Associations between Hospital-Level Patient Satisfaction Scores and Hospital-Acquired Pressure Ulcer Occurrences among Medicare Stroke Patients

Tamara Odom-Maryon, Hsou Mei Hu, Huey-Ming Tzeng

Research output: Contribution to journalArticle

Abstract

Background: Limited research has explored the associations between the US Hospital Consumer Assessment of Healthcare Providers and Systems (HCAHPS) ratings data and hospital-acquired pressure ulcer (HAPU) occurrences. Purpose: We examined the associations between the hospital-level patient satisfaction HCAHPS scores with hospital care experience reported by Medicare patients 65 years or older and the occurrence of HAPUs among Medicare patients with stroke. Methods: A matched case-control design was used. Patients with a history of stroke were identified using the 2011 Medicare fee-for-service patient data. Medicare Beneficiary Summary and Medicare Provider Analysis and Review files processed by the Chronic Conditions Data Warehouse were analyzed. Conditional logistic regression was used. Results: HAPUs occur less frequently among Medicare patients with stroke who received inpatient care at hospitals with higher patient satisfaction HCAHPS scores for nurses' communication skills and quietness at night for the areas around patient rooms. Conclusions: Using hospital-level patient satisfaction HCAHPS scores to monitor and project HAPU occurrences is recommended.

Original languageEnglish (US)
JournalJournal of Nursing Care Quality
DOIs
StateAccepted/In press - Jan 1 2019
Externally publishedYes

Fingerprint

Pressure Ulcer
Medicare
Patient Satisfaction
Stroke
Health Personnel
Delivery of Health Care
Fee-for-Service Plans
Patients' Rooms
Inpatients
Logistic Models
Nurses
Communication

Keywords

  • Hospital Consumer Assessment of Healthcare Providers and Systems (HCAHPS) survey
  • hospitals
  • Medicare
  • nursing care quality
  • patient satisfaction
  • pressure ulcers
  • stroke

ASJC Scopus subject areas

  • Nursing(all)

Cite this

@article{7bc124fde6874dbc8b9652db4c5165f3,
title = "Associations between Hospital-Level Patient Satisfaction Scores and Hospital-Acquired Pressure Ulcer Occurrences among Medicare Stroke Patients",
abstract = "Background: Limited research has explored the associations between the US Hospital Consumer Assessment of Healthcare Providers and Systems (HCAHPS) ratings data and hospital-acquired pressure ulcer (HAPU) occurrences. Purpose: We examined the associations between the hospital-level patient satisfaction HCAHPS scores with hospital care experience reported by Medicare patients 65 years or older and the occurrence of HAPUs among Medicare patients with stroke. Methods: A matched case-control design was used. Patients with a history of stroke were identified using the 2011 Medicare fee-for-service patient data. Medicare Beneficiary Summary and Medicare Provider Analysis and Review files processed by the Chronic Conditions Data Warehouse were analyzed. Conditional logistic regression was used. Results: HAPUs occur less frequently among Medicare patients with stroke who received inpatient care at hospitals with higher patient satisfaction HCAHPS scores for nurses' communication skills and quietness at night for the areas around patient rooms. Conclusions: Using hospital-level patient satisfaction HCAHPS scores to monitor and project HAPU occurrences is recommended.",
keywords = "Hospital Consumer Assessment of Healthcare Providers and Systems (HCAHPS) survey, hospitals, Medicare, nursing care quality, patient satisfaction, pressure ulcers, stroke",
author = "Tamara Odom-Maryon and Hu, {Hsou Mei} and Huey-Ming Tzeng",
year = "2019",
month = "1",
day = "1",
doi = "10.1097/NCQ.0000000000000396",
language = "English (US)",
journal = "Journal of Nursing Care Quality",
issn = "1057-3631",
publisher = "Lippincott Williams and Wilkins",

}

TY - JOUR

T1 - Associations between Hospital-Level Patient Satisfaction Scores and Hospital-Acquired Pressure Ulcer Occurrences among Medicare Stroke Patients

AU - Odom-Maryon, Tamara

AU - Hu, Hsou Mei

AU - Tzeng, Huey-Ming

PY - 2019/1/1

Y1 - 2019/1/1

N2 - Background: Limited research has explored the associations between the US Hospital Consumer Assessment of Healthcare Providers and Systems (HCAHPS) ratings data and hospital-acquired pressure ulcer (HAPU) occurrences. Purpose: We examined the associations between the hospital-level patient satisfaction HCAHPS scores with hospital care experience reported by Medicare patients 65 years or older and the occurrence of HAPUs among Medicare patients with stroke. Methods: A matched case-control design was used. Patients with a history of stroke were identified using the 2011 Medicare fee-for-service patient data. Medicare Beneficiary Summary and Medicare Provider Analysis and Review files processed by the Chronic Conditions Data Warehouse were analyzed. Conditional logistic regression was used. Results: HAPUs occur less frequently among Medicare patients with stroke who received inpatient care at hospitals with higher patient satisfaction HCAHPS scores for nurses' communication skills and quietness at night for the areas around patient rooms. Conclusions: Using hospital-level patient satisfaction HCAHPS scores to monitor and project HAPU occurrences is recommended.

AB - Background: Limited research has explored the associations between the US Hospital Consumer Assessment of Healthcare Providers and Systems (HCAHPS) ratings data and hospital-acquired pressure ulcer (HAPU) occurrences. Purpose: We examined the associations between the hospital-level patient satisfaction HCAHPS scores with hospital care experience reported by Medicare patients 65 years or older and the occurrence of HAPUs among Medicare patients with stroke. Methods: A matched case-control design was used. Patients with a history of stroke were identified using the 2011 Medicare fee-for-service patient data. Medicare Beneficiary Summary and Medicare Provider Analysis and Review files processed by the Chronic Conditions Data Warehouse were analyzed. Conditional logistic regression was used. Results: HAPUs occur less frequently among Medicare patients with stroke who received inpatient care at hospitals with higher patient satisfaction HCAHPS scores for nurses' communication skills and quietness at night for the areas around patient rooms. Conclusions: Using hospital-level patient satisfaction HCAHPS scores to monitor and project HAPU occurrences is recommended.

KW - Hospital Consumer Assessment of Healthcare Providers and Systems (HCAHPS) survey

KW - hospitals

KW - Medicare

KW - nursing care quality

KW - patient satisfaction

KW - pressure ulcers

KW - stroke

UR - http://www.scopus.com/inward/record.url?scp=85068851792&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=85068851792&partnerID=8YFLogxK

U2 - 10.1097/NCQ.0000000000000396

DO - 10.1097/NCQ.0000000000000396

M3 - Article

C2 - 30817409

AN - SCOPUS:85068851792

JO - Journal of Nursing Care Quality

JF - Journal of Nursing Care Quality

SN - 1057-3631

ER -