National Healthcare Quality & National Healthcare Disparities Reports: Measure Specification Appendix, 2013
Measures
Composite measure: Adults who had a doctor's office or clinic visit in the last 12 months whose health providers sometimes or never listened carefully, explained things clearly, respected what they had to say, and spent enough time with them
Composite measure: Adults who had a doctor's office or clinic visit in the last 6 or 12 months whose health providers sometimes or never listened carefully, explained things clearly, respected what they had to say, and spent enough time with them, by type of health coverage
Composite measure: Children who had a doctor's office or clinic visit in the last 12 months whose health providers sometimes or never listened carefully, explained things clearly, respected what they or their parents had to say, and spent enough time with them
Composite measure: Children with Medicaid who had a doctor's office or clinic visit whose health providers sometimes or never listened carefully, explained things clearly, respected what they or their parents had to say, and spent enough time with them
Adults who had a doctor's office or clinic visit whose health providers sometimes or never listened carefully to them
Adults who had a doctor's office or clinic visit whose health providers sometimes or never listened carefully to them, by type of health coverage
Children who had a doctor's office or clinic visit whose health providers sometimes or never listened carefully
Children with Medicaid who had a doctor's office or clinic visit whose health providers sometimes or never listened carefully
Adults who had a doctor's office or clinic visit whose health providers sometimes or never explained things in a way they could understand
Adults who had a doctor's office or clinic visit whose health providers sometimes or never explained things in a way they could understand, by type of health coverage
Children who had a doctor's office or clinic visit whose health providers sometimes or never explained things clearly
Children with Medicaid who had a doctor's office or clinic visit whose health providers sometimes or never explained things clearly
Adults who had a doctor's office or clinic visit whose health providers sometimes or never showed respect for what they had to say
Adults who had a doctor's office or clinic visit whose health providers sometimes or never showed respect for what they had to say, by type of health coverage
Children who had a doctor's office or clinic visit whose health providers sometimes or never showed respect for what they or their parents had to say
Children with Medicaid who had a doctor's office or clinic visit whose health providers sometimes or never showed respect for what they or their parents had to say
Adults who had a doctor's office or clinic visit whose health providers sometimes or never spent enough time with them
Adults who had a doctor's office or clinic visit whose health providers sometimes or never spent enough time with them, by type of health coverage
Children who had a doctor's office or clinic visit whose health providers sometimes or never spent enough time with them
Children with Medicaid who had a doctor's office or clinic visit whose health providers sometimes or never spent enough time with them and their parents
Rating of health care by adults who had a doctor's office or clinic visit
Rating of health care by adults who had a doctor's office or clinic visit, by type of health coverage
Rating of health care for children who had a doctor's office or clinic visit
Rating of health care by parents of children with Medicaid who had a doctor's office or clinic visit
Adults with limited English proficiency having a usual source of care that offered language assistance
Adults with limited English proficiency and a usual source of care
Adults with limited English proficiency who did not have a usual source of care
People with a usual source of care whose health care providers sometimes or never asked for the person's help to make treatment decisions
People with a usual source of care for whom health care providers explained and provided all treatment options
Adults age 18 and over who report language barrier as a reason for having difficulty understanding their doctor during their last visit within the past 2 years
Measure Title
Composite measure: Adults who had a doctor's office or clinic visit in the last 12 months whose health providers sometimes or never listened carefully, explained things clearly, respected what they had to say, and spent enough time with them
Measure Source
Agency for Healthcare Research and Quality (AHRQ), Center for Financing, Access, and Cost Trends (CFACT), Medical Expenditure Panel Survey (MEPS)
Table Description
Geographic Representation
National
Years Available
2002-2010
Population Subgroups
Activity limitation, age, education, gender, geographic location (residence), income, insurance, perceived health status, preferred language, race/ethnicity, U.S. born
Data Source
AHRQ, CFACT, MEPS
Denominator
People age 18 and over who visited a doctor's office or clinic to get health care in the past 12 months, excluding those with missing or invalid responses to any of the questions that make up this composite measure
Numerator
Subset of the denominator who responded "Sometimes" or "Never" to any of the four questions making up this composite measure
Measure Title
Composite measure:Adults who had a doctor's office or clinic visit in the last 6 or 12 months whose health providers sometimes or never listened carefully, explained things clearly, respected what they had to say, and spent enough time with them, by type of health coverage
Measure Source
Agency for Healthcare Research and Quality (AHRQ), Center for Quality Improvement and Patient Safety (CQuIPS), National CAHPS® (Consumer Assessment of Healthcare Providers) Benchmarking Database
Table Description
Geographic Representation
State
Years Available
2010-2011
Population Subgroups
Insurance (Medicaid, Medicare managed care, Medicare fee-for-service, commercial plans)
Data Source
AHRQ, CQuIPS, CAHPS
Denominator
Adults age 18 and over with Medicaid, Medicare managed care, Medicare fee-for-service, or commercial insurance, as appropriate, who visited a doctor's office or clinic to get health care in the past 6 or 12 months with valid responses, excluding those with missing or invalid responses, to any of the questions that make up this composite measure
Numerator
Subset of the denominator who responded "Sometimes" or "Never" to all of the four questions making up this composite measure
Comments
This is a composite measure; see entries for each of the four components of the composite measure for further details about the individual survey questions.
