CAHPS® Clinician & Group Survey 2.0 Update (Text Version)
CAHPS Clinician & Group Survey 2.0 Update
Ron D. Hays (firstname.lastname@example.org)
RAND, Santa Monica, CA
UCLA, Los Angeles, CA
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.
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.
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.
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.
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.
- Child 12-Month Survey.
- Adult Visit Survey.
- 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.
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".
Chronic Condition Screening Items
- Moved from core survey to supplemental items.
- Benefit of conducting subgroup analysis outweighed by desire to streamline the core survey.
Mental Health Item
- Item on self-reported mental health added that parallels self-reported overall health item.
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".
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.
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