Relationship Between Patient-Reported Hospital Experience and 30-Day Mortality and Readmission Rates for Acute Myocardial Infarction, Heart Failure, and Pneumonia
The Hospital Consumer Assessment of Healthcare Providers and Systems (HCAHPS) survey has focused hospitals’ attention on patient experience metrics. Hospitals’ HCAHPS scores have been publicly reported since 2008 and more recently used as part of the Hospital Value-Based Purchasing (HVBP) program1, 2 as well as the CMS Overall Hospital Star Rating.3 As a component of the CMS Star Rating, HCAHPS scores carry significant weight in line with more traditional outcomes such as mortality and readmissions.3
However, little is known about the association of patient experience with mortality and readmissions. A direct association would support the use of patient experience metrics in evaluating hospitals, while an inverse association might suggest a tradeoff between patient experience and outcomes that would require specific consideration when comparing hospitals.
We sought to assess the relationship between hospital HCAHPS scores with hospital 30-day mortality and readmission...
KEY WORDSpatient experience mortality readmission
Compliance with Ethical Standards
Conflict of Interest
Dr. Kumar Dharmarajan is the Chief Scientific Officer of Clover Health, a Medicare Advantage company. Dr. Erica Spatz reports receiving support from the Centers for Medicare & Medicaid Services to develop and maintain performance measures used in public reporting programs. Dr. Nihar Desai receives support from the Centers for Medicare & Medicaid Services to develop and maintain performance measures, the American College of Cardiology Foundation, the Agency for Healthcare Research and Quality (K12 HS023000), and Johnson & Johnson, through Yale University, to develop methods of clinical trial data sharing. All remaining authors declare that they do not have a conflict of interest.
- 1.HCAHPS Fact Sheet. Nov. 2017. Centers for Medicare & Medicaid Services (CMS). Baltimore, MD USA. https://www.hcahpsonline.org/globalassets/hcahps/facts/hcahps_fact_sheet_november_2017.pdf Accessed 10/2018.
- 2.Tefera, L., Lehrman, W.G. and Conway P. Measurement of the Patient Experience: Clarifying Facts, Myths, and Approaches. N Engl J Med. 2016; 21244:E1-E2Google Scholar
- 3.Yale New Haven Health Services Corporation/Center for Outcomes Research & Evaluation (YNHHSC/CORE). Overall Hospital Quality Star Ratings on Hospital Compare Methodology Report (v2.0). (May 2016) https://www.qualitynet.org/dcs/ContentServer?c=Page&pagename=QnetPublic%2FPage%2FQnetTier2&cid=1228775183434. Retrieved 10/2018
- 4.Hospital Compare Data Archive. Centers for Medicare & Medicaid Services (CMS). Baltimore, MD USA. https://data.medicare.gov/data/hospital-compare. Published 7/2017. Accessed 10/2018.