Hospital Consumer Assessment Of Healthcare Providers And Systems ( Cms ) Value Based Purchasing Program

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Patient satisfaction has been identified as a key determinant of quality care under the Centers for Medicare and Medicaid (CMS) value-based purchasing program. Hospital Consumer Assessment of Healthcare Providers and Systems (HCHAPS) is a publicly reported survey providing a national standard for collecting and reporting data. HCHAPS has become an important determinant for satisfaction of care received in hospitals. Frankfort Regional Medical Center (FRMC), a 170-bed tertiary care hospital located in central Kentucky, is acutely aware of the importance of maintaining high quality care reflected in patient satisfaction scores. In an effort to improve patient satisfaction scores related to nursing specific indicators, bedside reporting was introduced in 2012. Despite its introduction, HCHAPS scores showed no improvement. Harrington et al. (2013) established that nurses more often react to patient problems rather than focusing on preventing problems. Brosey and March (2014) proposed that “hourly nurse rounding is an effective method to improve patient satisfaction and clinical outcomes” (p.1). This paper would propose the implementation of a structured process of intentional rounding (IR) in an effort to improve patient satisfaction, patient safety, and quality of care. IR is a process by which health professionals conduct structured patient checks at set intervals to assess and manage their care needs. Brosey and March (2014) conducted a study to determine the
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