Update on CAHPS® Surveys (Text Version)

Slide presentation from the AHRQ 2011 conference.

On September 20, 2011, Judith Sangl made this presentation at the 2011 Annual Conference. Select to access the PowerPoint® presentation (775 KB). Plugin Software Help.


Slide 1

Update on CAHPS®  Surveys

Update on CAHPS® Surveys
AHRQ Annual Meeting

Lunch and Learn Session #46
September 20, 2011

Judith Sangl, ScD
AHRQ CAHPS® Project Officer

Slide 2

CAHPS® Program

CAHPS® Program

  • CAHPS = Consumer Assessment of Healthcare Providers and Systems.
  • Most widely used survey tools for assessing the patient's experience with care.
  • Initiated and funded by AHRQ since 1995.
  • Endorsed by National Quality Forum (NQF).
  • Consortium members include: AHRQ, Centers for Medicare & Medicaid Services (CMS), RAND, Yale/Harvard, and Westat.

Slide 3

CAHPS®

CAHPS

Obtain assessments from consumers of the quality of care that they receive in different settings which:

  • Inform selection decisions.
  • Identify areas where providers and organizations can improve their services.
  • Provide quality information to care providers and other audiences.

Slide 4

CAHPS Design Principles

CAHPS Design Principles

  • Emphasis on patients:
    • What patients value with respect to the setting of care.
    • Aspects of care for which patients are the best or only source of information.
    • Extensive testing with patients and families.
  • Reports and ratings about experiences.
  • Standardization:
    • Questionnaires, data collection protocols, analysis, reporting.
  • Multiple versions for diverse populations:
    • Adult; Child; English & Spanish versions.
  • All CAHPS surveys and products are in the public domain.

Slide 5

CAHPS Family of Surveys

CAHPS Family of Surveys

  • Integrated system of products and strategies:
    • Ambulatory Care Surveys.
    • Facility Surveys.
    • Supplemental Item Sets.
    • Custom items can be added.

CAHPS Core Questionnaire Items + Supplemental Items = CAHPS Survey

Slide 6

CAHPS Ambulatory Care Surveys

CAHPS Ambulatory Care Surveys

  • Health Plan Surveys:
    • Adult and child.
    • Medicare, Medicaid & commercial.
    • Managed care, Fee-for-service (FFS), preferred provider organization (PPO).
    • NCQA version.
    • Disenrollee.
  • Clinician & Group Surveys:
    • Adult and child.
    • Visit-based and past 12 months versions.
    • Survey updates (version 2.0) released soon.

Slide 7

 CAHPS Ambulatory Surveys, cont'd

CAHPS Ambulatory Surveys, cont'd

  • Clinician & Group Surveys (cont.):
    • American Indian Survey.
    • Surgical Care Survey.
  • Other Ambulatory Surveys:
    • Home Health Care Survey.
    • ECHO Survey (Behavioral Health Care).
    • Dental Plan Survey.

Slide 8

 CAHPS Facility Surveys

CAHPS Facility Surveys


  • Hospital Survey.
  • In-Center Hemodialysis Survey.
  • Nursing Home Surveys (endorsed by NQF in March 2011) (New):
    • In-person interview for long-term residents.
    • Recently discharged short-stay residents:
      • Time limited endorsement—being finalized.
    • Residents' family members.

Slide 9

 CAHPS Supplemental Item Sets

CAHPS Supplemental Item Sets

Clinician & Group Survey Item Sets

  • Patient-Centered Medical Home (New).
  • Health Literacy (New).
  • Cultural Competence (New).
  • Health Information Technology (New).

Health Plan Item Sets

  • Children with Chronic Conditions.
  • People with Mobility Impairments.

Additional supplemental items available for:

  • Health Plan Survey.
  • Clinician & Group Survey.

Slide 10

 Patient-Centered Medical Home (PCMH) Set

Patient-Centered Medical Home (PCMH) Set

  • Designed as a supplemental item set for the CAHPS Clinician and Group Survey.
  • PCMH-specific topic areas covered:
    • Coordination of Care.
    • Comprehensiveness.
    • Shared decisionmaking.
    • Whole person orientation.
    • Self-management support.

Slide 11

 Health Literacy Set

Health Literacy Set

  • Designed as a supplemental set of 29 items for the CAHPS Clinician & Group Survey.
  • Six main topic areas covered:
    • Communication with doctors and nurses.
    • Communication about health problems/concerns.
    • Communication about medicines.
    • Communication about tests.
    • Communication about forms.
    • Disease self-management.

Slide 12

Cultural Competence Domains  

Cultural Competence Domains

  • Designed as a supplemental item set for the CAHPS Clinician & Group Survey.
  • 3 reporting composites:
    • Doctors are polite and considerate.
    • Doctors give advice on staying healthy.
    • Doctors are caring and inspire trust.
  • Examples of other topics include:
    • Equitable treatment.
    • Language access.
    • Overall ratings (trust, interpreter services).

Slide 13

 Health Information Technology Set

Health Information Technology Set

  • Designed as a supplemental item set for the CAHPS Clinician & Group Survey.
  • 3 reporting composites:
    • Getting timely answers to medical questions by e-mail.
    • Helpfulness of provider's use of computers during a visit.
    • Helpfulness of provider's web site in giving you information about your care and tests.

Slide 14

 The CAHPS Database

The CAHPS Database

  • National repository of data for selected CAHPS surveys.
  • Two major applications:
    • Benchmarking to evaluate health system performance and support quality improvement.
    • Research on consumer assessments of quality.
  • Funded by AHRQ and administered by Westat through the CAHPS User Network.

Slide 15

CAHPS Database Components  

CAHPS Database Components

  • CAHPS Health Plan Survey Database:
    • 4.3 million records collected.
    • 12 Annual Chartbooks (1998—present).
  • CAHPS Clinician & Group Survey Database:
    • Just launched in May 2011 (New).
  • CAHPS Hospital Survey Database:
    • .8 million records collected.
    • 3 Annual Chartbooks (2006—2008).

Slide 16

 CG-CAHPS Database Composition

CG-CAHPS Database Composition
(as of December 2010)

CG-CAHPS VersionN of Practice SitesN of Respondents
Adult 12-month 4-pt23541,834
Adult 12-month 6-pt339180,588
Child 12-month 6-pt524,883
Adult Visit469103,442
Totals1,095330,747

Slide 17

 CG-CAHPS Online Reports

CG-CAHPS Online Reports
(https://cahps.ahrq.gov)

Image: A screen shot of the CAHPS Benchmarking Database web site is shown.

View Comparative Results.

Download Reports.

Slide 18

 CAHPS Improvement Guide

CAHPS Improvement Guide
(Updated Spring 2011) (New)

Image: A screen shot of the CAHPS Improvement Guide web site is shown.

Slide 19

 CAHPS User Support Services (Free!)

CAHPS User Support Services (Free!)

  • Survey Instruments and Instructions:
  • CAHPS Technical support: New)
  • CAHPS Database Technical support:
  • Sign up for CAHPS LISTSERV® for latest updates.

Slide 20

 Additional QI Resources

Additional QI Resources

  • CAHPS Improving Quality site: https://cahps.ahrq.gov:
    • Case studies of QI initiatives.
    • Supplemental survey questions.
    • Archived Webcasts and presentations.
    • Links to related resources:
      • Podcast series on quality improvement—released soon.
Page last reviewed March 2012
Internet Citation: Update on CAHPS® Surveys (Text Version). March 2012. Agency for Healthcare Research and Quality, Rockville, MD. http://www.ahrq.gov/news/events/conference/2011/sangl/index.html