10.25376/hra.7276865.v1 Emily Johnston Emily Johnston kenton johnston kenton johnston Jaeyong Bae Jaeyong Bae Jason Hockenberry Jason Hockenberry Arnold Milstein Arnold Milstein Edmund R. Becker Edmund R. Becker Impact of hospital diagnosis-specific quality measures on patients' experience of hospital care: evidence from 41 states, 2009-2011 Health Research Alliance 2018 Patient hospital experience patient satisfaction Value-based purchasing HCAHPS hospital quality of care Affordable Care Act Public Health and Health Services not elsewhere classified Health and Community Services 2018-11-01 13:50:22 Journal contribution https://hra.figshare.com/articles/journal_contribution/Impact_of_hospital_diagnosis-specific_quality_measures_on_patients_experience_of_hospital_care_evidence_from_41_states_2009-2011/7276865 This paper uses patient responses to the Hospital Consumer Assessment of Healthcare Providers and Systems (HCAHPS) survey for three years (2009-2011) from 1,333 acute-care hospitals in fourteen states to analyze patterns in 10 hospital-reported patient experience-of-care scores by 29 characteristics classified as: patient characteristics, payer source, patient severity, hospital characteristics, hospital operations, and market characteristics. We also evaluate how scores have changed over the three-year period. We find significant differences in patient experience-of-care scores by hospital characteristics for 250 out of 290 HCAHPS-hospital characteristic combinations measured. We find fewer significant differences in changes in scores from 2009-2011 (135 out of 290), with hospitals categorized as high scoring also reporting consistently greater improvement. We conclude that patient experience-of-care scores vary by hospital characteristics, although improvements in scores show less variety by hospital categorization.