Improving HCAHPS performance is a never-ending struggle for  hospitals, one that has taken on greater urgency as results are linked  to CMS’s Hospital Value-Based Purchasing (VBP) program. The HCAHPS  Survey is the basis of the “Patient Experience of Care Domain” under  VPB, which makes up 30 percent of a facility’s total performance score.
A particularly thorny problem has been improving patient  communications regarding medication, which is measured based on HCAHPS  responses to three questions:
- Before giving you any new medicine, how often did hospital staff tell you what the medicine was for?
 
- Before giving you any new medicine, how often did hospital staff describe possible side effects in a way you could understand?
 
- When I left the hospital, I clearly understood the purpose for taking each of my medication
 
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