Open AccessPatient-related Factors and Perioperative Outcomes Are Associated with Self-Reported Hospital Rating after Spine Surgery
Author(s) -
Elbert J. Mets,
Michael R. Mercier,
Ari S. Hilibrand,
Michelle C. Scott,
Arya G. Varthi,
Jonathan N. Grauer
Publication year - 2019
Publication title -
clinical orthopaedics and related research
Language(s) - English
Resource type - Journals
eISSN - 1528-1132
pISSN - 0009-921X
DOI - 10.1097/corr.0000000000000892
Subject(s) - medicine , perioperative , medicaid , reimbursement , patient satisfaction , retrospective cohort study , medline , health care , physical therapy , emergency medicine , general surgery , surgery , economics , economic growth , political science , law
Since 2013, the Centers for Medicare & Medicaid Services has tied a portion of hospitals' annual reimbursement to patients' responses to the Hospital Consumer Assessment and Healthcare Providers and Systems (HCAHPS) survey, which is given to a random sample of inpatients after discharge. The most general question in the HCAHPS survey asks patients to rate their overall hospital experience on a scale of 0 to 10, with a score of 9 or 10 considered high, or "top-box." Previous work has suggested that HCAHPS responses, which are meant to be an objective measure of the quality of care delivered, may vary based on numerous patient factors. However, few studies to date have identified factors associated with HCAHPS scores among patients undergoing spine surgery, and those that have are largely restricted to surgery of the lumbar spine. Consequently, patient and perioperative factors associated with HCAHPS scores among patients receiving surgery across the spine have not been well elucidated.