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Announcements

The most recent 20 announcements issued by the OAS CAHPS Survey Coordination Team are posted below.

 

The Proposed Rule for Calendar Year 2021 is to be Published on the Federal Register on August 12, 2020 
Posted August 5, 2020

The Hospital Outpatient Prospective Payment and Ambulatory Surgical Center Payment Systems and Quality Reporting Programs Proposed Rule is scheduled to be published in the Federal Register on August 12, 2020. A preview (or "unpublished" version) of the Proposed Rule is available through the link provided here.

In this Proposed Rule, CMS proposes to continue voluntary participation in the Outpatient and Ambulatory Surgery Consumer Assessment of Healthcare Providers and Systems (OAS CAHPS) Survey Based Measures OP-37a-e/ASC-15a-e, until further action in future rulemaking. CMS will continue to analyze the mode experiment data and national implementation data and consider any necessary modifications to the survey tool and/or CMS systems.

CMS continues to believe that these measures address an area of care that is not adequately addressed in the current measure set and will be useful to assess aspects of care where the patient is the best or only source of information. These measures will enable objective and meaningful comparisons between hospital outpatient departments and ambulatory surgery centers.

If you have questions, you can contact the OAS CAHPS Survey Coordination Team via e-mail at oascahps@rti.org or call 1-866-590-7468.

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OAS CAHPS Public Reporting Results Refreshed on data.medicare.gov (Q1, 2019 – Q4, 2019) 
Posted July 22, 2020

Outpatient and Ambulatory Surgery CAHPS (OAS CAHPS) Survey results based on responses from patients who received an outpatient surgery or procedure between January 2019 and December 2019 are now publicly available in three locations:

  • on data.medicare.gov (by clicking on "Hospital Compare data" box [under "Explore & download data" header] and then searching the term "OAS CAHPS");
  • through Hospital Compare (direct link to OAS CAHPS data: https://www.medicare.gov/hospitalcompare/OASCAHPS-measures.html ); and
  • via downloadable databases on data.medicare.gov.

You can access OAS CAHPS Survey results at the facility, state and national levels on any of the locations provided above.

As a reminder, OAS CAHPS Survey results are updated each calendar year quarter, as shown in Table 14.2 of the OAS CAHPS Survey Protocols and Guidelines Manual, Version 4.0, available here.

For more information about how the data were analyzed and for the patient-mix adjustment factors that were used to statistically adjust the results that are currently being publicly reported, click on the "Patient Mix Adjustment Factors" in the Quick Links box on the Home page.

If you have any questions, please contact the OAS CAHPS Survey Coordination Team via e-mail at oascahps@rti.org or call toll-free (866) 590-7468.

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OAS CAHPS Preview Reports Available for Quarter 1, 2019 – Quarter 4, 2019 
Posted July 9, 2020

The purpose of this announcement is to alert hospital outpatient departments (HOPDs) and ambulatory surgery centers (ASCs) that Preview Reports reflecting results from the Outpatient and Ambulatory Surgery CAHPS (OAS CAHPS) Survey from January 2019 through December 2019 (Q1, 2019 – Q4, 2019) are now available on the OAS CAHPS website (https://oascahps.org/).

The following are some frequently asked questions and answers about the Preview Reports. More information about the OAS CAHPS Survey Preview Reports can be found in the "Understanding the Preview Reports" link under the For Facilities menu tab on the OAS CAHPS website.

  1. Who has access to a facility's Preview Report?
    HOPDs and ASCs participating in the OAS CAHPS Survey have access to their own reports. The Preview Report is not available to OAS CAHPS Survey vendors or to anyone other than the facility staff registered through the https://oascahps.org website. If facility staff want to share the Preview Report with their OAS CAHPS Survey vendor or with anyone else, they can export the results to a Microsoft Excel File and distribute it.
  2. How does a facility user access its Preview Report?
    The Preview Reports are posted on the secured (private) link on https://oascahps.org/. To access a facility's report, an authorized user must first log into the OAS CAHPS website with their registered username and password. Then, select the "Survey Preview Report" link under the "For Facilities" menu tab. All of the user's registered CMS Certification Numbers (CCNs) are displayed on the Preview Report webpage for review.
  3. What results are shown in the Preview Reports?
    For each CCN, the Preview Report shows the results for each variable and measure shown below:
    1. The number of patients who were sampled; the number of completed surveys; and the response rate percentage during the reporting period;
    2. The percentage of patients who rated the overall care they received at the HOPD or ASC a "9" or "10" on a scale of 0 (worst care possible) to 10 (best care possible);
    3. The percentage of patients who reported YES, they would definitely recommend the HOPD or ASC to friends and family;
    4. The percentage of patients who reported that the HOPD or ASC staff gave care in a professional way and the facility was clean;
    5. The percentage of patients who reported that the HOPD or ASC staff definitely communicated with them about what to expect during and after the procedure; and
    6. The percentage of patients who reported that the HOPD or ASC staff definitely gave them information about what to do if they had pain, nausea or vomiting, bleeding, or possible signs of infection as a result of the procedure or the anesthesia, if any of these outcomes were experienced. NOTE: While CMS reviews the data, Composite 3 will not be publicly reported on data.medicare.gov. At this time, this composite score is only available directly to each facility through the Preview Report.

    More information about the OAS CAHPS Survey measures in the Preview Reports can be found in Chapter XIV of the OAS CAHPS Survey Protocols and Guidelines Manual available under the Survey Materials menu tab on the OAS CAHPS website.

