HCAHPS Star Rating Flyer Form

HCAHPS Star Rating Flyer Form

Please fill out the form below with details for your Hospital's HCAHPS Flyer. The information entered will help with creating an accurate flyer for your hospital. Hospital 1-3 are meant for your competitors hospital names.

Date Of Submission*

Date of HCAHPS Report*

Your Hospital Name*

What is Hospital 1 name?*

For example competitor #1

What is Hospital 2 name?*

For example competitor #2

What is Hospital 3 name? *

For example competitor #3

Nurse Communication- Your Hospital*

Please enter in the percentages for most recent Inpatient Satisfaction for your hospital and the 3 competitors.

Nurse Communication- Hospital 1*

Nurse Communication- Hospital 2*

Nurse Communication - Hospital 3*

Doctor Communication- Your Hospital*

Doctor Comms- Hospital 1*

Doctor Comms- Hospital 2*

Doctor Comms- Hospital 3*

Responsiveness of Hospital Staff*

Responsiveness of Hospital Staff - Hospital 1*

Responsiveness of Hospital Staff- Hospital 2*

Responsiveness of Hospital Staff- Hospital 3*

Communications About Medicines*

Communications About Medicines-Hospital 1*

Communications About Medicines- Hospital 2

Communications About Medicines - Hospital 3*

Cleanliness Of Room and Bathroom*

Cleanliness Of Room and Bathroom - Hospital 1*

Cleanliness Of Room and Bathroom- Hospital 2*

Cleanliness Of Room and Bathroom- Hospital 3*

Quietness of Area Around Room at Night*

Quietness of Area Around Room at Night- Hospital 1*

Quietness of Area Around Room at Night- Hospital 2*

Quietness of Area Around Room at Night- Hospital 3*

Discharge Information*

Discharge Information - Hospital 1*

Discharge Information - Hospital 2*

Discharge Information - Hospital 3*

Transition of Care*

Transition of Care- Hospital 1*

Transition of Care- Hospital 2*

Transition of Care- Hospital 3*

Overall Rating of Hospital*

Overall Rating Of Hospital-Hospital 1*

Overall Rating Of Hospital-Hospital 2*

Overall Rating Of Hospital-Hospital 3*

Willingness to Recommend Hospital*

Willingness to Recommend Hospital- Hospital 1*

Willingness to Recommend Hospital- Hospital 2*

Willingness to Recommend Hospital- Hospital 3*

Patient Rating Number of Stars-Your Hospital*

Patient Rating Number of Stars-Hospital 1*

Patient Rating Number of Stars-Hospital 2*

Patient Rating Number of Stars-Hospital 3*

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