Evaluation of a Care Coordination Measure for the Consumer Assessment of Healthcare Providers and Systems (CAHPS®) Medicare Survey

Martino, Steven C.; Brown, Julie A.; Cui, Mike; Cleary, Paul D.; Gaillot, Sarah; Elliott, Marc N.

doi:10.1177/1077558713508205

Cited by 41 publications

(51 citation statements)

References 17 publications

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“…18 The use of interpreter measures provides an objective measure of the need for interpreter services. Although the response rate was about 35 %, this rate is similar to surveys of patients from a health system conducted by survey vendors in more than one language, 19,20 and is higher than telephone surveys among community samples. 21,22 We also weighted our data to reduce bias from non-response.…”

Section: Discussionsupporting

confidence: 50%

Disparities in the Use of Internet and Telephone Medication Refills among Linguistically Diverse Patients

et al. 2015

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BACKGROUND: Health systems are increasingly implementing remote telephone and Internet refill systems to enhance patient access to medication refills. Remote refill systems may provide an effective approach for improving medication non-adherence, but more research is needed among patients with limited English proficiency with poor access to remote refill systems. OBJECTIVE: To compare the use of remote medication refill systems among limited-English-proficiency (LEP) and English-proficient (EP) patients with chronic conditions. METHODS: Cross-sectional survey in six languages/ dialects (English, Cantonese, Mandarin, Korean, Vietnamese, and Spanish) of 509 adults with diabetes, hypertension, or hyperlipidemia. Primary study outcomes were self-reported use of 1) Internet refills, 2) telephone refills, and 3) any remote refill system. LEP was measured by patient self-identification of a primary language other than English and a claims record of use of an interpreter. Other measures were age, gender, education, years in the U.S., insurance, health status, chronic conditions, and number of prescribed medications. Analyses included multivariable logistic regression weighted for survey non-response. RESULTS: Overall, 33.1 % of patients refilled their medications by telephone and 31.6 % by Internet. Among LEP patients (n=328), 31.5 % refilled by telephone and 21.2 % by Internet, compared with 36.7 % by telephone and 52.7 % by Internet among EP patients (n=181). Internet refill by language groups were as follows: English (52.7 %), Cantonese (34.9 %), Mandarin (17.4 %), Korean (16.7 %), Vietnamese (24.4 %), and Spanish (12.6 %). Compared to EP patients, LEP patients had lower use of any remote refill system (adjusted odds ratio [AOR] 0.18; p<0.001), CONCLUSIONS: LEP patients are significantly less likely than EP patients to use any remote medication refill system. Increased reliance on current systems for remote medication refills may increase disparities in health outcomes affecting LEP patients with poor access to telephone and Internet medication refills.

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Section: Discussionsupporting

confidence: 50%

Disparities in the Use of Internet and Telephone Medication Refills among Linguistically Diverse Patients

et al. 2015

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“…Despite these limitations, the study provided an important opportunity to evaluate the survey on a large sample of 2,740 respondents in a different location and with a different system of care than the original published evaluation of the measure. 5 …”

Section: Discussionmentioning

confidence: 99%

“…Subsequently, a 5-item care coordination scale was developed based on analysis of the CAHPS Medicare survey. 5 The patient experience measures in the CAHPS PCMH survey are summarized in the Appendix. The survey also includes questions assessing patient demographic characteristics (gender, age, race/ethnicity, education) and self-rated health.…”

Section: Methodsmentioning

confidence: 99%

Evaluating the Psychometric Properties of the CAHPS Patient-Centered Medical Home Survey

