Patient Centeredness

2011 National Healthcare Quality and Disparities Reports

The National Healthcare Quality Report (NHQR) is a comprehensive national overview of quality of health care in the United States. It is organized around four dimensions of quality of care: effectiveness, patient safety, timeliness, and patient centeredness.

Patient Experience of Care
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 with Medicare or Medicaid, or commercial insurance, who had a doctor's office or clinic visit whose health providers sometimes or never listened carefully to them
Children with Medicaid who had a doctor's office or clinic visit whose health providers sometimes or never listened carefully
Children 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
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

Hospital Communication
Adult hospital patients who sometimes or never had good communication with doctors in the hospital
Adult hospital patients who sometimes or never had good communication with nurses in the hospital

Care Coordination
Hospital patients with heart failure discharged home with written instructions or educational material
Rehospitalizations for congestive heart failure (CHF)
People with a usual source of care whose health provider usually asks about prescription medications and treatments from other doctors
Potentially avoidable emergency department encounters for asthma
 


 

Patient Experience of Care

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).

National Tables

14_1_1.1 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, United States, 2002-2008

14_1_1.2a-d 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, United States, 2008, by:

  1. Race.
  2. Ethnicity.
  3. Education.
  4. Family income.

National Data Source

AHRQ, CFACT, MEPS.

National 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.

National Numerator

Subset of the denominator who responded "Sometimes" or "Never" to any of the four questions making up this composite measure.

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Patient Experience of Care

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.

State Tables

14_1_1.3_1 Adults who had a doctor's office or clinic visit in the last 6 months whose doctor sometimes or never listened carefully, explained things clearly, respected what they had to say, and spent enough time with them, Medicaid, by State, United States, 2010

14_1_1.4_1 Adults who had a doctor's office or clinic visit in the last 12 months whose doctor sometimes or never listened carefully, explained things clearly, respected what they had to say, and spent enough time with them, Medicare managed care, by State, United States, 2010

14_1_1.5_1 Adults who had a doctor's office or clinic visit in the last 12 months whose doctor sometimes or never listened carefully, explained things clearly, respected what they had to say, and spent enough time with them, Medicare fee for service, by State, United States, 2010

14_1_1.6_1 Adults who had a doctor's office or clinic visit in the last 12 months whose doctor sometimes or never listened carefully, explained things clearly, respected what they had to say, and spent enough time with them, commercial plans, by State, United States, 2010

State Data Source

AHRQ, CQuIPS, CAHPS.

State 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.

State 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.

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Patient Experience of Care

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).

National Tables

14_1_2.1 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, showed respect for what they had to say, and spent enough time with them, United States, 2002-2008

14_1_2.2a-c 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, United States, 2008, by:

  1. Race.
  2. Ethnicity.
  3. Family income.

National Data Source

AHRQ, CFACT, MEPS.

National 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.

National 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

The national tables report data from the MEPS Child Health section. The MEPS entry in the Data Sources appendix has more information.

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.

Estimates are weighted and adjusted for nonresponse based on the number of questions (out of four) with a valid response.

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Patient Experience of Care

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.

State Table

14_1_2.3_1 Children who had a doctor's office or clinic visit in the last 6 months whose doctor sometimes or never listened carefully, explained things clearly, respected what they or their parents had to say, and spent enough time with them, Medicaid, by State, 2010

State Data Source

AHRQ, CQuIPS, CAHPS.

State 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.

State 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.

Top of Page


 

Patient Experience of Care

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).

National Tables

14_1_3.1 Adults who had a doctor's office or clinic visit in the last 12 months whose health providers sometimes or never listened carefully to them, United States, 2002-2008

14_1_3.2a-d Adults who had a doctor's office or clinic visit in the last 12 months whose health providers sometimes or never listened carefully to them, United States, 2008, by:

  1. Race.
  2. Ethnicity.
  3. Family income.
  4. Education.

National Data Source

AHRQ, CFACT, MEPS.

National 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?"

