Demographic factors and hospital size predict patient satisfaction variance--implications for hospital value-based purchasing.

ABSTRACT:

Background

Hospital Value-Based Purchasing (HVBP) incentivizes quality performance-based healthcare by linking payments directly to patient satisfaction scores obtained from Hospital Consumer Assessment of Healthcare Providers and Systems (HCAHPS) surveys. Lower HCAHPS scores appear to cluster in heterogeneous population-dense areas and could bias Centers for Medicare & Medicaid Services (CMS) reimbursement.

Objective

Assess nonrandom variation in patient satisfaction as determined by HCAHPS.

Design

Multivariate regression modeling was performed for individual dimensions of HCAHPS and aggregate scores. Standardized partial regression coefficients assessed strengths of predictors. Weighted Individual (hospital) Patient Satisfaction Adjusted Score (WIPSAS) utilized 4 hi

SUBMITTER: McFarland DC 

PROVIDER: S-EPMC4790720 | biostudies-literature | 2015 Aug

REPOSITORIES: biostudies-literature