{
  "source": "Preserved report.html: topics array",
  "note": "Counts describe taxonomy structure, not review prevalence. Definitions are unchanged.",
  "topics": [
    {
      "category": "Access & Timeliness",
      "topic": "Wait times and timeliness of care",
      "description": "Speed from arrival through discharge or admission, including emergency, urgent and scheduled care."
    },
    {
      "category": "Access & Timeliness",
      "topic": "Appointment scheduling and access",
      "description": "Ability to obtain, change or cancel appointments and reach the facility for non-emergency care."
    },
    {
      "category": "Access & Timeliness",
      "topic": "Accessibility and accommodations",
      "description": "Physical access, mobility support, interpretation and sensory accommodations."
    },
    {
      "category": "Staff, Communication & Nursing",
      "topic": "Front desk, reception and administrative staff conduct",
      "description": "Courtesy, helpfulness and professionalism at registration and administrative contact."
    },
    {
      "category": "Staff, Communication & Nursing",
      "topic": "Clinical staff bedside manner and empathy",
      "description": "Respect, listening, compassion and professionalism from doctors, nurses and technicians."
    },
    {
      "category": "Staff, Communication & Nursing",
      "topic": "Communication and information sharing",
      "description": "Clinical updates, explanations, test results, callbacks and message consistency."
    },
    {
      "category": "Staff, Communication & Nursing",
      "topic": "Nursing responsiveness and basic care needs",
      "description": "Response to call buttons, assistance requests, toileting, positioning and comfort needs."
    },
    {
      "category": "Financial & Administrative",
      "topic": "Billing, charges and collections",
      "description": "Charge accuracy, surprise bills, disputes, payment handling and collections."
    },
    {
      "category": "Financial & Administrative",
      "topic": "Insurance coverage, denials and network issues",
      "description": "Coverage checks, claim denials, authorization and out-of-network issues."
    },
    {
      "category": "Facility & Environment",
      "topic": "Cleanliness and housekeeping",
      "description": "Visible sanitation, odors and tidiness in rooms, bathrooms and waiting areas."
    },
    {
      "category": "Facility & Environment",
      "topic": "Infection control and health safety practices",
      "description": "Masks, entry testing, isolation protocols and protective equipment."
    },
    {
      "category": "Facility & Environment",
      "topic": "Food, parking and facility amenities",
      "description": "Meals, parking, wayfinding and comfort amenities."
    },
    {
      "category": "Facility & Environment",
      "topic": "Facility condition, comfort and environment",
      "description": "Maintenance, noise, temperature and general physical comfort."
    },
    {
      "category": "Facility & Environment",
      "topic": "Visitor access, security and property safety",
      "description": "Visitor policies, security interactions and personal-property safety."
    },
    {
      "category": "Clinical Care & Safety",
      "topic": "Pain management",
      "description": "Whether pain was taken seriously, treated promptly and controlled effectively."
    },
    {
      "category": "Clinical Care & Safety",
      "topic": "Medication, prescriptions and pharmacy",
      "description": "Prescribing, administration, refills, pharmacy coordination and medication errors."
    },
    {
      "category": "Clinical Care & Safety",
      "topic": "Clinical assessment and diagnostic accuracy",
      "description": "Evaluation thoroughness, diagnosis quality, testing decisions and physician involvement."
    },
    {
      "category": "Clinical Care & Safety",
      "topic": "Patient safety and medical errors",
      "description": "Preventable adverse events, procedural mistakes, neglect and safety lapses."
    },
    {
      "category": "Clinical Care & Safety",
      "topic": "Diagnostic testing and imaging services",
      "description": "Ordering, scheduling, completion and results for labs, CT, MRI, X-ray and other tests."
    },
    {
      "category": "Clinical Care & Safety",
      "topic": "Surgical and procedural care",
      "description": "Preparation, anesthesia, procedural quality, recovery and related communication."
    },
    {
      "category": "Care Process & Coordination",
      "topic": "Staffing levels and operational capacity",
      "description": "Staffing, beds, equipment and the effects of overcrowding or under-resourcing."
    },
    {
      "category": "Care Process & Coordination",
      "topic": "Discharge process and aftercare planning",
      "description": "Discharge timing, instructions, paperwork and immediate follow-up arrangements."
    },
    {
      "category": "Care Process & Coordination",
      "topic": "Care coordination and referrals",
      "description": "Continuity across providers, referrals, transfers, handoffs and follow-up care."
    },
    {
      "category": "Care Process & Coordination",
      "topic": "Medical records and administrative documentation",
      "description": "Accuracy, availability and access to records, charts and administrative paperwork."
    },
    {
      "category": "Rights, Equity & Specialty Care",
      "topic": "Privacy and confidentiality",
      "description": "Protection of health information and physical privacy during care."
    },
    {
      "category": "Rights, Equity & Specialty Care",
      "topic": "Discrimination and equitable treatment",
      "description": "Perceived bias or unfair treatment based on personal characteristics."
    },
    {
      "category": "Rights, Equity & Specialty Care",
      "topic": "Behavioral health and psychiatric care",
      "description": "Quality, safety, environment and patient rights in mental-health and substance-use care."
    },
    {
      "category": "Rights, Equity & Specialty Care",
      "topic": "Maternity and pediatric care",
      "description": "Labor, delivery, NICU, pediatric emergency care and family-inclusive treatment."
    },
    {
      "category": "Rights, Equity & Specialty Care",
      "topic": "Rehabilitation and long-term care / therapy services",
      "description": "Physical, occupational and speech therapy plus rehabilitation and long-term care settings."
    }
  ],
  "categories": [
    {
      "category": "Access & Timeliness",
      "count": 3
    },
    {
      "category": "Staff, Communication & Nursing",
      "count": 4
    },
    {
      "category": "Financial & Administrative",
      "count": 2
    },
    {
      "category": "Facility & Environment",
      "count": 5
    },
    {
      "category": "Clinical Care & Safety",
      "count": 6
    },
    {
      "category": "Care Process & Coordination",
      "count": 4
    },
    {
      "category": "Rights, Equity & Specialty Care",
      "count": 5
    }
  ]
}