Organization: Regis University (Graduate Student)

Project Summary: Patient Satisfaction with Discharge Information and All Cause 30-Day Readmissions

Category: Outcome/Cost Improvement

CO APCD Scholarship Recipient: Yes

Background: Robust data on the relationship between Colorado hospitals’ scores on the Hospital Consumer Assessment of Healthcare Providers and Systems (HCAHPS) survey discharge information and care transition composites is lacking. The data requester believed that if Colorado hospitals’ scores on the HCAHPS discharge information and care transition composites are associated with hospital all cause 30-day readmissions, hospitals and health systems should ensure discharge processes identify patients at high risk of not understanding discharge instructions, and written and verbal communication should be adjusted for those patients.

Goal: The Regis University Master’s degree candidate in Health Services Administration received APCD data to evaluate the association between Colorado hospitals’ performance on the HCAHPS survey discharge information and care transition composites and 30-day all cause readmission rates.  The goal of this analysis was to see if there was a relationship between the former and the latter, and allow hospitals to utilize results to target and measure progress to improve patient experience efforts.

Data Analyzed: 2009-2013 hospital-specific claims data (all lines of business, including Medicare fee-for-service data)

Results: For all included hospitals and all diagnoses, higher performance on the HCAHPS survey discharge information and care transition composites were both associated with lower all cause 30-day hospital readmission rates.

Type: Custom Report

Date Fulfilled: 10/6/2015

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