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MAGNET INSIGHTS
Satisfaction, Press Ganey,
and Magnet Recognition
http://crossmark.crossref.org/dialog/?doi=10.1016/j.aorn.2014.08.002&domain=pdf
Web End = MICHELLE R. TINKHAM, MS, BSN, RN, PHN, CNOR, CLNC
The American Nurses Credentialing Center (ANCC) Magnet Recognition program is widely regarded as a stamp of approval for
nursing excellence and retention and positive patient outcomes.1 In 2013, the ANCC released a new application and guidelines for achieving Magnet status that go into effect April 1, 2016.2 Patient and nurse satisfaction both continue to play a large role in the Magnet application and recertication processes as well as in reimbursement from the Centers for Medicare & Medicaid Services (CMS) and some private insurance payers. Both measures are key in promoting positive outcomes for patients.
PRESS GANEY AND MEASURING SATISFACTION
Many health care facilities are currently using
Press Ganeys Hospital Consumer Assessment of Healthcare Providers and Systems (HCAHPS) survey2 to assess their patients satisfaction. These results are publicly reported on the Hospital Compare web site (http://www.hospitalcompare.hhs.gov
Web End =http://www.hospitalcompare.hhs.gov ), which is sponsored by CMS and the Hospital Quality Alliance (HQA). Hospital participation in public reporting plays a role in the CMS pay-for-performance strategy.3 Recent Medicare reforms include nancial incentives for hospitals that voluntarily report patient satisfaction results. In addition, to avoid a 2% reduction in nancial reimbursement, hospitals must participate in the HCAHPS survey.3
Developed in 2002, the HCAHPSdalso known as the Consumer Assessment of Healthcare Providers and Systems (CAHPS) surveydis a 27-question survey that assesses patients perceptions of their recent hospital care.4 The HCAHPS survey is sent to a random sample of adult patients between 48 hours and six weeks after their discharge from medical, surgical, and maternity units.3 The survey contains many questions that focus on nurse and physician communications with the patient, pain management, nursing education provided to patients regarding medications, and clarity of discharge instructions. There are also questions about the cleanliness and noise level of the facility.4 Press Ganey shares HCAHPS data with senior leaders and then disperses the data to unit directors; the data include local and national data so hospitals can compare their performance with other facilities.4
In February 2014, Press Ganey received content approval from the ANCC for its Nursing Excellence solution, a 31-question survey tool for assessing nurse...