  4. Which sample months are included in the Preview Report results?
    The results included in the current Preview Report are based on OAS CAHPS Survey response data from patients who had an outpatient surgery or procedure between January 2019 and December 2019. The future anticipated public reporting periods are provided in Table 14.2 of the OAS CAHPS Survey Protocols and Guidelines Manual.
  5. My facility participated in the OAS CAHPS Survey, but there are no results shown. Why?
    OAS CAHPS Survey results are publicly reported when an HOPD or ASC has 4 quarters of OAS CAHPS Survey data. An HOPD or ASC must have had survey response data (patients who responded to the survey) in all 4 quarters included in the public reporting period for results to be publicly reported.
  6. Where are OAS CAHPS Survey results publicly posted?
    The OAS CAHPS Survey data are publicly available in three locations:
    • on data.medicare.gov (by clicking on "Hospital Compare data" box [under "Explore & download data" header] and then searching the term "OAS CAHPS");
    • through Hospital Compare (direct link to OAS CAHPS data: https://www.medicare.gov/hospitalcompare/OASCAHPS-measures.html); and
    • via downloadable databases on data.medicare.gov.

    You can access OAS CAHPS Survey results at the facility, state and national levels on any of the locations provided above.

  7. Will these results be published on a CMS website?
    Yes. The next public reporting period for the OAS CAHPS Survey will include the data currently available in the Preview Reports (Q1, 2019 – Q4, 2019) posted on the OAS CAHPS website. An announcement will be posted on this website when data have been posted to the data.medicare.gov website.

    Please note that the Preview Report is a subset of the data that will be posted on data.medicare.gov. The data that will be publicly reported on data.medicare.gov will include top-, middle-, and bottom-box scores and linearized scores. The format of the data provided on the Preview Report matches what will be posted on the Compare site (on Medicare.gov) in the future.

  8. When is the "preview" period?
    HOPDs and ASCs that are participating in the OAS CAHPS Survey are able to preview their survey results each reporting period on the OAS CAHPS website at least two weeks prior to when the OAS CAHPS Survey results are publicly reported on the CMS website. An announcement is posted each quarter when the data on the Preview Report have been refreshed and are ready for review.

Please contact the OAS CAHPS Survey Coordination Team via e-mail at oascahps@rti.org or call toll-free (866) 590-7468, if you have any questions.

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Final Calendar Year (CY) 2020, Quarter 1 Data Submission Deadline Reminder – July 8, 2020 
Posted July 1, 2020

This announcement serves as the final reminder that the data submission deadline for submitting Quarter 1 of calendar year 2020 data (CY20, Q1) to the OAS CAHPS Data Center is Wednesday, July 8, 2020. We thank those OAS CAHPS Survey vendors who have already begun submitting CY20, Q1 data for their client facilities. If you have not submitted any data for Quarter 1, we encourage you to begin submitting your files as soon as possible.

As we approach the next data submission deadline, please note the important points provided below.

  • If you were unable to administer the OAS CAHPS Survey for January, February, and/or March 2020 sample months on behalf of your HOPD or ASC clients due to COVID-19, please notify the Coordination Team so we can track this information.
  • Check your Vendor Authorization Report to make sure that all your client facilities have authorized your organization to submit data on their behalf.
  • CMS will not accept any data files for the January, February and/or March 2020 sample months after 8:00 PM Eastern Time on July 8, 2020.
  • Survey vendors should start submitting their data files as soon as possible to allow adequate time to re-submit data, if needed. You may submit files as many times as needed as long as the final file submission is successfully uploaded by the deadline.
  • Each time a data file for an HOPD or ASC is submitted, it overwrites any previously submitted data for that same facility for that survey period.
  • You must still submit an XML data file for an HOPD or ASC facility even if the corresponding monthly patient information file does not have any patients eligible to be sampled.
  • After each file upload, you will receive an email confirmation within several minutes notifying you whether the upload was successful.
  • All submitted files will go through validation checks. After the validation check is complete, you will receive a second e-mail confirmation message notifying you whether your file has been accepted or rejected. The confirmation e-mail message will contain a hyperlink to a Data Submission Report, which shows details of the validation check and any file errors that were identified.
  • Survey vendors can access the Data Submission Reports on the project website by selecting "History" through the "Data Submission Reports" link in the Data Submission menu.
  • If you do not receive an e-mail message confirming that your file was successfully uploaded, an e-mail message providing the results of the validation checks, or you cannot view the Data Submission Reports on files that you have submitted, please contact the OAS CAHPS Data Center at oascahps@rti.org.

For additional information about data file preparation and data submission processes, please review Chapter XI of the OAS CAHPS Survey Protocols and Guidelines Manual available under the Survey Materials tab on the OAS CAHPS website. Please contact the OAS CAHPS Survey Coordination Team via e-mail at oascahps@rti.org or call toll-free (866) 590-7468 if you have any questions or trouble submitting data files.

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RTI International will be closed July 3, 2020 
Posted July 1, 2020

RTI International will be closed on July 3, 2020. The OAS CAHPS Survey Coordination Team will respond to email and telephone inquiries that are received on that date after RTI re-opens.

Please contact the OAS CAHPS Survey Coordination Team via e-mail at oascahps@rti.org or call toll-free (866) 590-7468, if you have any questions.

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Calendar Year (CY) 2020, Quarter 1 Data Submission Deadline Reminder – July 8, 2020 
Posted June 24, 2020

The data submission deadline for submitting Quarter 1 of calendar year 2020 data (CY20, Q1) to the OAS CAHPS Data Center is Wednesday, July 8, 2020. We thank those OAS CAHPS Survey vendors who have already begun submitting CY20, Q1 data for their client facilities. If you have not submitted any data for Quarter 1, we encourage you to begin submitting your files as soon as possible.

As we approach the next data submission deadline, please note the important points provided below.

