Methods Used to Streamline the CAHPS<sup>®</sup> Hospital Survey

Keller, San; O’Malley, A. James; Hays, Ron D.; Matthew, Rebecca A.; Zaslavsky, Alan M.; Hepner, Kimberly A.; Cleary, Paul D.

doi:10.1111/j.1475-6773.2005.00478.x

Cited by 79 publications

(85 citation statements)

References 25 publications

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“…[1][2][3][4] In recent years, much progress has been made in the science of measuring important aspects of the patient care experience, most notably through the development and use of the Consumer Assessment of Healthcare Providers and Systems (CAHPS) suite of patient experience survey tools. [5][6][7][8][9][10][11] However, faced with multiple priorities and resource demands, health systems and providers may question the clinical and business value of collecting, analyzing, and acting upon data on patients' experiences of care.…”

mentioning

confidence: 99%

analysis & commentary Measuring Patient Experience As A Strategy For Improving Primary Care

Browne

Roseman²,

Shaller³

et al. 2010

Health Affairs

269

242

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Patients value the interpersonal aspects of their health care experiences. However, faced with multiple resource demands, primary care practices may question the value of collecting and acting upon survey data that measure patients' experiences of care. The Consumer Assessment of Healthcare Providers and Systems (CAHPS) suite of surveys and quality improvement tools supports the systematic collection of data on patient experience. Collecting and reporting CAHPS data can improve patients' experiences, along with producing tangible benefits to primary care practices and the health care system. We also argue that the use of patient experience information can be an important strategy for transforming practices as well as to drive overall system transformation. N ew models of organizing, delivering, and paying for primary care seek to improve the quality of care provided to patients and the experiences of clinicians. Meanwhile, research has shown that patients place much value on effective communication with their providers, the responsiveness of clinicians and staff to their needs, and an overall sense of being treated with care and respect.

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mentioning

confidence: 99%

analysis & commentary Measuring Patient Experience As A Strategy For Improving Primary Care

Browne

Roseman²,

Shaller³

et al. 2010

Health Affairs

269

242

View full text Add to dashboard Cite

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“…While psychometric evaluations of previous versions of the CAHPS survey instruments have been reported (e.g., Health Plan [2][3][4], Hospital [5][6][7][8], Medical Group [9,10]), similar evaluations have not been reported for the CAHPS 4.0 Health Plan Survey. Hence, the objective of this study was to assess the psychometric performance of a preliminary version of the CAHPS 4.0 Health Plan Survey.…”

Section: Introductionmentioning

confidence: 88%

Psychometric Performance of the Consumer Assessment of Healthcare Providers and Systems (CAHPS)4.0 Adult Health Plan Survey

Chong¹,

Damiano²

2012

Primary Health Care

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“…13,14,17 That included conducting focus groups, cognitive testing of draft survey questions, telephone pretesting of questions, translation of the questions into Spanish, and field-testing of the survey. One of the goals of the study was to learn about the relative efficacy of 3 modes of data collection: mail, telephone, and Internet-based.…”

Section: Questionnaire Developmentmentioning

confidence: 99%

“…The larger the ratio of between-to within-physician variation and the larger the number of respondents, the more precise the measurement of differences between physicians will be. 12,13 We estimated the between-physician reliability for each item after adjusting for the case-mix variables (age, health status, and race of the child; age and education of the respondent). We computed the reliability assuming sample sizes of 25, 50, and 100 for each physician.…”

Section: Analysesmentioning

confidence: 99%

Development of a New Patient-Based Measure of Pediatric Ambulatory Care

et al. 2009

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OBJECTIVE-In 1995, the Agency for Health Care Policy and Research initiated the Consumer Assessments of Healthcare Providers and Systems (CAHPS) project to develop and evaluate survey protocols for collecting reliable and valid assessments of health care from consumers. CAHPS surveys are used throughout the United States for evaluating ambulatory and hospital care experiences, including a version for assessing pediatric ambulatory care; however, pediatric experts thought that the existing pediatric instruments did not adequately assess developmental and preventive care. The objective of this study was to develop and test an Ambulatory Pediatric CAHPS survey that focuses on clinicians and groups and includes measures of developmental and preventive care.METHODS-To develop the survey, we conducted 2 focus groups and conducted 9 cognitive interviews. We conducted a telephone pretest with 20 parents and coded potential problems with the interview (behavioral coding). We conducted a dual-language field test of the instrument with 670 parents who reported about their children's ambulatory care. We used data from that survey to assess the reliability and validity of the measures.RESULTS-Questions about developmental monitoring and preventive care were developed and tested. Two scales that were based on those new questions had good internal consistency (coefficient α) and interphysician reliability. A consortium of CAHPS investigators and federal sponsors have approved the resulting instrument as a national measure of pediatric care. CONCLUSIONS- METHODS Questionnaire DevelopmentTo develop the new questions, we followed a protocol similar to that used to develop other CAHPS surveys. 13,14,17 That included conducting focus groups, cognitive testing of draft survey questions, telephone pretesting of questions, translation of the questions into Spanish, and field-testing of the survey. One of the goals of the study was to learn about the relative efficacy of 3 modes of data collection: mail, telephone, and Internet-based. Thus, we conducted a randomized assessment of different data collection protocols. Focus GroupsWe conducted 2 focus groups about parents' perspectives on the developmental and preventive care provided to their children. One group was conducted with English-only speakers and a second with bilingual Spanish/English parents. Participants were primarily mothers; only 3 of the 14 participants were fathers. They were a racially diverse group: 21% white, 21% black, and 50% Latina (some declined to select a race/ethnicity category). Their children ranged in age from 2 to 17 years.Each focus group was a semistructured discussion about the main topics covered by the Ambulatory Pediatric CAHPS instrument. Overall, both groups had a similar understanding of the concepts discussed: experiences with getting health care, preventive care, behavioral and cognitive development, referral to critical child development services, family issues and interactions with other children, shared decision-making, knowledge of ...

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Methods Used to Streamline the CAHPS^® Hospital Survey

Abstract: Although half the length of the original, the shorter CAHPS hospital survey demonstrates promising measurement properties, identifies variations in care among hospitals, and deals with aspects of the hospital stay that are important to patients' evaluations of care quality.

Cited by 79 publications

References 25 publications

analysis & commentary Measuring Patient Experience As A Strategy For Improving Primary Care

analysis & commentary Measuring Patient Experience As A Strategy For Improving Primary Care

Psychometric Performance of the Consumer Assessment of Healthcare Providers and Systems (CAHPS)4.0 Adult Health Plan Survey

Development of a New Patient-Based Measure of Pediatric Ambulatory Care

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Methods Used to Streamline the CAHPS® Hospital Survey

Abstract: Although half the length of the original, the shorter CAHPS hospital survey demonstrates promising measurement properties, identifies variations in care among hospitals, and deals with aspects of the hospital stay that are important to patients' evaluations of care quality.

Cited by 79 publications

References 25 publications

analysis & commentary Measuring Patient Experience As A Strategy For Improving Primary Care

analysis & commentary Measuring Patient Experience As A Strategy For Improving Primary Care

Psychometric Performance of the Consumer Assessment of Healthcare Providers and Systems (CAHPS)4.0 Adult Health Plan Survey

Development of a New Patient-Based Measure of Pediatric Ambulatory Care

Contact Info

Product

Resources

About

Methods Used to Streamline the CAHPS^® Hospital Survey