title: Nursing care, inpatient satisfaction, and value-based purchasing: vital connections.
abstract: OBJECTIVE
  The objective of this study was to investigate how domains of patient satisfaction in hospitals predict Hospital Consumer Assessment of Healthcare Providers and Systems (HCAHPS) global rating scores to support hospital administrators in dealing with reimbursement changes.
  
  
  BACKGROUND
  Medicare's inpatient value-based purchasing program ties a portion of hospital payments to scores on the HCAHPS survey.
  
  
  METHODS
  Logistical regression analysis of patient-level satisfaction domain scores from a standard, commercially available survey and HCAHPS top-box scores controlled for potential confounding variables.
  
  
  RESULTS
  Each 1-point increase in the nursing domain score increased the odds of achieving an HCAHPS top-box score by 4.9%. Increases in other domain scores also affected top-box odds, although to a smaller extent.
  
  
  CONCLUSIONS
  Hospital administrators wishing to maximize Medicare reimbursement will realize the greatest impact by improving patient satisfaction with nursing care.
authors.affiliation: Research and Analytics, Press Ganey Associates, Inc, South Bend, Indiana 46601, USA. rwolosin@pressganey.com
authors.forename: Robert
authors.initials: R
authors.lastname: Wolosin
authors.forename: Louis
authors.initials: L
authors.lastname: Ayala
authors.forename: Bradley R
authors.initials: BR
authors.lastname: Fulton
mesh_terms: D000293:Adolescent; D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D019985:Benchmarking; D002648:Child; D002675:Child, Preschool; D005260:Female; D019538:Health Care Surveys; D006739:Hospital Administration; D006801:Humans; D007223:Infant; D007231:Infant, Newborn; D016015:Logistic Models; D008297:Male; D006278:Medicare / Q000191:economics*; D008875:Middle Aged; D009732:Nursing Care / Q000592:standards*; D017060:Patient Satisfaction; D012052:Reimbursement, Incentive; D014481:United States