveys and will allow the user to specify a custom time period based on the patient discharge date. Option 3: Custom date range by survey collection date. This option will generate a report that includes responses collected or processed within a date range. This option is not recommended for Patient Insights projects using a phone methodology. Step 9. Select Categories to Include in the Report. The default setting will include all available HCAHPS categories for the Inpatient survey. If you do not want all categories to be included, expand the box and make your selections. Each HCAHPS category includes several questions, as defined by the CMS HCAHPS survey. Custom questions are not available in this report.

4 Step 10. Select Values to Include in the Report. Several options are pre-selected, however, you may select (or deselect) as many options as desired. Each choice is defined in the Understanding Values to Display Show Me How in the Help Center. You may also add trending to the report. See Step 10a. Detail to Show Multi-Level Reporting In addition to generating an overall report card for the facilities and/or units selected, the Report Card allows the user to generate separate report cards for the various facilities and/or units selected. Option 1: Option 2: Include Overall Summary. This is the default setting and will generate a single combined report card. Leave the default setting if you want the report card to generate aggregate data for the facilities or units selected under Select Report Settings. Include Breakout by Hospital/Facility and/or Include Breakout by Unit/Work Group. Choose one or both of these options if you would like to receive separate report cards for all or selected facilities and/or units. Under Select Report Settings you must specify the facilities and/or work groups you desire to see. Note that only users with access to multiple facilities will see the option to breakout by hospital/facility. This feature eliminates the need to create separate reports cards for each facility and/or unit. Step 10a. Use CMS Mode Adjustment Top Box. To give our clients who use the HCAHPS survey better insight into their Top Box scores that will be publicly-reported by CMS, we have added CMS mode-adjusted top box options to the HCAHPS Report Card report. The mode adjustment is a new feature added to the Measurement Type section of values to display in October Once you have selected the Measurement Type of Use CMS Mode Adjusted Top Box option, the values to display will adjust with labels reflecting that measurement. Once Use CMS Mode Adjusted Top Box is selected, the Trending selections also change to reflect CMS mode-adjusted column headers available.

5 Step 11. Select filters to include in the report (Optional Step). Your report may include up to three filters. First, specify the desired filter then select the options to include. For additional information about this step, refer to the Data Filters Show Me How in the Help Center. Step 12. Select the Output Method for the Report (run, send, schedule or save). The report will configure and display the parameters selected in the previous steps. For additional information about this step, refer to the Report Scheduler Show Me How in the Help Center. HCAHPS Report Card Output Examples Monthly Trend Report 12-Month Top Box Trend Report

6 12 Month Top Box with CMS Mode Adjustment (New effective October 2013) Note: any rows associated with categories and questions that do not currently have CMS mode adjustments (e.g. Transition of Care category and associated questions) display with unadjusted top box numbers in the columns. Frequently Asked Questions (FAQs) about the CMS Mode Adjustment Top Box Values I selected Use CMS Mode Adjusted Top Box, but the CMS Mode Adjusted Top Box values are the same as the nonadjusted Top Box scores. The CMS Mode Adjusted Top Box will only display for CMS-approved categories and the associated questions that comprise the official HCAHPS survey. If our client s survey is using custom questions and categories (which may look similar or exactly like the CMS categories), no CMS Mode Adjustment is applied. The CMS Mode Adjusted Top Box for the Transition of Care Category is the same as the non-adjusted Top Box score. CMS has not created a mode adjustment for the Transition of Care category, so that category and the associated questions will not have adjusted values. Unadjusted top box values display for any categories that do not have a CMS mode adjustment. Why do mode adjustments display for questions? I thought they only applied to categories. While mode adjustments do apply only to categories, we have applied the CMS mode adjustment to the questions that display in the HCAHPS Report Card under the categories, so it s easier to read. It could be confusing for questions to display top box values that are not adjusted directly under category top box values that are adjusted. The Use CMS Mode Adjusted Top Box selection does not display when I run an ODbC with a survey type other than Inpatient. CMS mode adjustments apply only to the HCAHPS survey.