We need to take the same approach as we move toward ED-CAHPS implementation next year. The good news is that the new ED-CAHPS survey has improved reliability and a more reasonable scoring curve than the current ED survey instruments. Let’s take this opportunity to show Medicare the best way to measure the patient experience and to motivate emergency medicine systems properly. Right now, ACEP should share member observations and experiences with Medicare and work to mold the ED-CAHPS tool into an instrument that improves outcomes and access to care. Our opportunity is collaboration with Medicare by shaping these surveys to improve our practice, patient care, and resources.

Reimbursement is now based on the Patient Experience, and we’ve already learned hard lessons along the way. As we look to the future, ACEP should seize the opportunity to advocate for the patients, physicians, and hospitals through ED-CAHPS advocacy with Medicare. We need a tool that will help our patients get better faster, gives us communication feedback, and helps us find and fix the gaps in our health care system. Together we can help the patients, help the hospitals, and help ourselves.