CAHPS measures

Clinical Analytics can accept CAHPS data from the following surveys:

Hospital Consumer Assessment of Healthcare Providers and Systems (HCAHPS)
Inpatient Rehabilitation Facility Consumer Assessment of Healthcare Providers and Systems (IRF-CAHPS)
Outpatient Ambulatory Surgery - Consumer Assessment of Healthcare Providers and Systems (OAS-CAHPS)

Hospital Consumer Assessment of Healthcare Providers and Systems (HCAHPS)

For more information about HCAHPS surveys and adjustments, visit the CMS HCAHPS website.

Top Box scoring

When looking at HCAHPS scores, Top Box scoring is a question's score that represents the percentage of surveys with a "top box response." It varies depending on the type of question, but is considered the most favorable response. For most questions, the "Always" response is considered Top Box. Hospital ratings of 9 or 10 are Top Box and "Yes" or "Definitely" responses are Top Box for those prompts.

HCAHPS measures in Clinical Analytics

There are three types of HCAHPS measures in Clinical Analytics:

Raw scores
Adjusted scores
Bundled scores

Raw scores

For unadjusted HCAHPS measures, the numerator value (number of top box responses) and denominator value (total number of responses) for each question appear.

Adjusted scores

Clinical Analytics has developed an algorithm for adjusting your HCAHPS data according to the CMS guidelines to give you an idea of what your publicly reported patient satisfaction data looks like. For more details about the specific adjustments, see the CMS HCAHPS website.

NOTE: Remember that the adjustments to the raw composite scores also follow the CMS guidelines for excluding surveys. While your third-party vendor may exclude these patients from receiving a survey, occasionally this data makes it into Clinical Analytics. When this happens, you may see answers for individual questions, but the Adjusted Composite measures is not populated (and these surveys are not included in aggregations).

Encounters are excluded if:

Patient age is less than 18 at time of admission
Patient is discharged expired (discharge disposition=20)
Patient is discharged to hospice care (discharge disposition = 50 or 51)
Patient is discharged to nursing home or skilled nursing facility (discharge disposition = 3, 64, 83, or 92)
Court/law enforcement patients (Discharge disposition = 21 or 87 OR Admission source = 8)
Less than half of the survey questions are answered
Non-inpatient admissions
Psychiatric MS-DRG or principal diagnosis

Adjusted measures

Adjusted measures include:

Composite measures:
- Nurses communicated well (Adjusted Composite)
  - Questions 1-3
- Doctors communicated well (Adjusted Composite)
  - Questions 5-7
- Patients received help as soon as they wanted (Adjusted Composite)
  - Questions 4, 11
- Patients pain was well controlled (Adjusted Composite)
  - Questions 13-14
  - Only applicable to encounters discharged before January 1, 2018
- Communication about Pain (Adjusted Composite)
  - Questions 13-14
  - Only applicable to encounters discharged on or after January 1, 2018
- Patients given information about what to do during their recovery at home (Adjusted Composite)
  - Questions 19-20

Individual items:
- Patient's room and bathroom is kept clean- Always (Adjusted)
  - Question 8
- Patient's room is quiet at night- Always (Adjusted)
  - Question 9
Global items:
- Patients would definitely recommend the hospital (Adjusted)
  - Question 22
- Hospital rating of 9 or 10 (Adjusted)
  - Question 21

Scores are adjusted for:

Response percentile (how quickly the survey was returned)
Service Line of the encounter (see the following HCAHPS Service Line assignments for more information)
Survey mode (method of survey delivery/response)
Patient demographics
- Education level
- Self-rated health
- Primary language
- Age
- Gender
- Self-rated mental health

Bundled scores

Bundled scores are unique to Clinical Analytics. A survey is counted in the bundle numerator if all questions in the composite have top box responses. Bundled scores relate to CMS composite scores and include:

Nurses communicated well (Bundle)
- Questions 1-3
Doctors communicated well (Bundle)
- Questions 5-7
Patients received help as soon as they wanted (Bundle)
- Questions 4, 11
Patient's pain was well controlled (Bundle)
- Questions 13-14
- Only applicable to encounters discharged before January 1, 2018
Communication about Pain (Bundle)
- Questions 13-14
- Only applicable to encounters discharged on or after January 1, 2018
Staff explained medicines before giving them to the patient (Bundle)
- Questions 16-17
Hospital environment clean and quiet (Bundle)
- Questions 8-9
Patients given information about what to do during their recovery at home (Bundle)
- Questions 19-20

HCAHPS Service Line assignments

HCAHPS surveys are associated with the service line of the encounter based on DRG. The following table indicates the MS-DRGs and APR-DRGs associated with each HCAHPS Service Line. The assigned service line of each encounter can affect the adjusted measure values.

Service Line	MS-DRG	APR-DRG	Eligible for HCAHPS
1=Maternity Care	768, 783-788, 796-798, 805-807	540-542, 560	Yes
2=Medical	52-103, 121-125, 146-159, 175-208, 280-282, 286-316, 368-395, 432-446, 533-566, 592-607, 637-645, 682-684, 686-700, 722-730, 754-761, 776, 779, 808-816, 831-849, 862-872, 913-923, 933-935, 947-951, 963-965, 974-977	40-58, 80, 82, 98, 110-111, 113-115, 130-144, 190, 193-194, 196-201, 203-207, 240-249, 251-254, 279-284, 313-317, 340-344, 346-347, 349, 351, 380-385, 420-425, 461-463, 465-466, 468-470, 500-501, 530-532, 561, 563, 565-566, 660-663, 690-692, 694-696, 720-724, 811-813, 815-816, 843-844, 861-862, 890, 892-894	Yes
3=Surgical	1-8, 10-14, 16-17, 20-42, 113-117, 129-139, 163-168, 215-229, 231-236, 239-274, 326-358, 405-425, 453-483, 485-489, 492-520, 570-585, 614-630, 652-675, 707-718, 734-750, 769-770, 799-804, 817-830, 853-858, 901-909, 927-929, 939-941, 955-959, 969-970, 981-983, 987-989	1-6, 20-24, 26, 70, 73, 89-93, 95, 97, 120-121, 160-163, 165-167, 169-171, 174-177, 180-182, 191-192, 220-229, 260-264, 301-305, 308-310, 312, 320-322, 361-364, 401, 403-405, 440-447, 480-484, 510-514, 517-519, 544-546, 564, 650-651, 680-681, 710-711, 791, 841-842, 850, 910-912, 930, 950-952	Yes
Ineligible	283-285, 789-795, 876, 880-887, 894-897, 945-946, 998-999	580-581, 583, 588-589, 591, 593, 602-603, 607-609, 611-614, 621-623, 625-626, 630-631, 633-634, 636, 639-640, 740, 750-760, 770, 772-776, 860, 863	No
M=Missing	A missing MS-DRG code does not exclude a patient from being drawn into the sample frame	A missing APR-DRG code does not exclude a patient from being drawn into the sample frame	Yes