The weights are adjusted for nonresponse based on the number of questions (out of four) with a valid response.
CAHPS surveys ask consumers and patients to report on and evaluate their experiences with health care. These surveys cover topics that are important to consumers and focus on aspects of quality that consumers are best qualified to assess, such as the communication skills of providers and ease of access to health care services.
Measure Title
Composite measure: Children who had a doctor's office or clinic visit in the last 12 months whose health providers sometimes or never listened carefully, explained things clearly, respected what they or their parents had to say, and spent enough time with them
Measure Source
Agency for Healthcare Research and Quality (AHRQ), Center for Financing, Access, and Cost Trends (CFACT), Medical Expenditure Panel Survey (MEPS)
Table Description
Geographic Representation
National
Years Available
2002-2010
Population Subgroups
Age, children with special health care needs, gender, geographic location (residence), health insurance, income, perceived health status, preferred language, race/ethnicity, U.S. born
Data Source
AHRQ, CFACT, MEPS
Denominator
Children under age 18 who visited a doctor's office or clinic to get health care in the past 12 months, excluding those with missing or invalid responses to any of the questions that make up this composite measure
Numerator
Subset of the denominator whose parents or guardians responded "Sometimes" or "Never" to any of the four questions making up this composite measure
Comments
Estimates are weighted and adjusted for nonresponse based on the number of questions (out of four) with a valid response.
Measure Title
Composite measure:Children with Medicaid who had a doctor's office or clinic visit whose health providers sometimes or never listened carefully, explained things clearly, respected what they or their parents had to say, and spent enough time with them
Measure Source
Agency for Healthcare Research and Quality (AHRQ), Center for Quality Improvement and Patient Safety (CQuIPS), National CAHPS® (Consumer Assessment of Healthcare Providers and Systems) Benchmarking Database
Table Description
Geographic Representation
State
Years Available
State: 2010-2011
Population Subgroups
Insurance (Medicaid)
Data Source
AHRQ, CQuIPS, CAHPS
Denominator
Children under age 18 who are covered by Medicaid and who visited a doctor's office or clinic to get health care in the past 6 months, excluding those with missing or invalid responses to any of the questions that make up this composite measure
Numerator
Subset of the denominator whose parents or guardians responded "Sometimes" or "Never" to all of the four questions making up this composite measure
Comments
CAHPS surveys ask consumers and patients to report on and evaluate their experiences with health care. These surveys cover topics that are important to consumers and focus on aspects of quality that consumers are best qualified to assess, such as the communication skills of providers and ease of access to health care services.
Measure Title
Adults who had a doctor's office or clinic visit whose health providers sometimes or never listened carefully to them
Measure Source
Agency for Healthcare Research and Quality (AHRQ), Center for Financing, Access, and Cost Trends (CFACT), Medical Expenditure Panel Survey (MEPS)
Table Description
Geographic Representation
National
Years Available
2002-2010
Population Subgroups
Activity limitation, age, education, gender, geographic location (residence), income, insurance, perceived health status, preferred language, race/ethnicity, U.S. born
Data Source
AHRQ, CFACT, MEPS
Denominator
Adults who visited a doctor's office or clinic to get health care in the past 12 months and had a valid response to the question, "In the last 12 months how often did doctors or other health providers listen carefully to you?"
