Acronymns
Validation Reports
Sampling
True or False
Disqualifications
100
What does "SPW" stand for?
Sample Plan Worksheet
100
What are the three criteria used to determine HCAHPS eligibility?
Age <= 18, inpatient status, overnight stay
100
What is the survey that is required to go first in sampling order for a study containing inpatient surveys?
HCAHPS
100
Patients are selected for sampling based on discharge date.
True
100
What is the disqualification for patients who had two inpatient encounters discharged during the same sampling period?
Excluded Encounter
200
What does "DRG" stand for?
Diagnosis Related Group
200
What is the criteria piece is most often used to determine HServiceType?
MSDRG
200
What is the resurvey exclusion for HCAHPS?
One calendar month
200
NRC Health mails surveys Monday through Saturday.
False, surveys are mailed Monday through Friday.
200
Will an otherwise eligible inpatient who has no address listed be disqualified from sampling?
No, regardless of the ability to deliver a survey, all qualified inpatients must be eligible for sampling.
300
What does "MS-DRG" stand for?
Medicare Severity Diagnosis Related Group
300
What is the HServiceType code that represents an inpatient encounter that was ineligible for HCAHPS sampling based on the hospital service received?
X
300
A patient must be surveyed (1st survey in mail or 1st phone call attempted) within how many days after their discharge for HCAHPS?
42 days
300
Only Medicare and Medicaid inpatients are eligible for HCAHPS sampling & reporting.
False, insurance does not play a factor in HCAHPS eligibility.
300
If patients have two discharges in the same survey period, which discharge is selected as eligible to receive a survey?
The most recent discharge will be eligible.
400
What does “CCN” stand for?
CMS Certification Number
400
What percentage of missing data requires us to request a DRG update for relevant HCAHPS fields?
< 5%
400
What is the minimum target number of annual returns for the HCAHPS survey based on the CMS guidelines?
300
400
HCAHPS participation is required for all hospitals in the U.S.
False, Critical Access Hospitals are not required to participate in HCAHPS sampling.
400
Which admission source codes are excluded from HCAHPS sampling?
8/Law Enforcement
500
What does "HCAHPS" stand for?
Hospital Consumer Assessment of Healthcare Providers and Systems
500
If a red warning appears at the top of an HCAHPS validation report that says "Male coded with Maternity DRG", what is the likely source of the problem?
It is likely that the client is sending APR DRG codes, but the system is set up to read the codes as MS DRG codes.
500
What type of sampling unit is the HCAHPS reportable sample unit
Non-Exclusive
500
An HCAHPS survey is considered ‘expired’ 42 from mailing. Or in other words, the data collection period for mailed HCAHPS surveys is 42 days.
True
500
A husband and wife who live in the same residence both have an illness that will require them both to have an inpatient visit to the same hospital. They are both admitted on June 1st. The wife is discharged on June 3rd and the husband discharged on June 4th. Why is only one patient eligible for HCAHPS sampling?
Since they live at the same physical address, one will be excluded for householding.