CMS Introduces A Five Star Rating System for the HHCAHPS
May 9, 2015 08:27 AM
The Centers for Medicare & Medicaid Services (CMS) held a Special Open Door Forum call to announce its plans to assign a Star Rating System to the Home Health Consumer Assessment of Healthcare Providers and Systems (HHCAHPS).
CMS plans to add a Five Star Ratings for HHCAHPS measures beginning with the January 2016 public reporting period on Home Health Compare. The data will include surveys of patients who received home health care from July 2014 through June 2015.
HHCAHPS Star Ratings will be applied to each of the three publicly reported composite measures, which are created from specific questions on the HHCAHPS Survey and to one of the publicly reported global measures, Overall Rating of Care. CMS will not be assigning a star rating to the Willingness to Recommend measure because it mirrors the data in the Overall Rating, and it is not as stable as the Overall Rating measure. To receive HHCAHPS Star Ratings, home health agencies must have at least 40 completed HHCAHPS surveys over the publicly reported four-quarter period.
The presenters provide an overview of the methodology for assigning the Star Rating. The individual survey responses are converted into a linear score on a 0-100 point scale. The composite scores are based on the mean of the linearized responses to the questions that make up the HHCAHPS measure. The score is than adjusted for patient mix and rounded to the nearest whole number. The scores are “clustered” and placed into one of five groups. The groups are then assigned 1, 2, 3, 4, or 5, stars. CMS emphasized to the participants that there was no predetermined quotas for the number of home health agencies (HHAs) that would be included in any of the star categories. The groupings are the result of a statistical process.
Star Ratings will be provided for four HHCAHPS measures that appear on Home Health Compare. In addition a single Summary Star Rating will be assigned. The single Star Rating will be the average of all of the Star Ratings of the HHCAHPS measures.
CMS will issue a sample Star Rating Preview Report in October 2015, which includes data from patients served from April 2014 through March 2015. HHAs can access their Preview Reports by logging onto the HHCAHPS website and selecting the “Preview Reports” link under the “For HHAs” tab. Preview Reports will not be available to the HHCAHPS survey vendor or to anyone other than the HHA.
The power point slides, technical document, and the FAQ document can be found here.
A transcript and audio recording of this Special ODF will be posted to the Special Open Door Forum website at http://www.cms.gov/OpenDoorForums/05_ODF_SpecialODF.asp for downloading