HCAHPS measures

Measure name	Description	Polarity	All Payer benchmarks?	Medicare benchmarks?	Benchmark detail level
HCAHPS Volume measures
HCAHPS Total Volume	Total number of HCAHPS surveys received	N/A	No	No	N/A
HCAHPS Completed Volume	Total number of HCAHPS surveys received and not excluded	N/A	No	No	N/A
HCAHPS Communication with Nurses measures
Nurses explain things in a way the patient can understand- Always	Percentage of patients that answered 'always' to the HCAHPS question: Q3. During this hospital stay, how often did nurses explain things in a way you could understand?	High	No	No	N/A
Nurses listen carefully to the patient- Always	Percentage of patients that answered 'always' to the HCAHPS question: Q2. During this hospital stay, how often did nurses listen carefully to you?	High	No	No	N/A
Nurses treat the patient with courtesy and respect- Always	Percentage of patients that answered 'always' to the HCAHPS question: Q1. During this hospital stay, how often did nurses treat you with courtesy and respect?	High	No	No	N/A
Nurses communicated well (Bundle)	Percentage of patients that answered 'always' to all of the following HCAHPS questions: Q1. During this hospital stay, how often did nurses treat you with courtesy and respect? Q2. During this hospital stay, how often did nurses listen carefully to you? Q3. During this hospital stay, how often did nurses explain things in a way you could understand? This is a Clinical Analytics-specific measure not mandated by CMS.	High	No	No	N/A
Nurses communicated well (Composite)	Percentage of patients that answered 'always' to the following HCAHPS questions: Q1. During this hospital stay, how often did nurses treat you with courtesy and respect? Q2. During this hospital stay, how often did nurses listen carefully to you? Q3. During this hospital stay, how often did nurses explain things in a way you could understand? The percentage of "top box" answers is calculated for each question in the composite and then averaged among all questions to obtain an overall "top box" composite value.	High	Yes	Yes	Facility
Nurses communicated well (Adjusted Composite)	This adjusted composite measure applies the CMS-specified adjustments to the (unadjusted) Composite specified above.	High	Yes	Yes	Facility
HCAHPS Communication with Doctors measures
Doctors listen carefully to the patient- Always	Percentage of patients that answered 'always' to the HCAHPS question: Q6. During this hospital stay, how often did doctors listen carefully to you?	High	No	No	N/A
Doctors explain things in a way the patient can understand- Always	Percentage of patients that answered 'always' to the HCAHPS question: Q7. During this hospital stay, how often did doctors explain things in a way you could understand?	High	No	No	N/A
Doctors treat the patient with courtesy and respect- Always	Percentage of patients that answered 'always' to the HCAHPS question: Q5. During this hospital stay, how often did doctors treat you with courtesy and respect?	High	No	No	N/A
Doctors communicated well (Bundle)	Percentage of patients that answered 'always' to all of the following HCAHPS questions: Q5. During this hospital stay, how often did doctors treat you with courtesy and respect? Q6. During this hospital stay, how often did doctors listen carefully to you? Q7. During this hospital stay, how often did doctors explain things in a way you could understand? This is a Clinical Analytics-specific measure not mandated by CMS.	High	No	No	N/A
Doctors communicated well (Composite)	Percentage of patients that answered 'always' to the following HCAHPS questions: Q5. During this hospital stay, how often did doctors treat you with courtesy and respect? Q6. During this hospital stay, how often did doctors listen carefully to you? Q7. During this hospital stay, how often did doctors explain things in a way you could understand? The percentage of "top box" answers is calculated for each question in the composite and then averaged among all questions to obtain an overall "top box" composite value.	High	Yes	Yes	Facility
Doctors communicated well (Adjusted Composite)	This adjusted composite measure applies the CMS-specified adjustments to the (unadjusted) Composite specified above.	High	Yes	Yes	Facility
HCAHPS Hospital Environment measures
Patient's room and bathroom is kept clean- Always	Percentage of patients that answered 'always' to the HCAHPS question: Q8. During this hospital stay, how often were your room and bathroom kept clean?	High	Yes	Yes	Facility
Patient's room and bathroom is kept clean- Always (Adjusted)	This adjusted measure applies the CMS-specified adjustments to the (unadjusted) measure specified above.	High	Yes	Yes	Facility
Patient's room is quiet at night- Always	Percentage of patients that answered 'always' to the HCAHPS question: Q9. During this hospital stay, how often was the area around your room quiet at night?	High	Yes	Yes	Facility
Patient's room is quiet at night- Always (Adjusted)	This adjusted measure applies the CMS-specified adjustments to the (unadjusted) measure specified above.	High	Yes	Yes	Facility
Hospital environment clean and quiet (Bundle)	Percentage of patients that answered 'always' to both of the following HCAHPS questions: Q8. During this hospital stay, how often were your room and bathroom kept clean? Q9. During this hospital stay, how often was the area around your room quiet at night? This is a Clinical Analytics-specific measure not mandated by CMS.	High	No	No	N/A
Hospital environment clean and quiet (Composite)	Percentage of patients that answered 'always' to the following HCAHPS questions: Q8. During this hospital stay, how often were your room and bathroom kept clean? Q9. During this hospital stay, how often was the area around your room quiet at night? The percentage of "top box" answers is calculated for each question in the composite and then averaged among all questions to obtain an overall "top box" composite value.	High	No	No	N/A