  • If you were unable to administer the OAS CAHPS Survey for January, February, and/or March 2020 sample months on behalf of your HOPD or ASC clients due to COVID-19, please notify the Coordination Team so we can track this information.
  • Check your Vendor Authorization Report to make sure that all your client facilities have authorized your organization to submit data on their behalf.
  • CMS will not accept any data files for the January, February and/or March 2020 sample months after 8:00 PM Eastern Time on July 8, 2020.
  • Survey vendors should start submitting their data files as soon as possible to allow adequate time to re-submit data, if needed. You may submit files as many times as needed as long as the final file submission is successfully uploaded by the deadline.
  • Each time a data file for an HOPD or ASC is submitted, it overwrites any previously submitted data for that same facility for that survey period.
  • You must still submit an XML data file for an HOPD or ASC facility even if the corresponding monthly patient information file does not have any patients eligible to be sampled.
  • After each file upload, you will receive an email confirmation within several minutes notifying you whether the upload was successful.
  • All submitted files will go through validation checks. After the validation check is complete, you will receive a second e-mail confirmation message notifying you whether your file has been accepted or rejected. The confirmation e-mail message will contain a hyperlink to a Data Submission Report, which shows details of the validation check and any file errors that were identified.
  • Survey vendors can access the Data Submission Reports on the project website by selecting "History" through the "Data Submission Reports" link in the Data Submission menu.
  • If you do not receive an e-mail message confirming that your file was successfully uploaded, an e-mail message providing the results of the validation checks, or you cannot view the Data Submission Reports on files that you have submitted, please contact the OAS CAHPS Data Center at oascahps@rti.org.

For additional information about data file preparation and data submission processes, please review Chapter XI of the OAS CAHPS Survey Protocols and Guidelines Manual available under the Survey Materials tab on the OAS CAHPS website. Please contact the OAS CAHPS Survey Coordination Team via e-mail at oascahps@rti.org or call toll-free (866) 590-7468 if you have any questions or trouble submitting data files.

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Facility Closing/Merging Attestation Form Now Available 
Posted June 10, 2020

OAS CAHPS Survey vendors must notify the OAS CAHPS Survey Coordination Team if they learn that one of their hospital outpatient departments (HOPDs) or ambulatory surgery centers (ASCs) has closed, will be closing, or has merged or will be merging with another facility. To assist vendors with this task, the Coordination Team has developed an online tool where vendors can submit this information via the OAS CAHPS website.

Submitting a Closed/Closing Facility:

If an outpatient facility has closed or will be closing, and therefore will no longer be participating on the OAS CAHPS Survey, the survey vendor authorized to collect data on behalf of that facility must complete and submit the online Vendor Facility Closed/Merged Attestation Form as soon as possible after learning that the facility has or will be closing.

If the facility closed before data collection began for the quarter (therefore no data were collected for the upcoming quarter) an XML file for this facility should not be submitted to the OAS CAHPS Data Center.

If an outpatient facility closes after data collection activities have begun for the quarter, the vendor must submit an XML file for the closed facility to the OAS CAHPS Data Center. The data file must contain survey data collected and a final disposition code must be assigned to each sample patient.

Submitting a Merged Facility:

If an outpatient facility has merged with another CCN (resulting in a surviving CCN and a non-surviving CCN), and the non-surviving CCN will no longer be participating on the OAS CAHPS Survey, the survey vendor authorized to collect data on behalf of that facility must complete and submit the online Vendor Facility Closed/Merged Attestation Form as soon as possible after learning of the merger.

If the vendor is notified of the merger before submission of the next XML file, survey vendors are asked to combine the data for both CCNs in one XML file, under the surviving CCN. Please see the example below for clarification:

  • Prior to the Q2, 2019 data submission period, the vendor is notified that CCN 111111 has merged with CCN 222222.
  • CCN 111111 is the non-surviving CCN and CCN 222222 is the surviving CCN.
  • The survey vendor should submit to the OAS CAHPS Data Center one XML file for CCN 222222 that contains the combined data of CCN 111111 and CCN 222222, if possible (an XML file for CCN 111111 should not be submitted). Please ensure there are no duplicate SIDs in the submitted XML file.
  • If the vendor is unable to combine the two CCNs into one XML file, please submit the data for both CCNs to the OAS CAHPS Data Center as two separate XML files.

 

Accessing the Vendor Facility Closed/Merged Attestation Form

Vendors can access the Vendor Facility Closing Attestation Form by logging into the OAS CAHPS website and choosing "Vendor Facility Closed/Merged Attestation" Form which is under the For Vendors tab at the top of the website's home page. Once a Vendor Facility Closed/Merged Attestation Form is submitted by a survey vendor, an e-mail message will be sent to the facility's OAS CAHPS Survey Administrator to notify the facility that the vendor has submitted the Attestation Form on the facility's behalf.

In this automated message, the Survey Administrator will also be notified that submission of this form means that an end date has been added to the current vendor authorization record for the non-surviving merged CCN(s)/Closed CCN(s) on the OAS CAHPS website. This means that if at any point in the future the listed CCN(s) becomes active again and wishes to participate in the OAS CAHPS Surveys, they will need to authorize a survey vendor for the CCN(s).

For mergers, the survey vendor will also receive an automated message with a reminder of the steps to take prior to submitting an XML file of combined survey data for the surviving and non-surviving CCN.

Please contact the OAS CAHPS Survey Coordination Team via e-mail at oascahps@rti.org or call toll-free (866) 590-7468 if you have any questions about completing the Vendor Facility Closed/Merged Attestation Form.

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Calendar Year (CY) 2020, Quarter 1 Data Submission Deadline Reminder – July 8, 2020 
Posted June 10, 2020

The data submission deadline for submitting Quarter 1 of calendar year 2020 data (CY20, Q1) to the OAS CAHPS Data Center is Wednesday, July 8, 2020. We thank those OAS CAHPS Survey vendors who have already begun submitting CY20, Q1 data for their client facilities. If you have not submitted any data for Quarter 1, we encourage you to begin submitting your files as soon as possible.

As we approach the next data submission deadline, please note the important points provided below.

