Department of Orthopaedic Surgery, New York University Langone Medical Center, Hospital for Joint Diseases, New York, New York.
Department of Orthopaedic Surgery, New York University Langone Medical Center, Hospital for Joint Diseases, New York, New York; Insall Scott Kelly Institute for Orthopaedics and Sports Medicine, New York, New York.
J Arthroplasty. 2018 Feb;33(2):337-339.e6. doi: 10.1016/j.arth.2017.09.042. Epub 2017 Oct 3.
With the establishment of the Hospital Value-Based Purchasing program, the Hospital Consumer Assessment of Healthcare Providers and Systems (HCAHPS) score has been incorporated into the calculation of the total performance score, which determines redistribution of up to 2% of Medicare payments. This study aims to assess whether the HCAHPS score correlates with validated outcome measures after total hip arthroplasty.
Data from 63 patients who underwent a total hip arthroplasty and completed both an HCAHPS score and patient-reported outcome measures (PROMs) at our institution during the study period from January 1, 2015 to September 2016 were analyzed. The HCAHPS overall hospital rating scores were correlated with the preoperative to postoperative change in validated PROMs, namely EuroQol-EQ-5D Instrument and Hip Disability and Osteoarthritis Outcome Score.
There was no statistically significant correlation between the HCAHPS overall hospital rating score and PROMs.
This study shows a lack of correlation between established validated PROMs used in orthopedic surgery, and the HCAHPS survey scores, an important determinant of compensation in the pay-for-performance reimbursement models.
随着医院价值采购计划的建立，医院医疗保健提供者和系统评估（HCAHPS）评分已纳入总绩效评分的计算，这决定了医疗保险支付的高达 2%的重新分配。本研究旨在评估全髋关节置换术后 HCAHPS 评分与经过验证的结果测量指标是否相关。
在 2015 年 1 月 1 日至 2016 年 9 月期间，对在我院接受全髋关节置换术并完成 HCAHPS 评分和患者报告的结果测量（PROM）的 63 例患者的数据进行了分析。HCAHPS 总体医院评分与经过验证的 PROM（即欧洲五维健康量表 EQ-5D 工具和髋关节残疾和骨关节炎结果评分）的术前到术后变化进行了相关性分析。
HCAHPS 总体医院评分与 PROM 之间无统计学显著相关性。
本研究表明，在骨科手术中使用的既定经过验证的 PROM 与 HCAHPS 调查评分之间缺乏相关性，而 HCAHPS 调查评分是按绩效付费补偿模式中补偿的重要决定因素。
