CAHPS® Clinician & Group Survey 2.0 Update (Text Version)

On September 18, 2011, Ronald Hays made this presentation at the 2011 Annual Conference. Select to access the PowerPoint® presentation (749 KB). Plugin Software Help.

Slide 1

CAHPS Clinician & Group Survey 2.0 Update

Ron D. Hays (drhays@ucla.edu)
RAND, Santa Monica, CA
UCLA, Los Angeles, CA

Slide 2

C-G CAHPS History

• Development of "Group-CAHPS" began in 1999:
  • Solomon, L., Hays, R.D., Zaslavsky, A., & Cleary, P.D. (2005). Psychometric properties of the Group-Level Consumer Assessment of Health Plans Study (CAHPS®) instrument. Medical Care, 43, 53-60.
• C-G CAHPS Survey 1.0 released in 2006.
• NQF endorsement in 2007.

Slide 3

C-G CAHPS Core Composites

Access: Getting Appointments and Health Care When Needed

• Getting appointments for urgent care.
• Getting appointments for routine care.
• Getting an answer to a medical question during regular office hours.
• Getting an answer to a medical question after regular office hours.
• Wait time for appointment to start.

Global Rating of Doctor

• 0-10 rating.

How Well Doctors Communicate

• Doctor explanations easy to understand.
• Doctor listens carefully.
• Doctor gives easy to understand instructions.
• Doctor knows important information about medical history.
• Doctor shows respect for what you have to say.
• Doctor spends enough time with you.

Courteous and Helpful Office Staff

• Clerks and receptionists were helpful.
• Clerks and receptionists treat you with courtesy and respect.

Slide 4

C-G CAHPS 12-Month Survey

• Asks about experiences in last 12 months.
• Response scales are "never" to "always":
  • 6-point N-A.
  • 4-point N-A.
• Sample frame: patients with an office visit during the prior 12 months.
• Works well for assessing experiences that may not apply for every visit (e.g., health promotion, SDM).
• Commonly used for external reporting.

Slide 5

C-G CAHPS Visit Survey

• A "hybrid" combining:
  • 12-month reference period for Access questions (using 4-point N-A scale).
  • "Most recent visit" question for Doctor Communication and Office Staff and Follow-Up on Test Results (using 3-point Yes-No scale).
• Sample frame: patients with an office visit in the prior x months, or continuous sampling.
• Considered by many clinicians to be more actionable for improvement.

Slide 6

C&G Survey 2.0

• Changed focal provider.
• Made minor improvements to item wording.
• Moved chronic condition screening items to supplemental items.
• Added mental health item.
• Finalized:
  • Child 12-Month Survey.
  • Adult Visit Survey.

Slide 7

Focal Provider

• Users requested a way to include other types of providers (e.g., physician assistants and nurse practitioners).
• Changed from "this doctor" to "this provider".
• Cognitive testing confirmed "this provider" worked as intended.
• Confirmation of provider name remains in Q1.

Slide 8

Minor Item Wording Improvements

• Changed from getting an appointment:
  • "When you thought you needed" to.
  • "When you needed".
• Changed from getting easy to understand:
  • "Instructions about taking care of health problems or concerns" to...
  • "Information about health questions or concerns".

Slide 9

Chronic Condition Screening Items

• Moved from core survey to supplemental items.
• Benefit of conducting subgroup analysis outweighed by desire to streamline the core survey.

Slide 10

Mental Health Item

• Item on self-reported mental health added that parallels self-reported overall health item.

Slide 11

Finalized Child 12-Month Survey

• Previously called Child Primary Care Survey 2.0 (beta).
• Items and composite measures added on prevention and development:
  • Added new prevention item on time child spends on computer and watching TV.
  • Items changed from asking "whether you and this provider talked about" to.
  • "Whether anyone in this provider's office talked to you about".

Slide 12

Finalized Adult Visit Survey

• Most recent visit assessment of provider communication and office staff.
• 12-month assessment of access to care.
• Child Visit Survey forthcoming.

Slide 13

The End

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