  • If you were unable to administer the OAS CAHPS Survey for January, February, and/or March 2020 sample months on behalf of your HOPD or ASC clients due to COVID-19, please notify the Coordination Team so we can track this information.
  • Check your Vendor Authorization Report to make sure that all client facilities have authorized your organization to submit data on their behalf.
  • CMS will not accept any data files for the January, February, and/or March 2020 sample months after 8:00 PM Eastern Time on July 8, 2020.
  • Survey vendors should start submitting their data files as soon as possible to allow adequate time to re-submit data, if needed. You may submit files as many times as needed as long as the final file submission is successfully uploaded by the deadline.
  • Each time a data file for an HOPD or ASC is submitted, it overwrites any previously submitted data for that same facility for that survey period.
  • You must still submit an XML data file for an HOPD or ASC facility even if the corresponding monthly patient information file does not have any patients eligible to be sampled.
  • After each file upload, you will receive an email confirmation within several minutes notifying you whether the upload was successful.
  • All submitted files will go through validation checks. After the validation check is conducted, you will receive a second e-mail confirmation message notifying you whether your file has been accepted or rejected. The confirmation e-mail message will contain a hyperlink to a Data Submission Report, which shows details of the validation check and any file errors that were identified.
  • Survey vendors can access the Data Submission Reports on the project website by selecting "History" through the "Data Submission Reports" link in the Data Submission menu.
  • If you do not receive an e-mail message confirming that your file was successfully uploaded, an e-mail message providing the results of the validation checks, or you cannot view the Data Submission Reports on files that you have submitted, please contact the OAS CAHPS Data Center at oascahps@rti.org.

For additional information about data file preparation and data submission processes, please review Chapter XI of the OAS CAHPS Survey Protocols and Guidelines Manual available under the Survey Materials tab on the OAS CAHPS website. Please contact the OAS CAHPS Survey Coordination Team via e-mail at oascahps@rti.org or call toll-free (866) 590-7468 if you have any questions or trouble submitting data files.

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OAS CAHPS Survey 2020 Annual QAP Update 
Posted May 13, 2020

The scheduled due date for OAS CAHPS Survey vendors to submit their Annual Quality Assurance Plan (QAP) is 11:59 PM Eastern Time on May 31st, 2020, however the OAS CAHPS Survey Coordination Team will allow for extensions for any vendors who request a delay during this COVID-19 impact period. If your organization would like an extension, please let us know by replying to this message.

In addition, please note that if your operations have temporarily changed due to COVID-19, those changes do not need to be detailed in the QAP at this time. As a reminder, documentation of plans to work remotely during the COVID-19 impact period are being reviewed by CMS via Exceptions Request Form.

Once submitted, to ensure prompt review and acceptance of your QAP, please follow the procedures listed below:

  • Locate the version of your most recently approved QAP; that is, the version that was accepted by CMS and the Coordination Team in 2019
  • Make a copy of that version and accept all tracked changes, creating a clean copy of your QAP.
  • Make any new updates to this clean version using track changes, so that your document reflects only the changes made since your last approved QAP.
  • Make sure to include updates to your QAP if your organization has had changes in OAS CAHPS Survey personnel, changes to protocols or procedures, and/or changes in approved survey mode(s).
  • Make sure your QAP follows the format shown in the Model QAP posted on the OAS CAHPS website. Also make sure that you provide information for every topic included in the Model QAP.
  • Before submitting your annual QAP, check it carefully to make sure that it reflects all OAS CAHPS Survey protocols disseminated via announcements posted on the OAS CAHPS Web site and/or described in the latest version of the Protocols and Guidelines Manual.
  • Submit your QAP online via the OAS CAHPS website (https://oascahps.org/).

Remember that you must also update your online OAS CAHPS Vendor Application Form if you have been approved to add/drop survey modes, changed key personnel and/or subcontractors, and/or have changed your business name or location.

Please contact the OAS CAHPS Survey Coordination Team at 1-866-590-7468 or via email at oascahps@rti.org if you have any questions about the QAP submission or review process.

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Process to Suppress OAS CAHPS Survey Data from Public Reporting for July 2020 Refresh 
Posted April 30, 2020

During voluntary implementation, CMS will allow participating hospital outpatient departments (HOPDs) and ambulatory surgery centers (ASCs) to have their data suppressed, that is, not displayed on data.medicare.gov.

For the July 2020 public reporting refresh (which includes data from Quarter 1, 2019 to Quarter 4, 2019), vendors must notify the OAS CAHPS Survey Coordination Team (via email at oascahps@rti.org) by May 15, 2020 of any CCNs that choose to exclude their data from public reporting. Please note that the deadline for suppression is earlier than the date by which the Preview Reports are posted on oascahps.org.

The e-mail message to the Coordination Team should include the HOPD's or ASC's name and CMS Certification Number (CCN).

Please contact the OAS CAHPS Survey Coordination Team via e-mail at oascahps@rti.org or call toll-free (866) 590-7468, if you have any questions.

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OAS CAHPS Public Reporting Results Refreshed on data.medicare.gov (Q4, 2018 – Q3, 2019) 
Posted April 22, 2020

Outpatient and Ambulatory Surgery CAHPS (OAS CAHPS) Survey results based on responses from patients who received an outpatient surgery or procedure between October 2018 and September 2019 are now publicly available in three locations:

  • on data.medicare.gov (by clicking on "Hospital Compare data" box [under "Explore & download data" header] and then searching the term "OAS CAHPS");
  • through Hospital Compare (direct link to OAS CAHPS data: https://www.medicare.gov/hospitalcompare/OASCAHPS-measures.html ); and
  • via downloadable databases on data.medicare.gov.

You can access OAS CAHPS Survey results at the facility, state and national levels on any of the locations provided above.

