Skip to main content

Child Hospital Consumer Assessment of Healthcare Providers and Systems (Child HCAHPS) Survey

CBE ID
2548
Endorsed
Endorsement Status
Endorsed
1.1 New or Maintenance
Maintenance
E&M Cycle
Spring 2019
Is Under Review
No
Next Planned Maintenance Review
Patient Experience and Function Fall 2024
1.3 Measure Description

The Child Hospital Consumer Assessment of Healthcare Providers and Systems (Child HCAHPS) Survey is a standardized survey instrument that asks parents and guardians (henceforth referred to as parents) of children under 18 years old to report on their and their child’s experiences with inpatient hospital care.

The performance measures of the Child HCAHPS survey consist of 39 items organized by overarching groups into the following 18 composite and single-item measures:


Communication with Parent
1. Communication between you and your child’s nurses (3 items)
2. Communication between you and your child’s doctors (3 items)
3. Communication about your child’s medicines (4 items)
4. Keeping you informed about your child’s care (2 items)
5. Privacy when talking with doctors, nurses, and other providers (1 item)
6. Preparing you and your child to leave the hospital (5 items)
7. Keeping you informed about your child’s care in the Emergency Room (1 item)
Communication with Child
8. How well nurses communicate with your child (3 items)
9. How well doctors communicate with your child (3 items)
10.Involving teens in their care (3 items)
Attention to Safety and Comfort
11.Preventing mistakes and helping you report concerns (2 items)
12.Responsiveness to the call button (1 item)
13.Helping your child feel comfortable (3 items)
14.Paying attention to your child’s pain (1 item)
Hospital Environment
15.Cleanliness of hospital room (1 item)
16.Quietness of hospital room (1 item)
Global Rating
17.Overall rating (1 item)
18.Recommend hospital (1 item)

We recommend that the scores for the Child HCAHPS composite and single-item measures be calculated using a top-box scoring method. The top box score refers to the percentage of respondents who answered survey items using the best possible response option. The measure time frame is 12 months. A more detailed description of the Child HCAHPS measure can be found in the Detailed Measure Specifications (Appendix A).

    • 1.5 Measure Type
      Outcome
      1.7 Electronic Clinical Quality Measure (eCQM)
      No
      1.8 Level Of Analysis
      Facility
      1.20 Testing Data Sources
      Claims Data
    • 1.14 Numerator

      Using the top-box scoring method, the numerator of the top-box score for a measure consists of the number of respondents with a completed survey who gave the best possible answer for the item(s) in a measure.

      For example, the top-box numerator for the communication between you and your child’s nurses composite is the number of respondents who answered “Always” to questions about how well nurses communicated well with them.

    • 1.15 Denominator

      The denominator for each single-item measure is the number of respondents with a completed survey who responded to the item. The denominator for each composite measure is the number of respondents with a completed survey who responded to at least one of the items within the measure. The target population for the survey is parents of children under 18 years old who have been discharged from the hospital during the target 12-month time frame.

    • Exclusions

      SURVEY AND MEASURES 1-18
      Exclude parents of certain patients from the measure (numerator and denominator) based on clinical and non-clinical criteria:

      1. “No-publicity” patients
      2. Court/law enforcement patients
      3. Patients with a foreign home addresses
      4. Patients discharged to hospice care (hospice-home or hospice-medical facility)
      5. Patients who are excluded because of state regulations
      6. Patients who are wards of the state
      7. Healthy newborns
      8. Maternity-stay patients
      9. Patients admitted for observation
      10. Patients discharged to skilled nursing facilities
      11. Patients who are emancipated minors

      MEASURES 1-18
      Exclude respondents from the numerator and denominator of a measure if they have completed survey items in the measure using multiple marks (i.e., they gave multiple answers to an individual question).

      MEASURES 8-9
      Exclude the following respondents from the numerator and denominator:
      1. All those who answered “No” to screener question 6 (Is your child able to talk with nurses and doctors about his or her health care?)
      2. All those whose child was under 3 years old at discharge as determined using administrative data

      MEASURE 10
      Exclude the following respondents from the numerator and denominator:
      1. All those who answered “No” in screener question 43 (During this hospital stay, was your child 13 years old or older?)
      2. All those whose child was under 13 years old at discharge as determined using administrative data
      3. All those who answered “No” in screener question 6 (Is your child able to talk with nurses and doctors about his or her health care?)

      MEASURE 12
      Exclude the following respondents from the numerator and denominator:
      1. All those who answered “No” in screener question 25 (During this hospital stay, did you or your child ever press the call button?)

      MEASURE 14
      Exclude the following respondents from the numerator and denominator:
      1. All those who answered “No” in screener question 30 (During this hospital stay, did your child have pain that needed medicine or other treatment?)

    • 1.13a Data dictionary not attached
      No
    • Most Recent Endorsement Activity
      Endorsed Patient Experience and Function Spring Cycle 2019
      Initial Endorsement
      Last Updated
    • Risk Adjustment
      Statistical risk model
      Risk adjustment approach
      Off
      Risk adjustment approach
      Off
      Conceptual model for risk adjustment
      Off
      Conceptual model for risk adjustment
      Off