U.S. Hospital Customer Satisfaction 2016-2020
Is Patient Satisfaction Correlated With Overall Hospital Performance?
@kaggle.abrambeyer_us_hospital_customer_satisfaction_20162020
About this Dataset
U.S. Hospital Customer Satisfaction 2016-2020
Context
How satisfied are U.S. patients? Is a hospital's overall score really determined by how well it provides good customer services? Are there types of hospitals or regions where patient satisfaction is better or worse?
Every year, all U.S. hospitals that accept payments from Medicare and Medicaid must submit quality data to The Centers for Medicare and Medicaid Services (CMS). CMS' Hospital Compare program is a consumer-oriented website that provides information on "the quality of care hospitals are providing to their patients." CMS releases this quality data publicly in order to encourage hospitals to improve their quality and to help consumer make better decisions about which providers they visit.
"Hospital Compare provides data on over 4,000 Medicare-certified hospitals, including acute care hospitals, critical access hospitals (CAHs), children’s hospitals, Veterans Health Administration (VHA) Medical Centers, and hospital outpatient departments"
The Centers for Medicare & Medicaid Services (CMS) uses a five-star quality rating system to measure the experiences Medicare beneficiaries have with their health plan and health care system — the Star Rating Program. Health plans are rated on a scale of 1 to 5 stars, with 5 being the highest.
One part of a hospital's overall rating is it's patient satisfaction survey scores. CMS attempts to take into consideration how well patients are treated by the provider. A description of HCAHPS can be found here ***HCAHPS Description.
Content
| Filename | Year | Dataset Rows | Dataset Columns |
| --- | --- | --- | --- ]
| cms_hospital_patient_satisfaction_2020.csv | 2020 | 442587 | 43 |
| cms_hospital_patient_satisfaction_2019.csv | 2019 | 442401 | 43 |
| cms_hospital_patient_satisfaction_2018.csv | 2018 | 239650 | 43 |
| cms_hospital_patient_satisfaction_2017.csv | 2017 | 264660 | 43 |
| cms_hospital_patient_satisfaction_2016.csv | 2016 | 264385 | 43 |
- Includes the most recent Hospital General Information.csv data for each archive year found on CMS' archive site. Years: 2016-2020
NOTE: Some Hospital Medicare IDs have leading zeroes. Be sure to read Facility ID column as a string.
| Column Name | Data Type | Description |
|---|---|---|
| Facility ID | Char(6) | Facility Medicare ID |
| Facility Name | Char(72) | Name of the facility |
| Address | Char(51) | Facility street address |
| City | Char(20) | Facility City |
| State | Char(2) | Facility State |
| ZIP Code | Num(8) | Facility ZIP Code |
| County Name | Char(25) | Facility County |
| Phone Number | Char(14) | Facility Phone Number |
| HCAHPS Measure ID | Char(25) | HCAHPS Patient Survey Measure Name |
| HCAHPS Question | Char(138) | HCAHPS Patient Survey Question |
| HCAHPS Answer Description | Char(118) | HCAHPS Patient Survey Answer |
| Patient Survey Star Rating | Char(14) | Overall rating for survey item |
| Patient Survey Star Rating Footnote | Char(7) | n/a |
| HCAHPS Answer Percent | Char(14) | Percent of surveys with question answered |
| HCAHPS Answer Percent Footnote | Char(8) | n/a |
| HCAHPS Linear Mean Value | Char(14) | HCAHPS Patient Survey question linear mean value |
| Number of Completed Surveys | Char(13) | Number of completed surveys for hospital. N-size. |
| Number of Completed Surveys Footnote | Char(8) | n/a |
| Survey Response Rate Percent | Char(13) | Hospital survey response rate. |
| Survey Response Rate Percent Footnote | Char(8) | n/a |
| Start Date | Date | Survey collection period start date |
| End Date | Date | Survey collection period end date |
| Year | Char(4) | cms data release year |
| Hospital Type | Char(34) | What type of facility is it? |
| Hospital Ownership | Char(43) | What type of ownership does the facility have? |
| Emergency Services | Char(3)) | Does the facility have emergency services Yes/No? |
| Meets criteria for promoting interoperability of EHRs | Char(1) | Does facility meet government EHR standard Yes/No? |
| Hospital overall rating | Char(13) | Hospital Overall Star Rating 1=Worst; 5=Best. Aggregate measure of all other measures |
| Hospital overall rating footnote | Num(8) | |
| Mortality national comparison | Char(28) | Facility overall performance on mortality measures compared to other facilities |
| Mortality national comparison footnote | Num(8) | |
| Safety of care national comparison | Char(28) | Facility overall performance on safety measures compared to other facilities |
| Safety of care national comparison footnote | Num(8) | |
| Readmission national comparison | Char(28) | Facility overall performance on readmission measures compared to other facilities |
| Readmission national comparison footnote | Num(8) | |
| Patient experience national comparison | Char(28) | Facility overall performance on pat. exp. measures compared to other facilities |
| Patient experience national comparison footnote | Char(8) | |
| Effectiveness of care national comparison | Char(28) | Facility overall performance on effect. of care measures compared to other facilities |
| Effectiveness of care national comparison footnote | Char(8) | |
| Timeliness of care national comparison | Char(28) | Facility overall performance on timeliness of care measures compared to other facilities |
| Timeliness of care national comparison footnote | Char(8) | |
| Efficient use of medical imaging national comparison | Char(28) | Facility overall performance on efficient use measures compared to other facilities |
| Efficient use of medical imaging national comparison footnote | Char(8) |
Acknowledgements
A similar dataset called Hospital General Information was previously uploaded to Kaggle. However, that dataset only includes data from one year (2017). I was inspired by this dataset to go a little further and try to add a time dimension. This dataset includes a union of Hospital General Information for the years 2016-2020. The python script used to collect and union all the datasets can be found on my [github[(https://github.com/abrambeyer/cms_hospital_general_info_file_downloader). Thanks to this dataset owner for the inspiration.
Thanks to CMS for releasing this dataset publicly to help consumers find better hospitals and make better-informed decisions.
All Hospital Compare websites are publically accessible. As works of the U.S. government, Hospital Compare data are in the public domain and permission is not required to reuse them. An attribution to the agency as the source is appreciated. Your materials, however, should not give the false impression of government endorsement of your commercial products or services.
Inspiration
Since I work in healthcare, I was inspired to look at my own hospital's performance. Since CMS provides overall performance data on over 4,000 facilities, I hope this data can help people answer the following questions:
- Which hospitals have the best overall performance? Best performance by measure such as Patient Experience?
- Which states, cities, counties have the most high-performing hospitals? The lowest performing hospitals?
- How have individual hospitals overall performance changed between 2016 and 2020? Are certain locations getting better or worse overall?
- Is the overall CMS star rating correlated with patient satisfaction?
- Can we predict a hospital overall rating from its patient satisfaction scores?
- Which survey questions are most informative of a hospital's overall quality?