As a reminder, OAS CAHPS Survey results are updated each calendar year quarter, as shown in Table 14.2 of the OAS CAHPS Survey Protocols and Guidelines Manual, Version 4.0, available here.

For more information about how the data were analyzed and for the patient-mix adjustment factors that were used to statistically adjust the results that are currently being publicly reported, click on "Patient Mix Adjustment Factors" in the Quick Links box on the Home page.

If you have any questions, please contact the OAS CAHPS Survey Coordination Team via e-mail at oascahps@rti.org or call toll-free (866) 590-7468.

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OAS CAHPS Preview Reports Available for Quarter 4, 2018 – Quarter 3, 2019 
Posted April 8, 2020

The purpose of this announcement is to alert hospital outpatient departments (HOPDs) and ambulatory surgery centers (ASCs) that Preview Reports reflecting results from the Outpatient and Ambulatory Surgery CAHPS (OAS CAHPS) Survey from October 2018 through September 2019 (Q4, 2018 – Q3, 2019) are now available on the OAS CAHPS website (https://oascahps.org/).

The following are some frequently asked questions and answers about the Preview Reports. More information about the OAS CAHPS Survey Preview Reports can be found in the "Understanding the Preview Reports" link under the For Facilities menu tab on the OAS CAHPS website.

  1. Who has access to a facility's Preview Report?
    HOPDs and ASCs participating in the OAS CAHPS Survey have access to their own reports. The Preview Report is not available to OAS CAHPS Survey vendors or to anyone other than the facility staff registered through the https://oascahps.org website. If facility staff want to share the Preview Report with their OAS CAHPS Survey vendor or with anyone else, they can export the results to a Microsoft Excel File and distribute it.
  2. How does a facility user access its Preview Report?
    The Preview Reports are posted on the secured (private) link on https://oascahps.org/. To access a facility's report, an authorized user must first log into the OAS CAHPS website with their registered username and password. Then, select the "Survey Preview Report" link under the For Facilities menu tab. All of the user's registered CMS Certification Numbers (CCNs) are displayed on the Preview Report webpage for review.
  3. What results are shown in the Preview Reports?
    For each CCN, the Preview Report shows the results for each variable and measure shown below:
    1. The number of patients who were sampled; the number of completed surveys; and the response rate percentage during the reporting period;
    2. The percentage of patients who rated the overall care they received at the HOPD or ASC a "9" or "10" on a scale of 0 (worst care possible) to 10 (best care possible);
    3. The percentage of patients who reported YES, they would definitely recommend the HOPD or ASC to friends and family;
    4. The percentage of patients who reported that the HOPD or ASC staff gave care in a professional way and the facility was clean;
    5. The percentage of patients who reported that the HOPD or ASC staff definitely communicated with them about what to expect during and after the procedure; and
    6. The percentage of patients who reported that the HOPD or ASC staff definitely gave them information about what to do if they had pain, nausea or vomiting, bleeding, or possible signs of infection as a result of the procedure or the anesthesia, if any of these outcomes were experienced. NOTE: While CMS reviews the data, Composite 3 will not be publicly reported on data.medicare.gov. At this time, this composite score is only available directly to each facility through the Preview Report.

    More information about the OAS CAHPS Survey measures in the Preview Reports can be found in Chapter XIV of the OAS CAHPS Survey Protocols and Guidelines Manual available under the Survey Materials menu tab on the OAS CAHPS website.

  4. Which sample months are included in the Preview Report results?
    The results included in the current Preview Report are based on OAS CAHPS Survey response data from patients who had an outpatient surgery or procedure between October 2018 and September 2019. The future anticipated public reporting periods are provided in Table 14.2 of the OAS CAHPS Survey Protocols and Guidelines Manual.
  5. My facility participated in the OAS CAHPS Survey, but there are no results shown. Why?
    OAS CAHPS Survey results are publicly reported when an HOPD or ASC has 4 quarters of OAS CAHPS Survey data. An HOPD or ASC must have had survey response data (patients who responded to the survey) in all 4 quarters included in the public reporting period for results to be publicly reported.
  6. Where are OAS CAHPS Survey results publicly posted?
    The OAS CAHPS Survey data are publicly available in three locations:
    • on data.medicare.gov (by clicking on "Hospital Compare data" box [under "Explore & download data" header] and then searching the term "OAS CAHPS");
    • through Hospital Compare (direct link to OAS CAHPS data: https://www.medicare.gov/hospitalcompare/OASCAHPS-measures.html); and
    • via downloadable databases on data.medicare.gov.

    You can access OAS CAHPS Survey results at the facility, state and national levels on any of the locations provided above.

  7. Will these results be published on a CMS website?
    Yes. The next public reporting period for the OAS CAHPS Survey will include the data currently available in the Preview Reports (Q4, 2018 – Q3, 2019) posted on the OAS CAHPS website. An announcement will be posted on this website when data have been posted to the data.medicare.gov website.

    Please note that the Preview Report is a subset of the data that will be posted on data.medicare.gov. The data that will be publicly reported on data.medicare.gov will include top-, middle-, and bottom-box scores and linearized scores. The format of the data provided on the Preview Report matches what will be posted on the Compare site (on Medicare.gov) in the future.

  8. When is the "preview" period?
    HOPDs and ASCs that are participating in the OAS CAHPS Survey are able to preview their survey results each reporting period on the OAS CAHPS website at least two weeks prior to when the OAS CAHPS Survey results are publicly reported on the CMS website. An announcement is posted each quarter when the data on the Preview Report have been refreshed and are ready for review.

Please contact the OAS CAHPS Survey Coordination Team via e-mail at oascahps@rti.org or call toll-free (866) 590-7468, if you have any questions.

