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TABLE 2

Top Box Composite and Item Scores and Odds of Reporting a Top Box Score

CMCNo CMC
Measure and questionn%aOR (95% CI)an%aOR (95% CI)*Pc-statistic
Communication with parent         
 Communication between you and your child’s nurses 1469 78.4 0.85 (0.73–0.99) 2641 82.9 1.00 (—) .04 0.60 
 Communication between you and your child’s doctors 1472 81.5 0.97 (0.83–1.14) 2631 83.8 1.00 (—) .73 0.62 
 Communication about your child’s medicines 537 78.6 1.01 (0.79–1.29) 899 77.6 1.00 (—) .93 0.59 
 Keeping you informed about your child’s care 1308 71.8 1.06 (0.90–1.24) 2160 73.0 1.00 (—) .50 0.59 
 Preparing you and your child to leave the hospital 1110 81.7 1.10 (0.93–1.30) 2104 81.0 1.00 (—) .28 0.61 
 Privacy when talking with doctors, nurses, and other providers 1462 75.3 1.06 (0.90–1.26) 2621 76.7 1.00 (—) .49 0.62 
 Keeping you informed about your child’s care in the ER 519 96.2 0.95 (0.52–1.74) 1492 96.5 1.00 (—) .86 0.65 
Communication with child         
 How well nurses communicate with your child 492 68.1 1.25 (0.99–1.58) 1281 69.7 1.00 (—) .06 0.64 
 How well doctors communicate with your child 486 63.3 1.03 (0.81–1.30) 1260 65.2 1.00 (—) .83 0.63 
 Involving teenagers in their care 180 76.6 1.05 (0.71–1.56) 408 76.1 1.00 (—) .80 0.58 
Attention to safety and comfort         
 Preventing mistakes and helping you report concerns 1311 43.1 1.25 (1.02–1.52) 2300 41.5 1.00 (—) .03 0.65 
 Helping your child feel comfortable 1384 73.2 0.86 (0.74–1.00) 2471 75.3 1.00 (—) .05 0.59 
 Responsiveness to call button 906 66.7 0.98 (0.80–1.20) 1683 71.7 1.00 (—) .85 0.64 
 Paying attention to your child’s pain 1009 77.2 0.77 (0.62–0.96) 1915 82.1 1.00 (—) .02 0.66 
 Cleanliness of hospital room 1448 71.6 1.05 (0.89–1.23) 2609 71.1 1.00 (—) .58 0.62 
 Quietness of hospital room 1445 46.9 1.02 (0.87–1.18) 2600 52.7 1.00 (—) .85 0.66 
Global ratings         
 Overall rating of hospital 1476 74.2 0.96 (0.81–1.13) 2645 76.9 1.00 (—) .62 0.61 
 Willingness to recommend the hospital 1473 92.7 1.04 (0.78–1.37) 2639 93.4 1.00 (—) .80 0.65 
Other itemsb         
 Providers asking about usual child behaviors 1422 60.6 1.14 (0.98–1.33) 2561 56.1 1.00 (—) .08 0.60 
 Staff introduction and explanation of role 1473 74.5 0.97 (0.82–1.15) 2646 76.9 1.00 (—) .75 0.59 
 Provider understanding of child’s condition 1469 55.9 0.87 (0.75–1.01) 2636 64.3 1.00 (—) .07 0.64 
 Provider follow-up on parent’s concerns and/or observations 1338 63.2 1.03 (0.88–1.21) 2304 65.6 1.00 (—) .68 0.61 
 Providers working together to give health care needed 1474 72.4 0.98 (0.83–1.16) 2636 76.2 1.00 (—) .82 0.60 
 Providers doing everything to help with pain 1093 76.2 0.90 (0.74–1.11) 2000 79.4 1.00 (—) .33 0.63 
 Parent involvement in decision-making about child’s care 1473 81.8 1.14 (0.94–1.37) 2633 81.5 1.00 (—) .18 0.58 
 Parent has clear understanding of role in child’s care 1474 89.4 1.07 (0.85–1.35) 2642 89.6 1.00 (—) .56 0.57 
 Overall rating of care from nurses 1475 73.3 0.89 (0.76–1.06) 2647 78.0 1.00 (—) .19 0.61 
 Overall rating of care from doctors 1474 81.0 1.11 (0.92–1.34) 2642 80.7 1.00 (—) .26 0.65 
CMCNo CMC
Measure and questionn%aOR (95% CI)an%aOR (95% CI)*Pc-statistic
Communication with parent         
 Communication between you and your child’s nurses 1469 78.4 0.85 (0.73–0.99) 2641 82.9 1.00 (—) .04 0.60 