Numerator
Subset of the denominator who answered "Sometimes" or "Never" to the above question
Comments
Nonrespondents and respondents indicating "Don't Know" were excluded.
Measure Title
Adults who had a doctor's office or clinic visit whose health providers sometimes or never listened carefully to them, by type of health coverage
Measure Source
Agency for Healthcare Research and Quality (AHRQ), Center for Quality Improvement and Patient Safety (CQuIPS), National CAHPS® (Consumer Assessment of Healthcare Providers) Benchmarking Database
Table Description
Geographic Representation
State
Years Available
2010-2011
Population Subgroups
Insurance (Medicaid, Medicare managed care, Medicare fee-for-service, commercial plans)
Data Source
AHRQ, CQuIPS, CAHPS
Denominator
Adults covered by Medicare or Medicaid, or commercial plans, as appropriate, who visited a doctor's office or clinic to get health care in the past 6 or 12 months and answered the question, "In the last 12 (or 6) months how often did doctors or other health providers listen carefully to you?" Nonrespondents and respondents indicating "Don't Know" were excluded.
Numerator
Subset of the denominator who answered "Sometimes" or "Never" to the above question
Comments
CAHPS surveys ask consumers and patients to report on and evaluate their experiences with health care. These surveys cover topics that are important to consumers and focus on aspects of quality that consumers are best qualified to assess, such as the communication skills of providers and ease of access to health care services.
Measure Title
Children who had a doctor's office or clinic visit whose health providers sometimes or never listened carefully
Measure Source
Agency for Healthcare Research and Quality (AHRQ), Center for Financing, Access, and Cost Trends (CFACT), Medical Expenditure Panel Survey (MEPS)
Table Description
Geographic Representation
National
Years Available
2002-2010
Population Subgroups
Age, children with special health care needs, gender, geographic location (residence), health insurance, income, perceived health status, preferred language, race/ethnicity, U.S. born
Data Source
AHRQ, CFACT, MEPS
Denominator
Children under age 18 who visited a doctor's office or clinic to get health care in the past 12 months whose parents or guardians provided a valid response to the question, "In the last 12 months how often did doctors or other health providers listen carefully to you?" Nonrespondents and respondents indicating "Don't Know" were excluded.
Numerator
Subset of the denominator who, according to their parents or guardians, responded "Sometimes" or "Never" to the above question
Measure Title
Children with Medicaid who had a doctor's office or clinic visit whose health providers sometimes or never listened carefully
Measure Source
Agency for Healthcare Research and Quality (AHRQ), Center for Quality Improvement and Patient Safety (CQuIPS), National CAHPS® (Consumer Assessment of Healthcare Providers)
Table Description
Geographic Representation
State
Years Available
State: 2010-2011
Population Subgroups
Insurance (Medicaid)
Data Source
AHRQ, CQuIPS, CAHPS
Denominator
Children with Medicaid benefits who visited a doctor's office or clinic in the last 6 months
Numerator
Subset of the denominator whose parents or guardians responded "Sometimes" or "Never" to the question, "In the last 6 months, how often did doctors or other health providers listen carefully to you?"
Comments
CAHPS surveys ask consumers and patients to report on and evaluate their experiences with health care. These surveys cover topics that are important to consumers and focus on aspects of quality that consumers are best qualified to assess, such as the communication skills of providers and ease of access to health care services.
Measure Title
Adults who had a doctor's office or clinic visit whose health providers sometimes or never explained things in a way they could understand
Measure Source
Agency for Healthcare Research and Quality (AHRQ), Center for Financing, Access, and Cost Trends (CFACT), Medical Expenditure Panel Survey (MEPS)
Table Description
Geographic Representation
National
Years Available
2002-2010
Population Subgroups
Activity limitation, age, education, gender, geographic location (residence), income, insurance, perceived health status, preferred language, race/ethnicity, U.S. born
Data Source
AHRQ, CFACT, MEPS
Denominator
Adults age 18 and over who visited a doctor's office or clinic to get health care in the past 12 months and provided a valid response to the question, "In the last 12 months how often did doctors or other health providers explain things in a way you could understand?"
Numerator
Subset of the denominator who responded "Sometimes" or "Never" to the above question
Comments
Nonrespondents and respondents indicating "Don't Know" were excluded.