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Final Calendar Year (CY) 2019, Quarter 4 Data Submission Deadline Reminder – April 8, 2020 
Posted April 1, 2020

This announcement serves as the final reminder that the deadline for submitting Quarter 4 of calendar year 2019 data (CY19, Q4) to the OAS CAHPS Data Center is Wednesday, April 8, 2020. We thank those OAS CAHPS Survey vendors who have already begun submitting CY19, Q4 data for their client facilities. If you have not submitted any data for Quarter 4, we encourage you to begin submitting your files as soon as possible.

As we approach the next data submission deadline, please note the important points provided below.

  • If you were unable to administer the OAS CAHPS Survey for October, November, and/or December 2019 sample months on behalf of your HOPD or ASC clients due to COVID-19, please notify the Coordination Team so we can track this information.
  • Check your Vendor Authorization Report to make sure that all your client facilities have authorized your organization to submit data on their behalf.
  • CMS will not accept any data files for the October, November, and/or December 2019 sample months after 8:00 PM Eastern Time on April 8, 2020.
  • Survey vendors should start submitting their data files as soon as possible to allow adequate time to re-submit data, if needed. You may submit files as many times as needed as long as the final file submission is successfully uploaded by the deadline.
  • Each time a data file for an HOPD or ASC is submitted, it overwrites any previously submitted data for that same facility for that survey period.
  • You must still submit an XML data file for an HOPD or ASC facility even if the corresponding monthly patient information file does not have any patients eligible to be sampled.
  • After each file upload, you will receive an email confirmation within several minutes notifying you whether the upload was successful.
  • All submitted files will go through validation checks. After the validation check is complete, you will receive a second e-mail confirmation message notifying you whether your file has been accepted or rejected. The confirmation e-mail message will contain a hyperlink to a Data Submission Report, which shows details of the validation check and any file errors that were identified.
  • Survey vendors can access the Data Submission Reports on the project website by selecting "History" through the "Data Submission Reports" link in the Data Submission menu.
  • If you do not receive an e-mail message confirming that your file was successfully uploaded, an e-mail message providing the results of the validation checks, or you cannot view the Data Submission Reports on files that you have submitted, please contact the OAS CAHPS Data Center at oascahps@rti.org.

For additional information about data file preparation and data submission processes, please review Chapter XI of the OAS CAHPS Survey Protocols and Guidelines Manual available under the Survey Materials tab on the OAS CAHPS website. Please contact the OAS CAHPS Survey Coordination Team via e-mail at oascahps@rti.org or call toll-free (866) 590-7468 if you have any questions or trouble submitting data files.

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Calendar Year (CY) 2019, Quarter 4 Data Submission Deadline Reminder – April 8, 2020 
Posted March 25, 2020

The data submission deadline for submitting Quarter 4 of calendar year 2019 data (CY19, Q4) to the OAS CAHPS Data Center is Wednesday, April 8, 2020. We thank those OAS CAHPS Survey vendors who have already begun submitting CY19, Q4 data for their client facilities. If you have not submitted any data for Quarter 4, we encourage you to begin submitting your files as soon as possible.

As we approach the next data submission deadline, please note the important points provided below.

  • If you were unable to administer the OAS CAHPS Survey for October, November, and/or December 2019 sample months on behalf of your HOPD or ASC clients due to COVID-19, please notify the Coordination Team so we can track this information.
  • Check your Vendor Authorization Report to make sure that all your client facilities have authorized your organization to submit data on their behalf.
  • CMS will not accept any data files for the October, November and/or December 2019 sample months after 8:00 PM Eastern Time on April 8, 2020.
  • Survey vendors should start submitting their data files as soon as possible to allow adequate time to re-submit data, if needed. You may submit files as many times as needed as long as the final file submission is successfully uploaded by the deadline.
  • Each time a data file for an HOPD or ASC is submitted, it overwrites any previously submitted data for that same facility for that survey period.
  • You must still submit an XML data file for an HOPD or ASC facility even if the corresponding monthly patient information file does not have any patients eligible to be sampled.
  • After each file upload, you will receive an email confirmation within several minutes notifying you whether the upload was successful.
  • All submitted files will go through validation checks. After the validation check is complete, you will receive a second e-mail confirmation message notifying you whether your file has been accepted or rejected. The confirmation e-mail message will contain a hyperlink to a Data Submission Report, which shows details of the validation check and any file errors that were identified.
  • Survey vendors can access the Data Submission Reports on the project website by selecting "History" through the "Data Submission Reports" link in the Data Submission menu.
  • If you do not receive an e-mail message confirming that your file was successfully uploaded, an e-mail message providing the results of the validation checks, or you cannot view the Data Submission Reports on files that you have submitted, please contact the OAS CAHPS Data Center at oascahps@rti.org.

For additional information about data file preparation and data submission processes, please review Chapter XI of the OAS CAHPS Survey Protocols and Guidelines Manual available under the Survey Materials tab on the OAS CAHPS website. Please contact the OAS CAHPS Survey Coordination Team via e-mail at oascahps@rti.org or call toll-free (866) 590-7468 if you have any questions or trouble submitting data files.

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Impact of COVID-19 on the OAS CAHPS Survey 
Posted March 24, 2020

The Center for Medicare & Medicaid Services (CMS) recently issued a press release regarding the impact of COVID-19 on the CMS Quality Programs. You can find a copy of the press release here: https://www.cms.gov/newsroom/press-releases/cms-announces-relief-clinicians-providers-hospitals-and-facilities-participating-quality-reporting.

Since participation in the OAS CAHPS Survey is currently voluntary for hospital outpatient departments (HOPDs) and ambulatory surgery centers (ASCs), it is up to the outpatient facilities and their vendors to determine if they will continue to participate for the months impacted by COVID-19. Please note that CMS recognizes the impact that the COVID-19 outbreak may have on OAS CAHPS Survey vendors' survey operations and wishes to reiterate the necessity of protecting staff's personal health and safety.

