Organizational characteristics and patient experiences with hospital care: a survey study of hospital chief patient experience officers.

Journal Article (Journal Article)

Beginning in fiscal year 2013, scores based on the Hospital Consumer Assessment of Healthcare Providers and Systems (HCAHPS) constitute 30% of incentive-based payments from Medicare's Value-Based Purchasing (VBP) initiative. Yet there is little empirical work to understand hospital approaches to improving the patient experience. In this study, chief patient experience officers at 416 VHA hospitals were surveyed to assess the relationship between organizational characteristics and publicly reported HCAHPS scores. Of 416 institutions, 143 (34.4%) participated. Respondents reported that boards (68%) and chief executive officers (81%) viewed the patient experience as extremely important. In contrast, they reported that in only 15% and 34% of hospitals, respectively, physicians and nurses were supportive of efforts to improve the patient experience. Hospitals with collaborative cultures and higher physician engagement had higher VBP total HCAHPS scores (6.9 points and 8.2 points higher, respectively; both P < .05). These areas should be addressed to improve the patient experience in provider organizations.

Full Text

Duke Authors

Cited Authors

  • Manary, M; Staelin, R; Kosel, K; Schulman, KA; Glickman, SW

Published Date

  • September 2015

Published In

Volume / Issue

  • 30 / 5

Start / End Page

  • 432 - 440

PubMed ID

  • 24951105

Electronic International Standard Serial Number (EISSN)

  • 1555-824X

International Standard Serial Number (ISSN)

  • 1062-8606

Digital Object Identifier (DOI)

  • 10.1177/1062860614539994


  • eng