Measure Title
Adults who had a doctor's office or clinic visit whose health providers sometimes or never explained things in a way they could understand, by type of health coverage
Measure Source
Agency for Healthcare Research and Quality (AHRQ), Center for Quality Improvement and Patient Safety (CQuIPS), National CAHPS® (Consumer Assessment of Healthcare Providers) Benchmarking Database
Table Description
Geographic Representation
State
Years Available
2010-2011
Population Subgroups
Insurance (Medicaid, Medicare managed care, Medicare fee-for-service, commercial plans)
Data Source
State: AHRQ, CQuIPS, CAHPS
Denominator
For Medicaid, adults with Medicaid benefits who visited a doctor's office or clinic in the last 6 months.
For Medicare managed care, Medicare fee-for-service and commercial plans, adults with Medicare benefits who visited a doctor's office or clinic in the last 12 months.
Numerator
For Medicaid, subset of the denominator population who answered "Sometimes" or "Never" to the question, "In the last 6 months, how often did doctors or other health providers explain things in a way you could understand?"
For Medicare managed care, Medicare fee-for-service, and commercial plans, subset of the denominator population who answered "Sometimes" or "Never" to the question, "In the last 12 months, how often did doctors or other health providers explain things in a way you could understand?"
Comments
CAHPS surveys ask consumers and patients to report on and evaluate their experiences with health care. These surveys cover topics that are important to consumers and focus on aspects of quality that consumers are best qualified to assess, such as the communication skills of providers and ease of access to health care services.
Measure Title
Children who had a doctor's office or clinic visit whose health providers sometimes or never explained things clearly
Measure Source
Agency for Healthcare Research and Quality (AHRQ), Center for Financing, Access, and Cost Trends (CFACT), Medical Expenditure Panel Survey (MEPS)
Table Description
Geographic Representation
National
Years Available
2002-2010
Population Subgroups
Age, children with special health care needs, gender, geographic location (residence), health insurance, income, perceived health status, preferred language, race/ethnicity, U.S.-born
Data Source
National AHRQ, CFACT, MEPS
Denominator
Children under age 18 who had a doctor's office or clinic visit in the last 12 months whose parents or guardians provided a valid response to the question, "In the last 12 months how often did [the persons] doctors or other health providers explain things in a way you could understand?"
Numerator
Subset of the denominator whose parent or guardian responded "Sometimes" or "Never" to the above question
Comments
Nonrespondents and respondents indicating "Don't Know" were excluded.
Measure Title
Children with Medicaid who had a doctor's office or clinic visit whose health providers sometimes or never explained things clearly
Measure Source
Agency for Healthcare Research and Quality (AHRQ), Center for Quality Improvement and Patient Safety (CQuIPS), National CAHPS® (Consumer Assessment of Healthcare Providers) Benchmarking Database
Table Description
Geographic Representation
State
Years Available
2010-2011
Population Subgroups
Insurance (Medicaid)
Data Source
AHRQ, CQuIPS, CAHPS
Denominator
Children with Medicaid benefits who visited a doctor's office or clinic in the last 6 months
Numerator
Subset of the denominator whose parents or guardians responded "Sometimes" or "Never" to the question, "In the last 6 months, how often did doctors or other health providers explain things in a way you could understand?"
Comments
CAHPS surveys ask consumers and patients to report on and evaluate their experiences with health care. These surveys cover topics that are important to consumers and focus on aspects of quality that consumers are best qualified to assess, such as the communication skills of providers and ease of access to health care services.
Measure Title
Adults who had a doctor's office or clinic visit whose health providers sometimes or never showed respect for what they had to say
Measure Source
Agency for Healthcare Research and Quality (AHRQ), Center for Financing, Access, and Cost Trends (CFACT), Medical Expenditure Panel Survey (MEPS)
Table Description
Geographic Representation
National
Years Available
2002-2010
Population Subgroups
Activity limitation, age, education, gender, geographic location (residence), income, insurance, perceived health status, preferred language, race/ethnicity, U.S. born
Data Source
National AHRQ, CFACT, MEPS
Denominator
Adults age 18 and over who reported going to a doctor's office or clinic in the last 12 months and who provided a valid response to the question, "In the last 12 months how often did doctors or other health providers show respect for what you had to say?"
