LITERATURE REVIEW The Hospital Consumer Assessment of Healthcare Providers and

Literature review the hospital consumer assessment of

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LITERATURE REVIEWThe Hospital Consumer Assessment of Healthcare Providers and Systems is a patientsatisfaction survey required from all hospitals in the United States. The survey is administered topatients shortly after discharge. This survey gauges the quality of care that a patient receives
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RESEARCH PAPER ROUGH DRAFT3basing on several factors (McLelland & Vogus, 2014). Among them are Communication byhealthcare professionals, staff responsiveness, hospital environment, pain management,medication communication, discharge information, food services and overall rating of thehospitals. This survey is important because it is a tool that can be used as the voice for patients.The results from the survey are publicly reported so hospitals can be held to account for theiractions. (Tsai, Orav & Jha 2015). The survey also informs reimbursement due to the hospitalsfrom the government.Aside from HCAHPS scores, healthcare facilities also focus on reduction of patientreadmissions. This is because the Center for Medicare and Medicaid Services, (CMS) in itsmandate to implement the Hospitals Readmissions Reduction Program (HRRP) fines hospitalswith readmission rates above a particular cap (McHugh et al.,2013). The basis of this fine ispredicated upon the fact that readmission of Medicare beneficiaries results in $17.4 billionsworth of unplanned readmissions. This in effect is taxing to the Medicare scheme (Boulding etal., 2011). It is also argued that hospital readmission rates are directly indicative of quality ofcare and patient satisfaction in hospitals. Many healthcare facilities therefore make it a priority toreduce hospital readmissions within 30 days through improvement of patient satisfaction(Anhang et al., 2014). Despite the fact that there are several factors outside the hospitalenvironment that contributes to unplanned readmission of patients, it is a matter of concern thatone in every four patients get readmitted within 30 days of their discharge. This is indicative of aserious lapse in quality of patient care.As indicated above, there are several factors outside the hospital environment that
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RESEARCH PAPER ROUGH DRAFT4contribute to hospital readmission rates within 30 days. However, the most conspicuous factorthat has been attributed to readmissions is the hospital environment. This is because the nature ofthe hospital environment directly affect the quality of care patients receive.Several researchershave discovered that improving a healthcare facilities culture and behaviors greatly improves thequality of care received by a patient thereby reducing rates of readmission. (Aiken et.al,2011).Therefore, it is imperative to investigate the hospitals’ environments and cultures in order toidentify what factors it is pertaining to them that influence patient satisfaction. There are manyvariables that can be studied in this case among them, hospital ownership, level of staffing,hospital equipment. However, various literature sources have alluded towards the level ofhospital staffing as the major of these variables. Nurses make up the largest percentage of
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  • Fall '16
  • Ben Sihanya
  • Health care provider, McHugh, Healthcare Research and Quality, Paper Rough Draft

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