1. HCAHPS Star Ratings

2. Star Ratings Overview  As part of a new initiative to add five-star quality ratings to its Compare Web sites, the Centers for Medicare & Medicaid Services (CMS) will add HCAHPS Star Ratings to the Hospital Compare Web sit  Easier for consumers to spotlight excellence in healthcare quality  Alternative, statistically valid methods for summarizing HCAHPS performance  Much broader: Summarizes all of the responses to all the patient experience items on the HCAHPS Survey  Is NOT used in determination of VPB. * WWW.HCAHPSONLINE.ORG

3. Participation  Which hospitals are included in HCAHPS Star Ratings? All hospitals that participate in the HCAHPS Survey.  Both Inpatient Prospective Payment System (IPPS) hospitals and Critical Access Hospitals (CAH).  Provided hospitals have 100+ completed HCAHPS Surveys in the 12-month reporting period. * WWW.HCAHPSONLINE.ORG

4. Measures for Star Ratings All 11 HCAHPS measures receive a Star Rating: Composite Measures  Communication with Nurses  Communication with Doctors  Staff Responsiveness  Pain Management  Communication about Medicines  Discharge Information  Care Transition Individual Items  Cleanliness of Hospital Environment  Quietness of Hospital Environment Global Items  Recommend Hospital  Overall Hospital Rating * WWW.HCAHPSONLINE.ORG

5. Eligibility  Hospitals must have at least 100 completed surveys over the four-quarter reporting period to receive HCAHPS Star Ratings  Hospital must be eligible for public reporting on Hospital Compare  Hospitals that do not have sufficient completed surveys for calculation of Star Ratings will still have their HCAHPS measures publicly reported on Hospital Compare * WWW.HCAHPSONLINE.ORG

6. Scoring Methodology  Star ratings will NOT follow “Top Box” methodology  CMS employs all survey responses in the construction of the HCAHPS Star Ratings  Each response assigned a score  Scores are calculated, assigned an average and rounded up or down  Final scores will be patient mix and mode adjusted * WWW.HCAHPSONLINE.ORG

7. STAR Linear Mean Scores  All responses are converted to a score from 0-100  Top Box (Always,Rating 9,10, Def, Yes, Strongly Agree) – 100  Usually, Agree, Probably Yes – 66.66  Sometimes, Disagree, Probably No – 33.33  Never, Strongly Disagree, No, Def. No – 0  Overall Rating – 1=10, 2=20, 3=30…..10=100  HCAHPS scores are averaged to obtain linear means for each measure  A statistical clustering technique is applied to HCAHPS liner mean scores (Maximize differences between groups) * WWW.HCAHPSONLINE.ORG

8. Scoring Methodology Example * WWW.HCAHPSONLINE.ORG

9. * www.hcahpsonline.org 39% (28) of Hospitals in Alabama were a 4 or 5 Star Texas leads the nation at “19” 5-Stars.

10. Contact Us: J. L. Morgan & Associates 7057 Meadowlark Drive| Birmingham, Al 35242 205-995-4226 | Fax: 205-995-7141 www.Jlmorganandassociates.com Jeff Morgan, President 205-408-8774 Office Jeff.morgan@jlmassoc.com Jay Bishop, MSHA, CPHQ, COO 205-995-7108 Office Jay.Bishop@jlmassoc.com Tanya Harris-Haynes HCAHPS Manager 205-995-7144 Office tanya.harris@jlmassoc.com Wendy Dew Programs Director (Preventative Care / Pat Sat) 205-995-7107 Office Wendy.dew@jlmassoc.com Latrice Lawson Data Manager 205-995-7139 Office Latrice.lawson@jlmassoc.com DeAnna Bagwell Marketing / Sales 205-995-7153 Deanna.Bagwell@jlmassoc.com