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Development of the survey: The survey was developed over the course of more than a year in consultation with a broad range of stakeholders, including patients, provider groups, hospital staff, and others. The project team drew on the extensive experience of the Robert Wood Johnson Foundation and ODPHP in survey design and instrument development, as well as on the input of experts in patient care, survey design, and public policy. In addition to HCAHPS technical and data support, the project benefited from a strong research team, including a statistician, a clinical expert, and a consumer advocate, as well as from an expert in public reporting. Through this collaboration, the project team was able to develop a set of guidelines for calculating and presenting the HCAHPS scores that are now in place for public reporting.
Accountability and transparency: The HCAHPS Project Team believes that the most important benefit of public reporting of the HCAHPS survey results is the increased public accountability for the quality of hospital care. With substantial support from the Robert Wood Johnson Foundation, ODPHP is working to understand how consumers use data on hospital quality in their choice of providers and, ultimately, to influence hospital policy and provider behavior.
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