Numerator
Subset of the denominator who responded "Sometimes" or "Never" to the above question
Comments
Nonrespondents and respondents indicating "Don't Know" were excluded.
Measure Title
Adults who had a doctor's office or clinic visit whose health providers sometimes or never showed respect for what they had to say, by type of health coverage
Measure Source
Agency for Healthcare Research and Quality (AHRQ), Center for Quality Improvement and Patient Safety (CQuIPS), National CAHPS® (Consumer Assessment of Healthcare Providers) Benchmarking Database
Table Description
Geographic Representation
State
Years Available
2010-2011
Population Subgroups
Insurance (Medicaid, Medicare managed care, Medicare fee-for-service, commercial plans)
Data Source
AHRQ, CQuIPS, CAHPS
Denominator
For Medicaid, adults with Medicaid benefits who visited a doctor's office or clinic in the last 6 months.
For Medicare managed care, Medicare fee-for-service, and commercial plans, adults with Medicare benefits who visited a doctor's office or clinic in the last 12 months.
Numerator
For Medicaid, subset of the denominator population with the response "Sometimes" or "Never" to the question, "In the last 6 months, how often did doctors or other health providers show respect for what you had to say?"
For Medicare managed care, Medicare fee for service, and commercial plans, subset of the denominator with the response "Sometimes" or "Never" to the question, "In the last 12 months, how often did doctors or other health providers show respect for what you had to say?"
Comments
CAHPS surveys ask consumers and patients to report on and evaluate their experiences with health care. These surveys cover topics that are important to consumers and focus on aspects of quality that consumers are best qualified to assess, such as the communication skills of providers and ease of access to health care services.
Measure Title
Children who had a doctor's office or clinic visit whose health providers sometimes or never showed respect for what they or their parents had to say
Measure Source
Agency for Healthcare Research and Quality (AHRQ), Center for Financing, Access, and Cost Trends (CFACT), Medical Expenditure Panel Survey (MEPS)
Table Description
Geographic Representation
National
Years Available
2002-2010
Population Subgroups
Age, children with special health care needs, gender, geographic location (residence), health insurance, income, perceived health status, preferred language, race/ethnicity, U.S. born
Data Source
AHRQ, CFACT, MEPS
Denominator
Children under age 18 who had a doctor's office or clinic visit in the last 12 months and whose parent or guardian provided a valid response to the question, "In the last 12 months how often did doctors or other health providers show respect for what you had to say?"
Numerator
Subset of the denominator whose parent or guardian responded "Sometimes" or "Never" to the above question
Comments
Nonrespondents and respondents indicating "Don't Know" were excluded.
Measure Title
Children with Medicaid who had a doctor's office or clinic visit whose health providers sometimes or never showed respect for what they or their parents had to say
Measure Source
Agency for Healthcare Research and Quality (AHRQ), Center for Quality Improvement and Patient Safety (CQuIPS), National CAHPS® (Consumer Assessment of Healthcare Providers) Benchmarking Database
Table Description
Geographic Representation
State
Years Available
2010-2011
Population Subgroups
Insurance (Medicaid)
Data Source
State
AHRQ, CQuIPS, CAHPS
Denominator
Children with Medicaid benefits who visited a doctor's office or clinic in the last 6 months
Numerator
Subset of the denominator whose parents or guardians responded "Sometimes" or "Never" to the question, "In the last 6 months, how often did doctors or other health providers show respect for what you had to say?"
Comments
CAHPS surveys ask consumers and patients to report on and evaluate their experiences with health care. These surveys cover topics that are important to consumers and focus on aspects of quality that consumers are best qualified to assess, such as the communication skills of providers and ease of access to health care services.
Measure Title
Adults who had a doctor's office or clinic visit whose health providers sometimes or never spent enough time with them
Measure Source
Agency for Healthcare Research and Quality (AHRQ), Center for Financing, Access, and Cost Trends (CFACT), Medical Expenditure Panel Survey (MEPS)
Table Description
Geographic Representation
National
Years Available
2002-2010
Population Subgroups
Activity limitation, age, education, gender, geographic location (residence), income, insurance, perceived health status, preferred language, race/ethnicity, U.S. born
Data Source
National AHRQ, CFACT, MEPS
Denominator
Adults age 18 and over who reported going to a doctor's office or clinic in the last 12 months and who provided a valid response to the question, "In the last 12 months how often did doctors or other health providers spend enough time with you?"
