Long-Term Care Hospital (LTCH) Experience of Care

Development of the LTCH Experience of Care Survey

Overview

The Centers for Medicare & Medicaid Services (CMS) developed an experience of care survey for Long-Term Care Hospitals (LTCHs). Under contract with Research Triangle Institute International (RTI International), the survey was developed according to the Blueprint content on the CMS Measures Management System (MMS) Hub and Getting the CAHPS® Trademark: A Guide for Survey Developers (Note: this survey does not have the Consumer Assessment of Healthcare Providers and Systems [CAHPS] trademark). While CMS is not including this survey in the LTCH Quality Reporting Program (QRP) at this time, CMS is providing this survey and accompanying materials for public use. CMS cannot assist facilities on the use of this survey, answer technical questions about the use of this survey, or provide analysis support. Facilities and vendors should not send survey data to CMS; survey data submitted to CMS will be deleted. CMS can answer basic questions about the survey. Email questions to LTCHQualityQuestions@cms.hhs.gov.

Mode Experiment Executive Summary (PDF): This document provides an executive summary of the mode experiment. The mode experiment followed the field test and had the aim to:

• Assess the mode of survey delivery (mail-only, in-facility, and mail with telephone follow-up)
• Test reliability, validity, and consistency
• Develop risk-adjustment models

Mode and Patient Mix Adjustment (PDF): This document explains the process for developing adjustments for mode and patient risk factors on the survey. Mode and patient risk adjustment, also known as patient mix or case mix adjustment, is a statistical process that adjusts facility performance scores up or down to account for significant sources of bias in facilities’ data that are beyond their control.

English Survey — In Facility (PDF): This is the English version of the survey for facilities that wish to hand out the survey at discharge. It is recommended that this version only be used for in-facility administration.

English Survey (PDF): This is the English version of the survey. It is recommended that this survey not be used for in-facility administration.

Spanish Survey — In Facility (PDF): This is the Spanish version of the survey for facilities that wish to hand out the survey at discharge. It is recommended that this version only be used for in-facility administration.

Spanish Survey (PDF): This is the Spanish version of the survey. It is recommended that this survey not be used for in-facility administration.

Generic Cover Letter (PDF): This is a generic version of cover letters (English and Spanish) to accompany the survey. It is recommended that these be tailored prior to use.

English CATI Script (PDF): This is the Computer-Assisted Telephone Interviewing (CATI) script in English.

Spanish CATI Script (PDF): This is the CATI script in Spanish.

LTCH Quality Reporting Program Archives