"Identifying Information: Name","Overall Hospital Experience"
"Identifying Information: Description","The Overall Hospital Experience patient-reported experience measure (PREM) is a global measure of patient experience. It is based on 1 question from the Canadian Patient Experiences Survey — Inpatient Care (CPES-IC): Q41. [On a scale from 0 to 10]  Overall, I had a very poor experience (0) to I had a very good experience (10)This PREM calculates the percentage of patients who chose the most favourable responses (9, 10) to question 41."
"Background, Interpretation and Benchmarks: Rationale","Public reporting of PREMs amplifies the voice of patients. Results highlight opportunities for care providers and decision-makers to develop improvement initiatives that respond to patient preferences and needs. Patient experience measurement and comparison can help address information gaps to improve patient-centred care and facilitate peer-to-peer learning and sharing of best practices."
"Background, Interpretation and Benchmarks: Interpretation","Higher is better. The higher the Top Box result, the higher the number of patients who responded favourably."
"Background, Interpretation and Benchmarks: HSP Framework Dimension",Person-centred
"Available Data Years","2015
 to 2021"
"Available Data Years: Type of Year",Fiscal
"Availability of Results: Geographic Coverage","New Brunswick"
"Reporting Level/Disaggregation",National
"Reporting Level/Disaggregation: Other reporting level/disaggregation","Hospital Peer group"
"Result Updates: Indicator Results","Web Tool: Your ºìÁì½í¹Ï±¨ System: In BriefWeb Tool: Your ºìÁì½í¹Ï±¨ System: In DepthPDF: Accessing Indicator Results on Your ºìÁì½í¹Ï±¨ System: In Depth (PDF) Web Tool: Canadian Patient Experiences Survey: Comparative Results tool "
"Update Frequency","Every year"
"Result Updates: Latest Results Update Date","May 2023"
"Indicator Calculation: Description","(Number of patients who chose the most positive response to Q41 of the CPES-IC survey) ÷ (Total number of respondents for Q41)This measure is calculated as a Top Box result, which is the percentage of survey respondents who chose the most positive responses (9 and 10) to a stand-alone question in the CPES-IC:Q41. [On a scale from 0 to 10]  Overall, I had a very poor experience (0) to I had a very good experience (10)"
"Indicator Calculation: Type of Measurement","Percentage or proportion"
"Denominator: Description:","Patients age 18 and older who completed a question regarding their overall hospital experience in the CPES-IC survey (Q41)"
"Denominator: Inclusions:","Admission to an acute care institution (Facility Type Code = 1)Age at admission: 18 and olderSex recorded as male or female"
"Denominator: Exclusions:","Non-response categories (refusal, don’t know, not stated)Records with invalid health card numberRecords with missing or invalid discharge dateNewborn, stillbirth or cadaveric donor records (Admission Category Code = N, R or S)Records with discharge as death, self sign-out or patient not returning from a pass (Discharge Disposition Code = 61, 62, 65, 66, 67, 72, 73 or 74)Patients receiving care primarily for a psychiatric condition or mental health disorder (ICD-10-CA: F00–F99)Patients who were in an alternate level of carePatients with a substance-use disorder (ICD-10-CA: E24.4, F10, F11, F12, F13, F14, F15, F16, F18, F19, F55, G31.2, G62.1, G72.1, I42.6, K29.2, K70, K85.2, K86.0, Q86.0, T40.0, T40.1, T40.2, T40.3, T40.4, T40.5, T40.6, T40.7, T40.8, T40.9, T42.3, T42.4, T42.6, T42.7, T43.6, T43.8, T43.9, T51, O35.4, O99.3)Patients discharged to another facility such as residential care, group/supportive living or a correctional facility (Discharge Disposition Code = 30, 40 or 90)Patients excluded for sensitive or compassionate reasons with the following diagnoses (ICD-10-CA):Pregnancy with abortive outcome (O00–O08)Threatened abortion (O20.003, O20.009)Complications specific to multiple gestation: delivery of papyraceous fetus, spontaneous abortion of 1+ fetus, selective fetal reduction, intrauterine death, complications specific to multiple gestation, maternal care for known or suspected fetal abnormality and damage (O31.001–O31.801, O35.001–O35.901) Maternal care for intrauterine death (O36.421–O36.499)Maltreatment syndromes (including sexual, psychological or physical abuse; neglect/abandonment; unspecified maltreatment) (T74.0–T74.9)Intentional self-harm (X60–X84)Assault, cruelty, torture or abuse (including sexual