Numerator
Subset of the denominator who responded "Sometimes" or "Never" to the above question
Comments
Nonrespondents and "Don't Know" responses were excluded.
Measure Title
Adults who had a doctor's office or clinic visit whose health providers sometimes or never spent enough time with them, by type of health coverage
Measure Source
Agency for Healthcare Research and Quality (AHRQ), Center for Quality Improvement and Patient Safety (CQuIPS), National CAHPS® (Consumer Assessment of Healthcare Providers) Benchmarking Database
Table Description
Geographic Representation
State
Years Available
2010-2011
Population Subgroups
Insurance (Medicaid, Medicare managed care, Medicare fee-for-service, commercial plans)
Data Source
AHRQ, CQuIPS, CAHPS
Denominator
For Medicaid, adults with Medicaid benefits who visited a doctor's office or clinic in the last 6 months.
For Medicare managed care, Medicare fee–for-service, and commercial plans, adults with Medicare benefits who visited a doctor's office or clinic in the last 12 months.
Numerator
For Medicaid, subset of the denominator who responded "Sometimes" or "Never" to the question, "In the last 6 months, how often did doctors or other health providers spend enough time with you?"
For Medicare managed care, Medicare fee for service, and commercial plans, subset of the denominator who responded "Sometimes" or "Never" to the question, "In the last 12 months, how often did doctors or other health providers spend enough time with you?"
Comments
CAHPS surveys ask consumers and patients to report on and evaluate their experiences with health care. These surveys cover topics that are important to consumers and focus on aspects of quality that consumers are best qualified to assess, such as the communication skills of providers and ease of access to health care services.
Measure Title
Children who had a doctor's office or clinic visit whose health providers sometimes or never spent enough time with them
Measure Source
Agency for Healthcare Research and Quality (AHRQ), Center for Financing, Access, and Cost Trends (CFACT), Medical Expenditure Panel Survey (MEPS)
Table Description
Geographic Representation
National
Years Available
2002-2010
Population Subgroups
Age, children with special health care needs, gender, geographic location (residence), health insurance, income, perceived health status, preferred language, race/ethnicity, U.S. born
Data Source
National AHRQ, CFACT, MEPS
Denominator
Children under age 18 who visited a doctor's office or clinic to get health care in the past 12 months and whose parent or guardian provided a valid response to the question, "In the last 12 months how often did doctors or other health providers spend enough time with you?"
Numerator
Subset of the denominator who responded "Sometimes" or "Never" to the above question
Measure Title
Children with Medicaid who had a doctor's office or clinic visit whose health providers sometimes or never spent enough time with them and their parents
Measure Source
Agency for Healthcare Research and Quality (AHRQ), Center for Quality Improvement and Patient Safety (CQuIPS), National CAHPS® (Consumer Assessment of Healthcare Providers) Benchmarking Database
Table Description
Geographic Representation
State
Years Available
2010-2011
Population Subgroups
Insurance (Medicaid)
Data Source
State: AHRQ, CQuIPS, CAHPS
Denominator
Children with Medicaid benefits who visited a doctor's office or clinic in the last 6 months
Numerator
Subset of the denominator whose parents or guardians responded "Sometimes" or "Never" to the question, "In the last 6 months, how often did doctors or other health providers spend enough time with you?"
Comments
CAHPS surveys ask consumers and patients to report on and evaluate their experiences with health care. These surveys cover topics that are important to consumers and focus on aspects of quality that consumers are best qualified to assess, such as the communication skills of providers and ease of access to health care services.
Measure Title
Rating of health care by adults who had a doctor's office or clinic visit
Measure Source
Agency for Healthcare Research and Quality (AHRQ), Center for Financing, Access, and Cost Trends (CFACT), Medical Expenditure Panel Survey (MEPS)
Table Description
Geographic Representation
National
Years Available
2002-2010
Population Subgroups
Activity limitation, age, education, gender, geographic location (residence), income, insurance, perceived health status, preferred language, race/ethnicity, U.S. born
Data Source
National AHRQ, CFACT, MEPS
Denominator
Adults age 18 and over who reported going to a doctor's office or clinic in the last 12 months and who provided a valid response to the question, "We want to know your rating of all your health care in the last 12 months from all doctor's and other health providers. Use any number from 0 to 10 where 0 is the worst health care possible and 10 is the best health care possible. How would you rate all your health care?"
