SHM Converge Scientific Abstract ePoster Gallery-Which Hospitals Are the Quietest at Night? It's Not the Us News Top 20 Institutions

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This document summarizes a study on which hospitals score best on the HCAHPS “Quiet at Night” survey item, a measure of patient-perceived nighttime noise that affects CMS reimbursement. The authors used CMS Hospital Compare data, Linear Mean Scores, and the Star Ratings clustering algorithm in RStudio to identify the top-box performers among 5-star hospitals.<br /><br />The study found 22 CMS “Quiet at Night” top hospitals, representing 0.46% of U.S. hospitals nationally. These hospitals had a mean HCAHPS Star Rating of 5.0 with no variation, reflecting the selection method. For comparison, 21 US News Honor Roll hospitals had a lower mean HCAHPS Star Rating of 2.67, with a standard deviation of 1.24. There was no overlap between the two groups, although Johns Hopkins Hospital and Mayo Clinic were exceptions among Honor Roll hospitals, each receiving a 5-star HCAHPS rating.<br /><br />The main conclusion is that highly ranked academic hospitals are not necessarily the quietest at night. The authors argue that understanding the organizational traits and practices behind top “quiet at night” performance could help other hospitals adopt more sleep-protective approaches. They recommend future work including a quantitative survey and qualitative interviews with administrators at these high-performing institutions.

Asset Subtitle

Jasmine Gulati

Meta Tag

Author List Jasmine Gulati, Lauren M. McDaniel, Murtala Affini, Nicola Orlov, Noah Mason, Vineet Arora

Category Research

Concept HCAHPS

Concept Quietness

Concept Patient Experience

Concept CMS Reimbursement

Concept Hospital

Distinguished Non-Finalist

Presenter Organization Georgetown University School of Medicine

Presenting Author Jasmine Gulati

Track Quality Improvement

Keywords

HCAHPS

Quiet at Night

hospital noise

CMS reimbursement

Hospital Compare

Star Ratings

patient experience

5-star hospitals

sleep-protective care

academic hospitals

HCAHPS

Quietness

Patient Experience

CMS Reimbursement

Hospital