VBP seeks to reward hospitals for improving the quality of care.
A low HCAHPS/patient satisfaction score translates to a lower overall VBP
score, which will equate to a lower Medicare reimbursement for a hospital.
The HCAHPS survey measures a patient’s perception of care on
10 dimensions, including the quietness of the hospital environment. Hospitals need to obtain at least a 50th percentile in each dimension to
receive achievement points for full Medicare funding.

Nationally the HCAHPS measure for “quiet at night” reveals that patients are marginally satisfied with the hospital noise near their rooms at night. Excessive noise and the resulting lack of sleep tops the list of patient complaints. When surveyed upon discharge, patients express their dissatisfaction with low ratings on questions about “Quiet at Night,” “Likelihood to Recommend,” and “Hospital Overall.” The AMS Technology sound masking system provides continuous and consistent background sound designed to mask hospital noises that interrupt rest and sleep.
As Medicare ties funding to patient satisfaction and quality of care, hospitals are seeking ways to increase acoustic privacy through sound masking. The Department of Health and Human Services (HHS) has recently launched a new initiative, known as the Value Based Purchasing (VBP) program, to reward hospitals for the quality of care they provide to Medicare patients. The VBP program, administered by the Centers for Medicare and Medicaid Services (CMS), reimburses hospitals across the country for inpatient acute care services based on quality of care, in addition to the quantity of services provided. CMS will measure hospital performance using two metrics: clinical process of care and patient experience. Patient experience is defined by the Hospital Consumer Assessment of Healthcare Providers and Systems (HCAHPS) survey.
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