Numerator
Subset of the denominator who rated their health care as less than 7 on a scale from 0 to 10
Comments
Nonrespondents and "Don't Know" responses were excluded.
Measure Title
Rating of health care by adults who had a doctor's office or clinic visit, by type of health coverage
Measure Source
Agency for Healthcare Research and Quality (AHRQ), Center for Quality Improvement and Patient Safety (CQuIPS), National CAHPS® (Consumer Assessment of Healthcare Providers) Benchmarking Database
Table Description
Geographic Representation
State
Years Available
2010-2011
Population Subgroups
Insurance (Medicaid, Medicare managed care, Medicare fee-for-service, commercial plans)
Data Source
State: AHRQ, CQuIPS, CAHPS
Denominator
Adults age 18 and over covered by Medicaid, Medicare managed care, Medicare fee for service, or commercial plans, as appropriate, who reported going to a doctor's office or clinic in the last 6 or 12 months and who provided a valid response to the question, "We want to know your rating of all your health care in the last 12 [6] months from all doctor's and other health providers. Use any number from 0 to 10 where 0 is the worst health care possible and 10 is the best health care possible. How would you rate all your health care?"
Numerator
Subset of the denominator who rated their health care as 0 or 1 (where 10 is the best grade)
Comments
Nonrespondents and "Don't Know" responses were excluded. CAHPS surveys ask consumers and patients to report on and evaluate their experiences with health care. These surveys cover topics that are important to consumers and focus on aspects of quality that consumers are best qualified to assess, such as the communication skills of providers and ease of access to health care services.
Measure Title
Rating of health care for children who had a doctor's office or clinic visit
Measure Source
Agency for Healthcare Research and Quality (AHRQ), Center for Financing, Access, and Cost Trends (CFACT), Medical Expenditure Panel Survey (MEPS)
Table Description
Geographic Representation
National
Years Available
2002-2010
Population Subgroups
Age, children with special health care needs, gender, geographic location (residence), health insurance, income, perceived health status, preferred language, race/ethnicity, U.S. born
Data Source
AHRQ, CFACT, MEPS
Denominator
Children under age 18 who had a doctor's office or clinic visit in the last 12 months and whose parents or guardians provided a valid response to the question, "We want to know your rating of all your health care in the last 12 months from all doctor's and other health providers. Use any number from 0 to 10 where 0 is the worst health care possible and 10 is the best health care possible. How would you rate all your health care?"
Numerator
Subset of the denominator whose parents or guardians rated their health care as less than 7 on a scale from 0 to 10
Comments
Nonrespondents and "Don't Know" responses were excluded.
Measure Title
Rating of health care by parents of children with Medicaid who had a doctor's office or clinic visit
Measure Source
Agency for Healthcare Research and Quality (AHRQ), Center for Quality Improvement and Patient Safety (CQuIPS), National CAHPS® (Consumer Assessment of Healthcare Providers) Benchmarking Database
Table Description
Geographic Representation
State
Years Available
2010-2011
Population Subgroups
Insurance (Medicaid)
Data Source
AHRQ, CQuIPS, CAHPS
Denominator
Children under age 18 covered by Medicaid who had a doctor's office or clinic visit in the last 6 months and whose parents or guardians provided a valid response to the question, "We want to know your rating of all your health care in the last 12 months from all doctor's and other health providers. Use any number from 0 to 10 where 0 is the worst health care possible and 10 is the best health care possible. How would you rate all your health care?"
Numerator
Subset of the denominator who rated their health care as 0 or 1 (where 10 is the best grade)
Comments
Nonrespondents and "Don't Know" responses were excluded.
CAHPS surveys ask consumers and patients to report on and evaluate their experiences with health care. These surveys cover topics that are important to consumers and focus on aspects of quality that consumers are best qualified to assess, such as the communication skills of providers and ease of access to health care services.
