Background: Healthcare is shifting to value-based payment models. Two percent of Medicare reimbursements are currently linked to value measures including the Hospital Consumer Assessment of Healthcare Providers and Systems (HCAHPS) hospital satisfaction survey. The purpose of this study was to determine if HCAHPS survey results are correlated with validated legacy outcome measures after total shoulder arthroplasty. Methods: A prospective observational study was conducted in 84 patients undergoing elective total shoulder arthroplasty. Baseline 12-item Short-Form Health Survey (SF-12), American Shoulder and Elbow Surgeons (ASES), and Western Ontario Osteoarthritis of the Shoulder Index (WOOS) questionnaires were completed at the time of enrollment. ASES and WOOS scores were collected at 3-month and 1-year postoperatively. Patients were contacted to complete the HCAHPS survey postoperatively. HCAHPS results and baseline functional scores were evaluated for an association with improvements in legacy outcome measures after surgery. Results: HCAHPS scores were higher among males than females (P=0.04). Age, SF-12 physical component scores, SF-12 mental component scores, and pre-operative symptom severity were not associated with HCAHPS results. HCAHPS scores were not correlated with ASES (r=0.09, P=0.44) or WOOS scores (r=−0.17, P=0.13) at one year after surgery. HCAHPS was also not correlated with the absolute improvement in ASES (r=−0.02, P=0.85) or WOOS scores (r=−0.08, P=0.48) from pre- to one year post-operatively. Conclusions: The HCAHPS score, a measure of satisfaction and a determinant of Medicare quality-based reimbursement, showed no correlation with functional outcome measures at one year after total shoulder arthroplasty. Thus, HCAHPS patient satisfaction survey may not be aligned with functional outcomes valued by patients. Further consideration is warranted regarding the assessment of quality, and in turn reimbursements, with survey results.
Bibliographical noteFunding Information:
Reporting Checklist: The authors have completed the SURGE reporting checklist. Available at http://dx.doi. org/10.21037/jhmhp-20-51 Data Sharing Statement: Available at http://dx.doi. org/10.21037/jhmhp-20-51 Conflicts of Interest: All authors have completed the ICMJE uniform disclosure form (available at http://dx.doi. org/10.21037/jhmhp-20-51). Dr. AMC reports personal fees from Arthrex, grants from Zimmer Biomet, grants from National Institute of Health, personal fees from DePuy Synthes, personal fees from Wright Medical, outside the submitted work. Dr. KY reports grants from National Institutes of Health, during the conduct of the study; personal fees from Zimmer, personal fees from Tornier, outside the submitted work; and Received $20K as a monetary award related to the Ann Doner Vaughn Kappa Delta Award for the ORS/AAOS in 2014. Dr. JDK reports personal fees from Arthrex, personal fees from Shoulder Innovations, personal fees from Imascap, personal fees from Wright Medical, grants from Zimmer, grants from National Institute of Health, outside the submitted work. The other
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- Hospital Consumer Assessment of Healthcare Providers
- Orthopedic surgery
- Patient outcomes
- Shoulder replacement
- Systems (HCAHPS)