 Communication between you and your child’s doctors 1472 81.5 0.97 (0.83–1.14) 2631 83.8 1.00 (—) .73 0.62 
 Communication about your child’s medicines 537 78.6 1.01 (0.79–1.29) 899 77.6 1.00 (—) .93 0.59 
 Keeping you informed about your child’s care 1308 71.8 1.06 (0.90–1.24) 2160 73.0 1.00 (—) .50 0.59 
 Preparing you and your child to leave the hospital 1110 81.7 1.10 (0.93–1.30) 2104 81.0 1.00 (—) .28 0.61 
 Privacy when talking with doctors, nurses, and other providers 1462 75.3 1.06 (0.90–1.26) 2621 76.7 1.00 (—) .49 0.62 
 Keeping you informed about your child’s care in the ER 519 96.2 0.95 (0.52–1.74) 1492 96.5 1.00 (—) .86 0.65 
Communication with child         
 How well nurses communicate with your child 492 68.1 1.25 (0.99–1.58) 1281 69.7 1.00 (—) .06 0.64 
 How well doctors communicate with your child 486 63.3 1.03 (0.81–1.30) 1260 65.2 1.00 (—) .83 0.63 
 Involving teenagers in their care 180 76.6 1.05 (0.71–1.56) 408 76.1 1.00 (—) .80 0.58 
Attention to safety and comfort         
 Preventing mistakes and helping you report concerns 1311 43.1 1.25 (1.02–1.52) 2300 41.5 1.00 (—) .03 0.65 
 Helping your child feel comfortable 1384 73.2 0.86 (0.74–1.00) 2471 75.3 1.00 (—) .05 0.59 
 Responsiveness to call button 906 66.7 0.98 (0.80–1.20) 1683 71.7 1.00 (—) .85 0.64 
 Paying attention to your child’s pain 1009 77.2 0.77 (0.62–0.96) 1915 82.1 1.00 (—) .02 0.66 
 Cleanliness of hospital room 1448 71.6 1.05 (0.89–1.23) 2609 71.1 1.00 (—) .58 0.62 
 Quietness of hospital room 1445 46.9 1.02 (0.87–1.18) 2600 52.7 1.00 (—) .85 0.66 
Global ratings         
 Overall rating of hospital 1476 74.2 0.96 (0.81–1.13) 2645 76.9 1.00 (—) .62 0.61 
 Willingness to recommend the hospital 1473 92.7 1.04 (0.78–1.37) 2639 93.4 1.00 (—) .80 0.65 
Other itemsb         
 Providers asking about usual child behaviors 1422 60.6 1.14 (0.98–1.33) 2561 56.1 1.00 (—) .08 0.60 
 Staff introduction and explanation of role 1473 74.5 0.97 (0.82–1.15) 2646 76.9 1.00 (—) .75 0.59 
 Provider understanding of child’s condition 1469 55.9 0.87 (0.75–1.01) 2636 64.3 1.00 (—) .07 0.64 
 Provider follow-up on parent’s concerns and/or observations 1338 63.2 1.03 (0.88–1.21) 2304 65.6 1.00 (—) .68 0.61 
 Providers working together to give health care needed 1474 72.4 0.98 (0.83–1.16) 2636 76.2 1.00 (—) .82 0.60 
 Providers doing everything to help with pain 1093 76.2 0.90 (0.74–1.11) 2000 79.4 1.00 (—) .33 0.63 
 Parent involvement in decision-making about child’s care 1473 81.8 1.14 (0.94–1.37) 2633 81.5 1.00 (—) .18 0.58 
 Parent has clear understanding of role in child’s care 1474 89.4 1.07 (0.85–1.35) 2642 89.6 1.00 (—) .56 0.57 
 Overall rating of care from nurses 1475 73.3 0.89 (0.76–1.06) 2647 78.0 1.00 (—) .19 0.61 
 Overall rating of care from doctors 1474 81.0 1.11 (0.92–1.34) 2642 80.7 1.00 (—) .26 0.65 

—, not applicable.

a

Scores adjusted for sex of the child, patient age, respondent-reported health status of child, respondent relationship to child, repeat survey (yes or no), hospital, admission type, length of hospital stay, discharge disposition. Non-CMC composed the reference group.

b

Denotes items which are specific to the local health authority and are not part of the standard Child HCAHPS survey.

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