Measure Title
Adults with limited English proficiency having a usual source of care that offered language assistance
Measure Source
Agency for Healthcare Research and Quality (AHRQ), Center for Financing, Access, and Cost Trends (CFACT), Medical Expenditure Panel Survey (MEPS)
Table Description
Geographic Representation
National
Years Available
2002-2010
Population Subgroups
Activity limitation, age, education, gender, geographic location (residence), income, insurance, perceived health status, preferred language, race/ethnicity, U.S. born
Data Source
AHRQ, CFACT, MEPS
Denominator
Adult U.S. civilian noninstitutionalized population with limited English proficiency and a usual source of care
Numerator
Subset of the denominator who received language assistance at their usual source of care
Measure Title
Adults with limited English proficiency and a usual source of care
Measure Source
Agency for Healthcare Research and Quality (AHRQ), Center for Financing, Access, and Cost Trends (CFACT), Medical Expenditure Panel Survey (MEPS)
Table Description
Geographic Representation
National
Years Available
2002-2010
Population Subgroups
Activity limitation, age, education, gender, geographic location (residence), income, insurance, perceived health status, preferred language, race/ethnicity, U.S. born
Data Source
National AHRQ, CFACT, MEPS
Denominator
Adult U.S. civilian noninstitutionalized population
Numerator
Subset of the denominator who had a usual source of care
Measure Title
Adults with limited English proficiency who did not have a usual source of care
Measure Source
Agency for Healthcare Research and Quality (AHRQ), Center for Financing, Access, and Cost Trends (CFACT), Medical Expenditure Panel Survey (MEPS)
Table Description
Geographic Representation
National
Years Available
2002-2010
Population Subgroups
Activity limitation, age, education, gender, geographic location (residence), income, insurance, perceived health status, preferred language, race/ethnicity, U.S. born
Data Source
AHRQ, CFACT, MEPS
Denominator
Adult U.S. civilian noninstitutionalized population
Numerator
Subset of the denominator who did not have a usual source of care
Measure Title
People with a usual source of care whose health care providers sometimes or never asked for the persons help to make treatment decisions
Table Description
Geographic Representation
National
Years Available
2002-2010
Population Subgroups
Activity limitation, age, education, gender, geographic location (residence), income, insurance, perceived health status, preferred language, race/ethnicity, U.S. born
Data Source
AHRQ, CFACT, MEPS
Measure Source
Agency for Healthcare Research and Quality (AHRQ), Center for Financing, Access, and Cost Trends (CFACT), Medical Expenditure Panel Survey (MEPS)
Denominator
Adult U.S. civilian noninstitutionalized population with a usual source of care
Numerator
Subset of the denominator who indicated that their usual source of care "Sometimes" or "Never" discussed decisions with them
Measure Title
People with a usual source of care for whom health care providers explained and provided all treatment options
Measure Source
Agency for Healthcare Research and Quality (AHRQ), Center for Financing, Access, and Cost Trends (CFACT), Medical Expenditure Panel Survey (MEPS)
Table Description
Geographic Representation
National
Years Available
2002-2010
Population Subgroups
Activity limitation, age, education, gender, geographic location (residence), income, insurance, perceived health status, preferred language, race/ethnicity, U.S. born
Data Source
National AHRQ, CFACT, MEPS
Denominator
Adult U.S. civilian noninstitutionalized population with a usual source of care
Numerator
Subset of the denominator who reported that their health care providers explained and provided them with all treatment options
Measure Title
Adults age 18 and over who report language barrier as a reason for having difficulty understanding their doctor during their last visit within the past 2 years
Measure Source
University of California, Los Angeles (UCLA), Center for Health Policy Research (CHPR), California Health Interview Survey (CHIS)
Table Description
Geographic Representation
California
Years Available
2007, 2009, 2011-2012
Population Subgroups
Geographic location (residence), education, income, insurance, preferred language, English proficiency, race/ethnicity, sexual orientation, U. S. born
Data Sources
University of California, Los Angeles (UCLA), Center for Health Policy Research (CHPR), California Health Interview Survey (CHIS)
Denominator
California civilian noninstitutionalized population who have seen a doctor in the past 2 years, were not interviewed in English, or speak a language other than English at home
Numerator
Subset of the denominator who report difficulty in understanding doctor within the past 2 years
Comments
This measure is based on responses to the CHIS adult measure AJ8, "Was this because you and the doctor spoke different languages?"
Page originally created July 2014
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