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Some national data on hospital performance exists already. But doctors say that certain aspects of care can't be assessed without input from the patient: treatment of pain, for instance. (About a third of HCAHPS surveyed patients said their pain was not always treated adequately.) Doctors also want to make sure that patient-doctor communication is up to par. Patients who fully understand care instructions when they leave the hospital, for example, are more likely to stay out of the emergency room down the line. In total, the HCAHPS survey asked 27 questions about patients' demographic characteristics and eight areas...
...analysis of the data found that patients liked not-for-profit hospitals more, on average, than for-profit hospitals. Institutions with more nurses per patient were also more popular than those with fewer. And, on the whole, the hospitals that scored better according to the survey were also those that performed better on more traditional measures of clinical performance, such as providing the appropriate emergency treatment for heart attack or correctly following procedures designed to reduce risk of medical error...
Results from the HCAHPS survey are public. Interested patients can compare scores from hospitals across the U.S. at HHS.gov; visitors can search by institution name or by location and view the performance of each hospital on several measures of clinical success, including the patient survey. Although roughly 40% of hospitals did not report any survey data this year (on average, hospitals that did report patient-survey results also scored better on traditional quality measures), consumers can expect a more complete data set next year. Soon, reporting patient-perception data, like reporting of other hospital-performance data, will be linked...
Perhaps now that hospitals know what patients are thinking, they can work to improve. Despite general patient satisfaction, the HCAHPS survey suggests that basic components of care can make or break the patient experience - things like how patients interact with hospital staff. "We should be in the upper 90s [in percentage of approval] on these things," Jha says. "It strikes me that we have a long...
...nieces are chipper and accepting of her - and they occasionally ask her the direct questions about her past that the adults prefer not to bring up. The speechless grandfather establishes a benign connection, mainly through the love of reading he shares with Juliette. A man even appears - patient, unglamorous and someone who, like Claudel himself, has worked in prisons and understands the devastation that long-term incarceration can cause. Most important, there is Léa. It is she who has loved Juliette so long and who is determined to bring her back to the land of the living...