If you have questions, you can contact the OAS CAHPS Survey Coordination Team via e-mail at oascahps@rti.org or call toll-free (866) 590-7468.

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Calendar Year (CY) 2019, Quarter 4 Data Submission Deadline Reminder - April 8, 2020 
Posted March 11, 2020

The data submission deadline for submitting Quarter 4 of calendar year 2019 data (CY19, Q4) to the OAS CAHPS Data Center is Wednesday, April 8, 2020. We thank those OAS CAHPS Survey vendors who have already begun submitting CY19, Q4 data for their client facilities. If you have not submitted any data for Quarter 4, we encourage you to begin submitting your files as soon as possible.

As we approach the next data submission deadline, please note the important points provided below.

  • Check your Vendor Authorization Report to make sure that all client facilities have authorized your organization to submit data on their behalf.
  • CMS will not accept any data files for the October, November and/or December 2019 sample months after 8:00 PM Eastern Time on April 8, 2020.
  • Survey vendors should start submitting their data files as soon as possible to allow adequate time to re-submit data, if needed. You may submit files as many times as needed as long as the final file submission is successfully uploaded by the deadline.
  • Each time a data file for an HOPD or ASC is submitted, it overwrites any previously submitted data for that same facility for that survey period.
  • You must still submit an XML data file for an HOPD or ASC facility even if the corresponding monthly patient information file does not have any patients eligible to be sampled.
  • After each file upload, you will receive an email confirmation within several minutes notifying you whether the upload was successful.  
  • All submitted files will go through validation checks. After the validation check is conducted, you will receive a second e-mail confirmation message notifying you whether your file has been accepted or rejected. The confirmation e-mail message will contain a hyperlink to a Data Submission Report, which shows details of the validation check and any file errors that were identified.
  • Survey vendors can access the Data Submission Reports on the project website by selecting “History” through the “Data Submission Reports” link in the Data Submission menu.
  • If you do not receive an e-mail message confirming that your file was successfully uploaded, an e-mail message providing the results of the validation checks, or you cannot view the Data Submission Reports on files that you have submitted, please contact the OAS CAHPS Data Center at oascahps@rti.org.

For additional information about data file preparation and data submission processes, please review Chapter XI of the OAS CAHPS Survey Protocols and Guidelines Manual available under the Survey Materials tab on the OAS CAHPS website. Please contact the OAS CAHPS Survey Coordination Team via e-mail at oascahps@rti.org or call toll-free (866) 590-7468 if you have any questions or trouble submitting data files.

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Expansion of the Range of OAS CAHPS-Eligible CPT Codes for Surgery 
Posted March 09, 2020

The American Medical Association (AMA) recently added 9 codes to the front end of the range of Current Procedural Terminology (CPT-41) Codes for Surgery. The new range of CPT Codes for Surgery that are OAS CAHPS-eligible is 10004-69990. A brief description of the newly added codes (10004-10012) are provided below.

  • 10004, Under Fine Needle Aspiration Biopsy Procedures
  • 10005, Under Fine Needle Aspiration Biopsy Procedures
  • 10006, Under Fine Needle Aspiration Biopsy Procedures
  • 10007, Fine needle aspiration biopsy, including fluoroscopic guidance; first lesion
  • 10008, Fine needle aspiration biopsy, including fluoroscopic guidance; each additional lesion
  • 10009, Fine needle aspiration biopsy, including CT guidance; first lesion
  • 10010, Under Fine Needle Aspiration Biopsy Procedures
  • 10011, Under Fine Needle Aspiration Biopsy Procedures
  • 10012, Under Fine Needle Aspiration Biopsy Procedures

CMS and the Coordination Team are in the process of updating the documentation available on the OAS CAHPS website to reflect this change in the Codes for Surgery range.

Approved survey vendors are advised to do the following as soon as possible:

  • update their systems to accept this expanded range of CPT Codes for Surgery in the patient information files;
  • update patient eligibility criteria and algorithms (if applicable) for sampling; and
  • update range of CPT Codes for Surgery when classifying a patient's surgical category for Surgical Category 4 (Other) 10004 -19999, 30000-39999, 50000-64999, and 68900-69990.

Please contact the Coordination Team via e-mail at oascahps@rti.org or call toll-free (866) 590-7468, if you have any questions.

 

1 Current Procedural Terminology (CPT) is a registered trademark of the American Medical Association. CPT only copyright 2020 American Medical Association. All rights reserved.

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Process to Suppress OAS CAHPS Survey Data from Public Reporting for April 2020 Refresh 
Posted January 30, 2020

During voluntary implementation, CMS will allow participating hospital outpatient departments (HOPDs) and ambulatory surgery centers (ASCs) to have their data suppressed, that is, not displayed on data.medicare.gov.

For the April 2020 public reporting refresh (which includes data from Quarter 4, 2018 to Quarter 3, 2019), vendors must notify the OAS CAHPS Survey Coordination Team (via email at oascahps@rti.org) by February 15, 2020 of any CCNs that choose to exclude their data from public reporting. Please note that the deadline for suppression is earlier than the date by which the preview reports are posted on oascahps.org.

The e-mail message to the Coordination Team should include the HOPD’s or ASC’s name and CMS Certification Number (CCN).

Please contact the Coordination Team via e-mail at oascahps@rti.org or call toll-free (866) 590-7468, if you have any questions.

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OAS CAHPS Public Reporting Results Refreshed on data.medicare.gov (Q3,2018 – Q2,2019) 
Posted January 29, 2020

Outpatient and Ambulatory Surgery CAHPS (OAS CAHPS) Survey results based on responses from patients who received an outpatient surgery or procedure between July 2018 and June 2019 are now publicly available in three locations:

  • on data.medicare.gov (by clicking on "Hospital Compare data" box [under "Explore & download data" header] and then searching the term "OAS CAHPS");
  • through Hospital Compare (direct link to OAS CAHPS data: https://www.medicare.gov/hospitalcompare/OASCAHPS-measures.html); and
  • via downloadable databases on data.medicare.gov.

