Hospital VBP: HCAHPS Insights

Posted on November 6, 2012. Filed under: HCAHPS, Post By Christy Whipple |

Patient Experience of Care Domain accounts for 30% of the Total Performance Score for 2013 and 2014
Christy Whipple

HCAHPS and VBP have likely been very popular acronyms discussed among the staff in your hospital over the past few months. Beginning with inpatients discharged in October 2012, HCAHPS performance will now account for 30 percent of the Hospital Value Based Purchasing (VBP) Total Performance Score in Fiscal Year (FY) 2013 and FY 2014. This has caused HCAHPS and VBP to become a primary focus for many hospital administrators. Most hospitals have provided trainings and lectures to prepare for this change; however a recent polling showed that 73% of hospital employees still do not have a clear understanding of the HCAHPS process. The following information is intended to provide additional insights into the latest progression of the HCAHPS process.

How is VBP Measured? The Total Performance Score for Hospital VBP in FY 2013 will have two components: the Clinical Process of Care Domain, which accounts for 70% of the Total Performance Score; and the Patient Experience of Care Domain, which accounts for 30% of the Total Performance Score.

What is the HCAHPS Survey? HCAHPS, which stands for Hospital Consumer Assessment of Health Providers and Systems, is a government survey for measuring patient satisfaction at hospitals across the country. The HCAHPS survey is the basis for the Patient Experience Domain regarding Total Performance Score for Hospital VBP. The intent of the HCAHPS initiative is to provide a standardized survey instrument and data collection methodology for measuring patients’ perspectives on hospital care.

Which Elements are Covered by the HCAHPS Survey? The following HCAHPS dimensions are used in Hospital VBP: Communication with Nurses, Communication with Doctors, Staff Responsiveness, Pain Management, Communication about Medicines, and Discharge Information, Hospital Cleanliness and Quietness, Overall Rating of Hospital.

What is the Patient Experience of Care Domain Score? The Patient Experience of Care Domain Score is the sum of the HCAHPS Base Score (0 – 80 points) and HCAHPS Consistency Points score (0 – 20 points), thus it can range from 0 to 100 points. As noted earlier, the Patient Experience Domain comprises 30% of the Hospital VBP Total Performance Score.

More information about Hospital VBP is available at the new CMS Website.

Introcomm provides custom solutions for the admissions and discharge processes which assist with each element of the HCAHPS survey. To learn how we can improve your scores with little to no additional out of pocket expense, please contact us today to schedule our complimentary educational webinar: or


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2 Responses to “Hospital VBP: HCAHPS Insights”

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Thanks for this post. Would it be okay to print this and share it with some of our staff?

Absolutely! We’re happy to be a resource for your hospital. Let us know if we can help you with any more information. We also have a 15-20 minute webinar outlining the new HCAHPS standards and patient experience challenges if you would be interested in connecting with us. Don’t worry, it’s not a sales call, just an educational tool 🙂

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