Berman

Kanter

Hugh

et al. 2014

Clinical Therapeutics

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Purpose To evaluate the reliability and validity of the Consumer Assessment of Healthcare Providers and Systems (CAHPS®) Patient-Centered Medical Home Survey. Methods We conducted a field test of the CAHPS patient-centered medical home (PCMH) survey with 2,740 adults collected by mail (n = 1,746), phone (n = 672), and web (n = 322) from 6 sites of care affiliated with a west-coast staff model health maintenance organization. Findings An overall response rate of 37% was obtained. Internal consistency reliability estimates for 7 multi-item scales were as follows: access to care (5 items, alpha = 0.79), communication with providers (6 items, alpha = 0.93), office staff courtesy and respect (2 items, alpha = 0.80), shared decision-making about medicines (3 items, alpha = 0.67), self-management support (2 items, alpha = 0.61), attention to mental health issues (3 items, alpha = 0.80), and care coordination (4 items, alpha = 0.58). The number of responses needed to get reliable information at the site of care level for the composites was generally acceptable (< 300 for 0.70 reliability-level) except for self-management support and shared decision-making about medicines. Item-scale correlations provided support for distinct composites except for access to care and shared decision-making about medicines, which overlapped with the communication with providers scale. Shared decision-making and self-management support were significantly uniquely associated with the global rating of the provider (dependent variable) along with access and communication in a multiple regression model. Implications This study provides further support for the reliability and validity of the CAHPS PCMH survey, but refinement of the self-management support and shared decision-making scales is needed. The survey can be used to provide information about the performance of different health plans on multiple domains of health care, but future efforts to improve some of the survey items is needed.

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“…Information about the development and psychometric properties of these items can be found in Hays et al 23 Items 2 and 3, which both ask about follow-up on test results, were combined to create a single indicator. Information about the scoring of this indicator appears in the table note.…”

Section: Care Coordinationmentioning

confidence: 99%

Racial/Ethnic Disparities in Medicare Beneficiaries’ Care Coordination Experiences

et al. 2016

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Background: Little is known about racial/ethnic differences in the experience of care coordination. To the extent that they exist, such differences may exacerbate health disparities given the higher prevalence of some chronic conditions among minorities. Objective: To investigate the extent to which racial/ethnic disparities exist in the receipt of coordinated care by Medicare beneficiaries. Subjects: A total of 260,974 beneficiaries who responded to the 2013 Medicare Consumer Assessment of Healthcare Providers and Systems (CAHPS) survey. Methods: We fit a series of linear, case-mix adjusted models predicting Medicare CAHPS measures of care coordination from race/ethnicity. Results: Hispanic, black, and Asian/Pacific Islander (API) beneficiaries reported that their personal doctor had medical records and other relevant information about their care significantly less often than did non-Hispanic white beneficiaries (−2 points for Hispanics, −1 point for blacks, and −4 points for APIs on a 100-point scale). These 3 groups also reported significantly greater difficulty getting timely follow-up on test results than non-Hispanic white beneficiaries (−9 points for Hispanics, −1 point for blacks, −5 points for APIs). Hispanic and black beneficiaries reported that help was provided in managing their care significantly less often than did non-Hispanic white beneficiaries (−2 points for Hispanics, −3 points for blacks). API beneficiaries reported that their personal doctor discussed their medications and had up-to-date information on care from specialists significantly less often than did non-Hispanic white beneficiaries (−2 and −4 points, respectively). Discussion: These results suggest a need for efforts to address racial/ethnic disparities in care coordination to help ensure high-quality care for all patients. Public reporting of plan-level performance data by race/ethnicity may also be helpful to Medicare beneficiaries and their advocates.

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Evaluation of a Care Coordination Measure for the Consumer Assessment of Healthcare Providers and Systems (CAHPS®) Medicare Survey

Cited by 41 publications

References 17 publications

Disparities in the Use of Internet and Telephone Medication Refills among Linguistically Diverse Patients

Disparities in the Use of Internet and Telephone Medication Refills among Linguistically Diverse Patients

Evaluating the Psychometric Properties of the CAHPS Patient-Centered Medical Home Survey

Racial/Ethnic Disparities in Medicare Beneficiaries’ Care Coordination Experiences

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