You can access OAS CAHPS Survey results at the facility, state and national levels on any of the locations provided above.

As a reminder, OAS CAHPS Survey results are updated each calendar year quarter, as shown in Table 14.2 of the OAS CAHPS Survey Protocols and Guidelines Manual, Version 4.0, available here.

For more information about how the data were analyzed and for the patient-mix adjustment factors that were used to statistically adjust the results that are currently being publicly reported, click on the "Patient Mix Adjustment Factors" in the Quick Links box on the Home page.

If you have any questions, please contact the Coordination Team via e-mail at oascahps@rti.org or call toll-free (866) 590-7468.

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OAS CAHPS Preview Reports Available for Quarter 3, 2018 – Quarter 2, 2019 
Posted January 15, 2020

The purpose of this announcement is to alert hospital outpatient departments (HOPDs) and ambulatory surgery centers (ASCs) that Preview Reports reflecting results from the Outpatient and Ambulatory Surgery CAHPS (OAS CAHPS) Survey from July 2018 through June 2019 (2018, Q3 – 2019, Q2) are now available on the OAS CAHPS website (https://oascahps.org/).

The following are some questions and answers about the Preview Reports. More information about the OAS CAHPS Survey Preview Reports, can be found in the Understanding the Preview Reports link under the "For Facilities" menu.

  1. Who has access to a facility's Preview Report?
    Hospitals and ASCs participating in the OAS CAHPS Survey have access to their own reports. The Preview Report is not available to the OAS CAHPS Survey vendor or to anyone other than the facility staff registered through the https://oascahps.org website. If facility staff want to share the Preview Report with their OAS CAHPS Survey vendor or with anyone else, they can export the results to a Microsoft Excel File and distribute it.
  2. How does a facility user access its Preview Report?
    The Preview Reports are posted on the secured (private) link on https://oascahps.org/. To access a facility's report, an authorized user must first log into the OAS CAHPS website with the registered username and password. Then, select the "Survey Preview Report" link under the "For Facilities" menu. All of the user's registered CMS Certification Numbers (CCNs) are displayed on the Preview Report webpage for review.
  3. What results are shown in the Preview Reports?
    For each CCN, the Preview Report shows the results for each variable and measure shown below:
    1. The number of patients who were sampled; the number of completed surveys; and the response rate percentage during the reporting period;
    2. The percentage of patients who rated the overall care they received at the HOPD or ASC a "9" or "10" on a scale of 0 (worst care possible) to 10 (best care possible);
    3. The percentage of patients who reported YES, they would definitely recommend the HOPD or ASC to friends and family;
    4. The percentage of patients who reported that the HOPD or ASC staff gave care in a professional way and the facility was clean;
    5. The percentage of patients who reported that the HOPD or ASC staff definitely communicated with them about what to expect during and after the procedure; and
    6. The percentage of patients who reported that the HOPD or ASC staff definitely gave them information about what to do if they had pain, nausea or vomiting, bleeding, or possible signs of infection as a result of the procedure or the anesthesia, if any of these outcomes were experienced. NOTE: While CMS reviews the data, Composite 3 will not be publicly reported on data.medicare.gov. At this time, this composite score is only available directly to each facility through the Preview Report.

    More information about the OAS CAHPS Survey measures in the Preview Reports can be found in Chapter XIV of the OAS CAHPS Survey Protocols and Guidelines Manual available under the Survey Materials menu.

  4. Which sample months are included in the Preview Report results?
    The results included in the current Preview Report are based on OAS CAHPS Survey response data from patients who had an outpatient surgery or procedure between July 2018 and June 2019. The future anticipated public reporting periods are provided in Table 14.2 of the OAS CAHPS Survey Protocols and Guidelines Manual.
  5. My facility participated in the OAS CAHPS Survey, but there are no results shown. Why?
    OAS CAHPS Survey results are publicly reported when an HOPD or ASC has 4 quarters of OAS CAHPS Survey data. An HOPD or ASC must have had survey response data (patients who responded to the survey) in all 4 quarters included in the public reporting period for results to be publicly reported.
  6. Where are OAS CAHPS Survey results publicly posted?
    The OAS CAHPS Survey data are publicly available in three locations:
    • on data.medicare.gov (by clicking on "Hospital Compare data" box [under "Explore & download data" header] and then searching the term "OAS CAHPS");
    • through Hospital Compare (direct link to OAS CAHPS data: https://www.medicare.gov/hospitalcompare/OASCAHPS-measures.html ); and
    • via downloadable databases on data.medicare.gov.

    You can access OAS CAHPS Survey results at the facility, state and national levels on any of the locations provided above.

  7. Will these results be published on a CMS website?
    Yes. The next public reporting period for the OAS CAHPS Survey will include the data currently available in the Preview Report (2018, Q3 – 2019, Q2). An announcement will be posted on this website when data have been posted to the data.medicare.gov website.

    Please note that the Preview Report is a subset of the data that will be posted on data.medicare.gov. The data that will be publicly reported on data.medicare.gov will include top-, middle-, and bottom-box scores and linearized scores. The format of the data provided on the Preview Report matches what will be posted on the Compare site (on Medicare.gov) in the future.

  8. When is the "preview" period?
    HOPD and ASCs that are participating in the OAS CAHPS Survey are able to preview their survey results each reporting period on the OAS CAHPS website at least two weeks prior to when the OAS CAHPS Survey results are publicly reported on the CMS website. An announcement is posted each quarter when the data on the Preview Report have been refreshed and are ready for review.

Please contact the Coordination Team via e-mail at oascahps@rti.org or call toll-free (866) 590-7468, if you have any questions.

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