HCAHPS Responsiveness of Hospital Staff measures
Patient got help as soon as wanted- Always	Percentage of patients that answered 'always' to the HCAHPS question: Q4. During this hospital stay, after you pressed the call button, how often did you get help as soon as you wanted it?	High	No	No	N/A
Patient receives help with bathroom or bedpan as soon as wanted- Always	Percentage of patients that answered 'always' to the HCAHPS question: Q11. How often did you get help in getting to the bathroom or in using a bedpan as soon as you wanted?	High	No	No	N/A
Patients received help as soon as they wanted (Bundle)	Percentage of patients that answered 'always' to both of the following HCAHPS questions: Q4. During this hospital stay, after you pressed the call button, how often did you get help as soon as you wanted it? Q11. How often did you get help in getting to the bathroom or in using a bedpan as soon as you wanted? This is a Clinical Analytics-specific measure not mandated by CMS.	High	No	No	N/A
Patients received help as soon as they wanted (Composite)	Percentage of patients that answered 'always' to the following HCAHPS questions: Q4. During this hospital stay, after you pressed the call button, how often did you get help as soon as you wanted it? Q11. During this hospital stay, how often did you get help in getting to the bathroom or in using a bedpan as soon as you wanted? The percentage of "top box" answers is calculated for each question in the composite and then averaged among all questions to obtain an overall "top box" composite value.	High	Yes	Yes	Facility
Patients received help as soon as they wanted (Adjusted Composite)	This adjusted composite measure applies the CMS-specified adjustments to the (unadjusted) Composite specified above.	High	Yes	Yes	Facility
HCAHPS Pain Management measures (Retired)
Patient's pain is well controlled- Always	Percentage of patients that answered 'always' to the HCAHPS question: Q13. During this hospital stay, how often was your pain well controlled? This question only applies to discharges prior to January 1, 2018.	High	No	No	N/A
Hospital staff does everything they can to help with the patient's pain- Always	Percentage of patients that answered 'always' to the HCAHPS question: Q14. During this hospital stay, how often did the hospital staff do everything they could to help you with your pain? This question only applies to discharges prior to January 1, 2018.	High	No	No	N/A
Patient's pain was well controlled (Bundle)	Percentage of patients that answered 'always' to both of the following HCAHPS questions: Q13. During this hospital stay, how often was your pain well controlled? Q14. During this hospital stay, how often did the hospital staff do everything they could to help you with your pain? This is a Clinical Analytics-specific measure not mandated by CMS. This bundle only applies to discharges prior to January 1, 2018.	High	No	No	N/A
Patients pain was well controlled (Composite)	Percentage of patients that answered 'always' to the following HCAHPS questions: Q13. During this hospital stay, how often was your pain well controlled? Q14. During this hospital stay, how often did the hospital staff do everything they could to help you with your pain? The percentage of "top box" answers is calculated for each question in the composite and then averaged among all questions to obtain an overall "top box" composite value. This composite only applies to discharges prior to January 1, 2018.	High	Yes	Yes	Facility
Patients pain was well controlled (Adjusted Composite)	This adjusted composite measure applies the CMS-specified adjustments to the (unadjusted) Composite specified above. This adjusted composite only applies to discharges prior to January 1, 2018.	High	Yes	Yes	Facility
HCAHPS Communication about Pain measures
Hospital staff talks with you about how much pain you had? Always	Percentage of patients that answered 'always' to the HCAHPS question: Q13. During this hospital stay, how often did hospital staff talk with out about how much pain you had? This question only applies to discharges on or after January 1, 2018.	High	No	No	N/A
Hospital staff talks with you about how to treat your pain? Always	Percentage of patients that answered 'always' to the HCAHPS question: Q14. During this hospital stay, how often did hospital staff talk with out about how to treat your pain? This question only applies to discharges on or after January 1, 2018.	High	No	No	N/A
Communication about Pain (Bundle)	Percentage of patients that answered 'always' to both of the following HCAHPS questions: Q13. During this hospital stay, how often did hospital staff talk with out about how much pain you had? Q14. During this hospital stay, how often did hospital staff talk with out about how to treat your pain? This is a Clinical Analytics-specific measure not mandated by CMS. This bundle only applies to discharges on or after January 1, 2018.	High	No	No	N/A
Communication about Pain (Composite)	Percentage of patients that answered 'always' to the following HCAHPS questions: Q13. During this hospital stay, how often did hospital staff talk with out about how much pain you had? Q14. During this hospital stay, how often did hospital staff talk with out about how to treat your pain? The percentage of "top box" answers is calculated for each question in the composite and then averaged among all questions to obtain an overall "top box" composite value. This composite only applies to discharges on or after January 1, 2018.	High	Yes	Yes	Facility
Communication about Pain (Adjusted Composite)	This adjusted composite measure applies the CMS-specified adjustments to the (unadjusted) Composite specified above. This adjusted composite only applies to discharges on or after January 1, 2018.	High	Yes	Yes	Facility
