HCAHPS (the Hospital Consumer Assessment of Healthcare Providers and Systems) is a patient satisfaction survey required by CMS (the Centers for Medicare and Medicaid Services) for all hospitals in the United States. It is administered to a random sample of adult patients across medical conditions between 48 hours and 6 weeks after discharge.
In CMS’ HCAHPS survey, patients provide feedback on their experience with a hospital in specific areas, including:
- Communication with nurses
- Communication with doctors
- Responsiveness when help is required
- Pain management
- Communication about medicines
- Discharge information
- Cleanliness and quietness of hospital environment
- Hospital rating
The survey results are publicly reported for all to see, and may impact a healthcare organization’s reputation. Additionally, the government provides reimbursement based on results – excellent survey performance keeps the hospital financially strong, in a value-based care environment.
25 hospitals with the best HCAHPS scores (5 stars)
Rank | Hospital Name | # of Discharges | Staffed Beds |
1. | Citizens Medical Center (LA) | 557 | 40 |
2. | Physicians Medical Center (LA) | 217 | 30 |
3. | Davie Medical Center – Mocksville (NC) | 1,498 | N/A |
4. | Central Louisiana Surgical Hospital (LA) | 1,301 | 24 |
5. | Physicians Care Surgical Hospital (PA) | 1,232 | 12 |
6. | Franciscan Health Carmel (IN) | 371 | 6 |
7. | Wellspan Surgery & Rehabilitation Hospital (PA) | 836 | 25 |
8. | Orthopaedic Hospital of Wisconsin (WI) | 1,392 | 30 |
9. | Surgical Hospital at Southwoods (OH) | 1,179 | 24 |
10. | Houston Physicians Hospital (TX) | 594 | 21 |
11. | Specialists Hospital Shreveport (LA) | 1,348 | 15 |
12. | Surgical Institute of Reading (PA) | 814 | 15 |
13. | Park Place Surgical Hospital (LA) | 502 | 10 |
14. | Premier Surgical Institute (KS) | 1,269 | 36 |
15. | Sacred Heart Hospital on the Gulf (FL) | 475 | 19 |
16. | Unity Medical and Surgical Hospital (IN) | 440 | 29 |
17. | Midwest Surgical Hospital (NE) | 1,065 | 19 |
18. | Memorial Hermann Surgical Hospital First Colony (TX) | 444 | 6 |
19. | OakLeaf Surgical Hospital (WI) | 676 | 13 |
20. | Black Hills Surgical Hospital (SD) | 1,712 | 26 |
21. | Healthmark Regional Medical Center (FL) | 587 | 50 |
22. | Baylor Scott & White Surgical Hospital – Sherman (TX) | 488 | 12 |
23. | Oklahoma Center for Orthopaedic & Multi-Specialty Surgery (OK) | 781 | 10 |
24. | Butler County Health Care Center (NE) | 331 | 20 |
25. | OrthoNebraska Hospital (NE) | 1,846 | 24 |
This list represents the U.S.’ top rated hospitals in terms of HCAHPS scores. This list includes a smattering of smaller hospitals, and a high volume of surgical centers. Surgical centers may receive higher ratings because there are generally shorter patient stays and lower patient volume, which may result in a better patient experience. It is interesting to note that nearly all of these hospitals are classified as short term acute care hospitals: facilities where patients tend to visit their trusted primary care provider, with whom they build and foster relationships.
25 hospitals with the worst HCAHPS scores (1 star)
Rank | Hospital Name | # of Discharges | Staffed Beds |
1. | Los Angeles Community Hospital (CA) | 10,197 | 285 |
2. | Jackson Park Hospital & Medical Center (IL) | 6,856 | 201 |
3. | Victor Valley Global Medical Center (CA) | 5,687 | 101 |
4. | United Medical Center (DC) | 5,084 | 196 |
5. | Southern California Hospital at Hollywood (CA) | 14,913 | 100 |
6. | UM Prince Georges Hospital Center (MD) | 12,084 | 118 |
7. | Foothill Regional Medical Center (CA) | 2,754 | 135 |
8. | Westside Regional Medical Center (FL) | 14,016 | 224 |
9. | Mountains Edge Hospital (NV) | 3,422 | 130 |
10. | Huntington Beach Hospital (CA) | 3,013 | 82 |
11. | WellStar North Fulton Hospital (GA) | 6,928 | 169 |
12. | Memorial Hospital of Gardena (CA) | 7,132 | 103 |
13. | Mission Community Hospital (CA) | 7,850 | 60 |
14. | East Orange General Hospital (NJ) | 4,878 | 159 |
15. | NYC Health and Hospitals – Lincoln (NY) | 19,118 | 287 |
16. | Larkin Community Hospital – Palm Springs Campus (FL) | 4,735 | 148 |
17. | Flushing Hospital Medical Center (NY) | 14,034 | 275 |
18. | St Johns Episcopal Hospital at South Shore (NY) | 6,923 | 170 |
19. | Coast Plaza Hospital (CA) | 2,841 | 117 |
20. | WellStar Atlanta Medical Center (GA) | 15,570 | 466 |
21. | Wyckoff Heights Medical Center (NY) | 13,252 | 257 |
22. | St Cloud Regional Medical Center (FL) | 4,100 | 84 |
23. | Roseland Community Hospital (IL) | 2,796 | 134 |
24. | Maimonides Medical Center (NY) | 35,182 | 641 |
25. | University Medical Center (UMC) of Southern Nevada (NV) | 24,388 | 497 |
This list represents 25 U.S. hospitals that may need to work a bit more on their patient satisfaction strategies. As a whole, these hospitals do have more staffed beds and a higher rate of discharges than the hospitals with five-star ratings, so these low scores may be a result of rushed experiences or a higher patient-to-provider ratios. Patients already expect safe and quality care from their hospitals, so a better patient experience may help improve these hospitals’ HCAHPS ratings. It may also be helpful if these hospitals communicate more clearly and frequently with their patients, given the emphasis on communication in the CMS HCAHPS survey.