The HCAHPS survey is a standardized survey used to measure patient experience that hospitals must administer annually. It contains 27 questions, including a rating of the hospital overall from 0 to 10. Hospitals must survey 300 patients per year and make results publicly available. Failure to report results can result in a 2% penalty in Medicare payments. The first public reporting of HCAHPS results occurred in March 2008 on the website HospitalCompare.

1. The H ospital C onsumer A ssessment of H ealthcare P roviders and S ystems Survey H.C.A.H.P.S. -at-a-glance

2. New HCAHPS Mandatory Survey 27 Questions 22 Performance rated questions Adopted May 12, 2005 Roll Out Spring 2007 Publicly Reported Spring 2008

8. www.HospitalCompare.hhs.gov Example “ Frequency of good pain control?” – 63% Hospital A Hospital B Hospital C

11. Premiere -Hospital Quality Incentive Demonstration (HQID) Source: Centers for Medicare & Medicaid Services/May 2008 Thomas B. Valuck, MD. JD, Medical Officer & Senior Adviser

14. Translating Performance Score into Incentive Payment: Example Curvilinear Payment Scenario Source: Centers for Medicare & Medicaid Services/May 2008 Thomas B. Valuck, MD. JD, Medical Officer & Senior Adviser

16. CMS Advertises Consumer Shopping