HCAHPS Communication about Medicines measures
Hospital staff tells the patient what a new medicine is for before giving it- Always	Percentage of patients that answered 'always' to the HCAHPS question: Q16. Before giving you any new medicine, how often did hospital staff tell you what the medicine was for?	High	No	No	N/A
Hospital staff describes possible side effects before giving new medicine- Always	Percentage of patients that answered 'always' to the HCAHPS question: Q17. Before giving you any new medicine, how often did hospital staff describe possible side effects in a way you could understand?	High	No	No	N/A
Staff explained medicines before giving them to the patient (Bundle)	Percentage of patients that answered 'always' to both of the following HCAHPS questions: Q16. Before giving you any new medicine, how often did hospital staff tell you what the medicine was for? Q17. Before giving you any new medicine, how often did hospital staff describe possible side effects in a way you could understand? This is a Clinical Analytics-specific measure not mandated by CMS.	High	No	No	N/A
Staff explained medicines before giving them to the patient (Composite)	Percentage of patients that answered 'always' to the following HCAHPS questions: Q16. Before giving you any new medicine, how often did hospital staff tell you what the medicine was for? Q17. Before giving you any new medicine, how often did hospital staff describe possible side effects in a way you could understand? The percentage of "top box" answers is calculated for each question in the composite and then averaged among all questions to obtain an overall "top box" composite value.	High	Yes	Yes	Facility
Staff explained medicines before giving them to the patient (Adjusted Composite)	This adjusted composite measure applies the CMS-specified adjustments to the (unadjusted) Composite specified above.	High	Yes	Yes	Facility
HCAHPS Care Transition measures
Hospital staff talks to the patient about whether they will have the help needed when they leave hospital- Yes	Percentage of patients that answered 'yes' to the HCAHPS question: Q19. During this hospital stay, did doctors, nurses or other hospital staff talk with you about whether you would have the help you needed when you left the hospital?	High	No	No	N/A
Patient receives information about symptoms or health problems to look out for when they leave the hospital- Yes	Percentage of patients that answered 'yes' to the HCAHPS question: Q20. During this hospital stay, did you get information in writing about what symptoms or health problems to look out for after you left the hospital?	High	No	No	N/A
Patients given information about what to do during their recovery at home (Bundle)	Percentage of patients that answered 'yes' to both of the following HCAHPS questions: Q19. During this hospital stay, did hospital staff talk with you about whether you would have the help you needed when you left the hospital? Q20. During this hospital stay, did you get information in writing about what symptoms or health problems to look out for after you left the hospital? This is a Clinical Analytics-specific measure not mandated by CMS.	High	No	No	N/A
Patients given information about what to do during their recovery at home (Composite)	Percentage of patients that answered 'yes' to the following HCAHPS questions: Q19. During this hospital stay, did hospital staff talk with you about whether you would have the help you needed when you left the hospital? Q20. During this hospital stay, did you get information in writing about what symptoms or health problems to look out for after you left the hospital? The percentage of "top box" answers is calculated for each question in the composite and then averaged among all questions to obtain an overall "top box" composite value.	High	Yes	Yes	Facility
Patients given information about what to do during their recovery at home (Adjusted Composite)	This adjusted composite measure applies the CMS-specified adjustments to the (unadjusted) Composite specified above.	High	Yes	Yes	Facility
HCAHPS Global measures
Hospital rating of 9 or 10	Percentage of patients that answered '9 or 10' to the HCAHPS question: Q21. Using any number from 0 to 10, where 0 is the worst hospital possible and 10 is the best hospital possible, what number would you use to rate this hospital during your stay?	High	Yes	Yes	Facility
Hospital rating of 9 or 10 (Adjusted)	This adjusted measure applies the CMS-specified adjustments to the (unadjusted) measure specified above.	High	Yes	Yes	Facility
Patients would definitely recommend the hospital	Percentage of patients that answered 'definitely yes' to the HCAHPS question: Q22. Would you recommend this hospital to your friends and family?	High	Yes	Yes	Facility
Patients would definitely recommend the hospital (Adjusted)	This adjusted measure applies the CMS-specified adjustments to the (unadjusted) measure specified above.	High	Yes	Yes	Facility
HCAHPS Preferences measures
Preferences about health care needs? Strongly Agree	Percentage of patients that answered 'Strongly Agree' to the HCAHPS question: Q23. During this hospital stay, staff took my preferences and those of my family or caregiver into account in deciding what my health care needs would be when I left.	High	No	No	N/A
Understanding for managing my health? Strongly Agree	Percentage of patients that answered 'Strongly Agree' to the HCAHPS question: Q24. When I left the hospital, I had a good understanding of the things I was responsible for in managing my health.	High	No	No	N/A
Understanding the purpose for taking each medication? Strongly Agree	Percentage of patients that answered 'Strongly Agree' to the HCAHPS question: Q25. When I left the hospital, I clearly understood the purpose for taking each of my medications.	High	No	No	N/A

