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Quality Assurance Guidelines CAHPS® Hospital Survey - HCAHPS

Quality Assurance Guidelines CAHPS® Hospital Survey - HCAHPS

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<strong>HCAHPS</strong><br />

<strong>Quality</strong> <strong>Assurance</strong> <strong>Guidelines</strong><br />

Table of Contents<br />

I. Reader’s Guide<br />

‣ Purpose of <strong>Quality</strong> <strong>Assurance</strong> <strong>Guidelines</strong><br />

‣ <strong>Quality</strong> <strong>Assurance</strong> <strong>Guidelines</strong> V6.0 Contents<br />

II. Introduction and Overview<br />

‣ Overview of the CAHPS <strong>Hospital</strong> <strong>Survey</strong> (<strong>HCAHPS</strong>)<br />

‣ <strong>HCAHPS</strong> <strong>Survey</strong> Instrument<br />

‣ <strong>HCAHPS</strong> Development, Data Collection and Public Reporting Timeline<br />

III. Program Requirements<br />

‣ Overview<br />

‣ Purpose of the <strong>HCAHPS</strong> <strong>Survey</strong><br />

‣ Communicating with Patients about the <strong>HCAHPS</strong> <strong>Survey</strong><br />

‣ Roles and Responsibilities<br />

‣ <strong>Hospital</strong>/<strong>Survey</strong> Vendor <strong>HCAHPS</strong> Rules of Participation<br />

‣ <strong>Hospital</strong>/<strong>Survey</strong> Vendor <strong>HCAHPS</strong> Minimum <strong>Survey</strong> Requirements to<br />

Administer the <strong>HCAHPS</strong> <strong>Survey</strong><br />

IV. Communications and Technical Support<br />

‣ Overview<br />

‣ Information and Technical Assistance<br />

‣ General Information, Announcements and Updates<br />

V. <strong>Survey</strong> Management<br />

‣ Overview<br />

‣ System Resources<br />

‣ Personnel Training<br />

‣ Monitoring and <strong>Quality</strong> Oversight<br />

‣ Safeguarding Patient Confidentiality<br />

‣ Data Security<br />

‣ Data Retention<br />

VI. Sampling Protocol<br />

‣ Overview<br />

‣ Eligibility for the <strong>HCAHPS</strong> <strong>Survey</strong><br />

‣ <strong>Survey</strong> Timing<br />

‣ Sampling Procedure<br />

‣ Methods of Sampling<br />

‣ MS-DRG Codes and Service Line Categories<br />

1<br />

5<br />

17<br />

31<br />

33<br />

39<br />

Centers for Medicare & Medicaid Services<br />

<strong>HCAHPS</strong> <strong>Quality</strong> <strong>Assurance</strong> <strong>Guidelines</strong> V6.0<br />

iii

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