assault) (X85–Y09)Event of undetermined intent (Y10–Y34)Examination and observation following alleged adult rape and seduction (Z04.4)Examination and observation following alleged adult/child sexual and physical abuse (Z04.50, Z04.51) Outcome of delivery (Z37.100, Z37.101, Z37.300, Z37.301, Z37.400, Z37.401, Z37.600, Z37.601, Z37.610, Z37.611, Z37.620, Z37.621, Z37.630, Z37.631, Z37.680, Z37.681, Z37.690, Z37.691, Z37.700, Z37.701, Z37.710, Z37.711, Z37.720, Z37.721, Z37.730, Z37.731, Z37.780, Z37.781, Z37.790, Z37.791)Palliative care (Z51.5)Patients excluded for sensitive or compassionate reasons with the following diagnosis (CCI):Pregnancy with abortive outcome (5.CA.20, 5.CA.24, 5.CA.88, 5.CA.89, 5.CA.90, 5.CA.93)Patients who have duplicate submissions (determined by submitting province, submitting hospital, health card jurisdiction code and encrypted health card number in the last 12 months)"
"Numerator: Description:","A subset of the denominator that represents patients age 18 and older who chose the most positive responses (9, 10) to the question on overall hospital experience in the CPES-IC survey (question 41)"
"Method of Adjustment: Other method of adjustment:","To ensure comparability, results have beenSample weightedNon-response weightedAge–sex standardized to the hospital Discharge Abstract Database (DAD) populationAdjusted for survey mode (mail, telephone, online)Adjusted for service line (medical, surgical, maternity)"
"Adjustment Applied: Covariates used in risk adjustment:","Acute Care Patient-Reported Experience Measures — Methodology Notes (PDF)CPES-IC Mode and Service Line Adjustments — Data Tables (XLSX)"
"Data Sources: Other Data Source","Canadian Patient Experiences Reporting System (CPERS)"
"Quality Statement: Caveats and Limitations","This measure captures the experiences of individuals who were admitted to an acute care hospital.As CPERS-submitting jurisdictions have different survey cycles, the jurisdictions within each fiscal year (data year) may vary. Some jurisdictions collect annually, while others collect every 3 years. The available fiscal years (data years) for each jurisdiction are as follows:Nova Scotia: 2017 (partial data coverage)New Brunswick: 2015 and 2018 (surveys are conducted over a 3-to-4-month period)Ontario: 2016 to 2021 (partial data coverage)Manitoba: 2015 to 2021Alberta: 2017 to 2021 Data coverage is partial for the following jurisdictions in the most recent data year (2021):Nova Scotia (38%)Ontario (52%)The frequency of survey collection also varies across hospitals within jurisdictions. The following hospitals collected data up to fiscal year 2020, whereas organizations within their province reported up to 2021:Hôpital Glengarry Memorial Hospital, OntarioLennox and Addington County General Hospital, OntarioHuron Perth ºìÁì½í¹Ï±¨care Alliance, Ontario Hamilton ºìÁì½í¹Ï±¨ Sciences, Ontario The following hospitals collected data up to fiscal year 2019, whereas organizations within their province reported up to 2021:Norfolk General Hospital, OntarioNorth Bay Regional ºìÁì½í¹Ï±¨ Centre, OntarioNorth York General Hospital, OntarioSunnybrook ºìÁì½í¹Ï±¨ Sciences Centre, OntarioHardisty ºìÁì½í¹Ï±¨ Centre, AlbertaTo enable comparisons and benchmarking year over year when data isn’t available annually, all respondents from each hospital’s most recent year of data are used to calculate peer, regional, provincial and national averages. Blended averages include data up to a maximum of 3 fiscal years only.As a result of the 3-year blended average methodology, caution should be taken when comparing Nova Scotia and New Brunswick results with other hospital, peer, regional, provincial and national averages."
"Quality Statement: Trending Issues","For a trend assessment, at least 3 data years (within the past 10 years) are required. At this time, results for Nova Scotia and New Brunswick will not be reported with trending information. Trending results are not available when the most recent data year (2021) is not available. "
"Quality Statement: Comments","Details about performance assessment, funnel plots, trending and suppression rules are found in the methodology notes."
References,"CIHI’s Patient experience web pageCanadian Patient Experiences Survey — Inpatient Care (CPES-IC)  (ZIP)CPES-IC Procedure Manual (PDF)Canadian Patient Experiences Survey — Inpatient Care: Patient-Reported Experience Measures (PDF)Canadian Patient Experiences Survey — Inpatient Care Data Dictionary Manual (PDF)"