HCAHPS benchmarks

Because CMS only reports the Adjusted scores, there are only benchmarks available for the Adjusted HCAHPS measures in Clinical Analytics. Similarly, because the measures are reported at the facility-level, the benchmarks in Clinical Analytics are facility-level (not DRG-level) benchmarks, so all patients have the same benchmark value for a given measure.

Inpatient Rehabilitation Facility Consumer Assessment of Healthcare Providers and Systems (IRF-CAHPS)

For more information about IRF-CAHPS surveys, visit the CMS website.

Measure name	Description	Polarity	All Payer benchmarks?	Medicare benchmarks?	Benchmark detail level
IRF-CAHPS - Overall Rating (9 or 10)	Percent of patients who rated the facility a 9 or 10 (out of 10) for IRF-CAHPS question 40: Using any number from 0 to 10, where 0 is the worst rehabilitation hospital/unit possible and 10 is the best rehabilitation hospital/unit possible, what number would you use to rate this rehabilitation hospital/unit?	High	No	No	N/A
IRF-CAHPS - Recommendation (Definitely yes)	Percent of patients who indicated "definitely yes" for IRF-CAHPS survey question 41: Would you recommend this rehabilitation hospital/unit to your friends and family?	High	No	No	N/A
IRF-CAHPS - Doctors treated patient with courtesy and respect (Always)	Percent of patients who indicated "always" for IRF-CAHPS survey question 10: During this rehabilitation stay, how often did the doctors treat the patient and the family/friend involved with the patient’s care with courtesy and respect?	High	No	No	N/A
IRF-CAHPS - Doctors explained things in a way the patient could understand (Always)	Percent of patients who indicated "always" for IRF-CAHPS survey question 11: During this rehabilitation stay, how often did the doctors explain things in a way the patient or the family/friend involved with the patient’s care could understand?	High	No	No	N/A

Outpatient and Ambulatory Surgery - Consumer Assessment of Healthcare Providers and Systems (OAS-CAHPS)

For more information about OAS-CAHPS surveys, visit the OAS-CAHPS website.

