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About the National Implementation and Public Reporting Program

The Centers for Medicare & Medicaid Services (CMS) implemented a voluntary national reporting program for the OAS CAHPS Survey in January 2016. Participation in the program is open to any interested Medicare-certified Hospital Outpatient Departments (HOPDs) and free-standing ambulatory surgery centers (ASCs). CMS provides guidelines for survey administration similar to those implemented on other CAHPS surveys through the OAS CAHPS Survey Protocols and Guidelines Manual (available in the Survey Materials menu tab). Additionally, CMS-approved survey vendors administer the survey on behalf of HOPDs and ASCs and submit the data to the Data Center (RTI International). RTI International analyzes the data; subsequently, the results will be publicly reported on a CMS website starting in early 2018 (Quarter 3, 2016 through Quarter 2, 2017).

HOPDs and ASCs can benefit from participating in the voluntary national reporting program in the following ways:

  • Participating HOPDs and ASCs will be part of a program that provides valuable information to consumers about the quality of care provided nationally by HOPDs and ASCs.
  • Participating HOPDs and ASCs can compare their patient responses against their state and the national average. Results and links to these datasets will be available for download on a CMS website such as Medicare.gov.
  • HOPDs and ASCs may add supplementary questions to the survey and can choose to replace their internal patient experience of care surveys with the OAS CAHPS survey.
  • Participation in the OAS CAHPS survey may be used to meet state or other regulations that require a patient satisfaction survey to be conducted regularly. Check with your state or accreditation bodies on such regulations.
The voluntary reporting period for HOPDs and ASCs is expected to continue through 2017. In accordance with the Final Rule, participation will be linked to reimbursement beginning January 1, 2018 For the Calendar Year 2020 payment determination, eligible facilities would be required to work with an approved vendor to collect data on a monthly basis and submit the data on a quarterly basis, for January 1, 2018–December 31, 2018.