Improved HCAHPS Scores with a Same Day Discharge Program for Total Hip Arthroplasty
Bulletin of the Hospital for Joint Disease (2013)
|December 1, 2019
Summary
Same day hip replacement surgery significantly boosts patient satisfaction scores. Patients in same day surgery (SDS) programs reported higher ratings on key hospital experience metrics compared to traditional inpatients.
Area of Science:
- Orthopedic Surgery
- Healthcare Management
- Patient Outcomes
Background:
- Total hip arthroplasty (THA) is increasingly performed as a same-day procedure.
- Patient satisfaction surveys, like HCAHPS, are gaining importance in healthcare evaluation.
Purpose of the Study:
- To determine if same-day discharge programs for THA lead to improved HCAHPS scores.
- To compare patient satisfaction between same-day surgery (SDS) and standard inpatient THA.
Main Methods:
- Retrospective review of THA patients from January 2015 to September 2016.
- Comparison of HCAHPS survey results between SDS and inpatient cohorts.
- Analysis of demographic data and patient-reported outcome measures.
Main Results:
- SDS patients were significantly more likely to give "top box" ratings on 8 of 11 HCAHPS domains.
- A trend towards higher "top box" ratings was observed in the remaining three domains for SDS patients.
- 91% of SDS patients, versus 77% of inpatient patients, would "top box" recommend the hospital (p=0.045).
Conclusions:
- Same-day surgery programs can significantly enhance patient satisfaction following THA.
- Improved HCAHPS scores indicate a positive patient experience with SDS THA.
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