Measure name	Description	Polarity	All Payer benchmarks?	Medicare benchmarks?	Benchmark detail level
OAS-CAHPS - Doctor or staff provided information before procedure (Yes, definitely)	Percent of patients who indicated "yes, definitely" for OAS-CAHPS survey question 1: Before your procedure, did your doctor or anyone from the facility give you all the information you needed about your procedure?	High	No	No	N/A
OAS-CAHPS - Doctor or staff provided preparation instructions (Yes, definitely)	Percent of patients who indicated "yes, definitely" for OAS-CAHPS survey question 2: Before your procedure, did your doctor or anyone from the facility give you easy to understand instructions about getting ready for your procedure?	High	No	No	N/A
OAS-CAHPS - Doctors and nurses treated patient with courtesy and respect (Yes, definitely)	Percent of patients who indicated "yes, definitely" for OAS-CAHPS survey question 7: Did the doctors and nurses treat you with courtesy and respect?	High	No	No	N/A
OAS-CAHPS - Doctors and nurses keep patient as comfortable as possible (Yes, definitely)	Percent of patients who indicated "yes, definitely" for OAS-CAHPS survey question 8: Did the doctors and nurses make sure you were as comfortable as possible?	High	No	No	N/A
OAS-CAHPS - Doctors and nurses explained procedure (Yes, definitely)	Percent of patients who indicated "yes, definitely" for OAS-CAHPS survey question 9: Did the doctors and nurses explain your procedure in a way that was easy to understand?	High	No	No	N/A
OAS-CAHPS - Doctor or staff explained anesthesia process (Yes, definitely)	Percent of patients who indicated "yes, definitely" for OAS-CAHPS survey question 11: Did your doctor or anyone from the facility explain the process of giving anesthesia in a way that was easy to understand?	High	No	No	N/A
OAS-CAHPS - Doctor or staff explained anesthesia side effects (Yes, definitely)	Percent of patients who indicated "yes, definitely" for OAS-CAHPS survey question 12: Did your doctor or anyone from the facility explain the possible side effects of the anesthesia in a way that was easy to understand?	High	No	No	N/A
OAS-CAHPS - Doctor or staff set recovery expectations (Yes, definitely)	Percent of patients who indicated "yes, definitely" for OAS-CAHPS survey question 14: Did your doctor or anyone from the facility prepare you for what to expect during your recovery?	High	No	No	N/A
OAS-CAHPS - Doctor or staff explained what to do about pain (Yes, definitely)	Percent of patients who indicated "yes, definitely" for OAS-CAHPS survey question 15: Did your doctor or anyone from the facility give you information about what to do if you had pain as a result of your procedure?	High	No	No	N/A
OAS-CAHPS - Doctor or staff explained what to do about nausea or vomiting (Yes, definitely)	Percent of patients who indicated "yes, definitely" for OAS-CAHPS survey question 17: Before you left the facility, did your doctor or anyone from the facility give you information about what to do if you had nausea or vomiting?	High	No	No	N/A
OAS-CAHPS - Doctor or staff explained what to do about bleeding (Yes, definitely)	Percent of patients who indicated "yes, definitely" for OAS-CAHPS survey question 19: Before you left the facility, did your doctor or anyone from the facility give you information about what to do if you had bleeding as a result of your procedure?	High	No	No	N/A
OAS-CAHPS - Doctor or staff explained what to do about signs of infection (Yes, definitely)	Percent of patients who indicated "yes, definitely" for OAS-CAHPS survey question 21: Before you left the facility, did your doctor or anyone from the facility give you information about what to do if you had possible signs of infection?	High	No	No	N/A
OAS-CAHPS - Overall Rating (9 or 10)	Percent of patients who rated the facility a 9 or 10 (out of 10) for OAS-CAHPS question 23: Using any number from 0 to 10, where 0 is the worst facility possible and 10 is the best facility possible, what number would you use to rate this facility?	High	No	No	N/A
OAS-CAHPS - Recommendation (Definitely yes)	Percent of patients who indicated "definitely yes" for OAS-CAHPS survey question 24: Would you recommend this facility to your friends and family?	High	No	No	N/A