National Numerator

Subset of the denominator who answered "Sometimes" or "Never" to the above question.

Comments

Nonrespondents and respondents indicating "Don't Know" were excluded.

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Patient Experience of Care

Measure Title

Adults with Medicare or Medicaid, or commercial insurance, 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 Quality Improvement and Patient Safety (CQuIPS), National CAHPS® (Consumer Assessment of Healthcare Providers) Benchmarking Database.

State Tables

14_1_3.3_1 Adults who had a doctor's office or clinic visit in the last 6 months whose doctor sometimes or never listened carefully to them, Medicaid, by State, United States, 2010

14_1_3.4_1 Adults who had a doctor's office or clinic visit in the last 12 months whose doctor sometimes or never listened carefully to them, Medicare managed care, by State, United States, 2010

14_1_3.5_1 Adults who had a doctor's office or clinic visit in the last 12 months whose doctor sometimes or never listened carefully to them, Medicare fee for service, by State, United States, 2010

14_1_3.6_1 Adults who had a doctor's office or clinic visit in the last 12 months whose doctor sometimes or never listened carefully to them, commercial plans, by State, United States, 2010

State Data Source

AHRQ, CQuIPS, CAHPS.

State 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.

State Numerator

Subset of the denominator who answered "Sometimes" or "Never" to the above question.

Comments

National tables include data from the MEPS Self-Administered Questionnaire (SAQ). The MEPS entry in the Data Sources appendix has more information on the SAQ.

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.

Top of Page


 

Patient Experience of Care

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 Financing, Access, and Cost Trends (CFACT), Medical Expenditure Panel Survey (MEPS).

National Tables

14_1_4.1 Children who had a doctor�s office or clinic visit in the last 12 months whose health providers sometimes or never listened carefully to them, United States, 2002-2008

14_1_4.2a-c Children who had a doctor�s office or clinic visit in the last 12 months whose health providers sometimes or never listened carefully to them, United States, 2008, by:

  1. Race.
  2. Ethnicity.
  3. Family income.

National Data Source

AHRQ, CFACT, MEPS.

National 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.

National Numerator

Subset of the denominator who, according to their parents or guardians, responded "Sometimes" or "Never" to the above question.

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Patient Experience of Care

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 Quality Improvement and Patient Safety (CQuIPS), National CAHPS® (Consumer Assessment of Healthcare Providers) Benchmarking Database.

State Table

14_1_4.3_1 Children who had a doctor's office or clinic visit in the last 6 months whose doctor sometimes or never listened carefully, Medicaid, by State, United States, 2010

State Data Source

AHRQ, CQuIPS, CAHPS.

State Denominator

Children with Medicaid benefits who visited a doctor's office or clinic in the last 6 months.

State 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

The National tables include data from the MEPS Child Health section. The MEPS entry in the Data Sources appendix has more information.

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.

Top of Page


 

Patient Experience of Care

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).

National Tables

14_1_5.1 Adults who had a doctor's office or clinic visit in the last 12 months whose health providers sometimes or never explained things clearly, United States, 2002-2008

14_1_5.2a-d Adults who had a doctor's office or clinic visit in the last 12 months whose health providers sometimes or never explained things clearly, United States, 2008, by:

  1. Race.
  2. Ethnicity.
  3. Family income.
  4. Education.

National Data Source

AHRQ, CFACT, MEPS.

National 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?" Nonrespondents and respondents indicating "Don't Know" were excluded.

National Numerator

Subset of the denominator who responded "Sometimes" or "Never" to the above question.

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Patient Experience of Care

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.

State Tables

14_1_5.3_1 Adults who had a doctor's office or clinic visit in the last 6 months whose doctor sometimes or never explained things in a way they could understand, Medicaid, by State, 2010

14_1_5.4_1 Adults who had a doctor's office or clinic visit in the last 12 months whose doctor sometimes or never explained things in a way they could understand, Medicare managed care, by State, 2010

14_1_5.5_1 Adults who had a doctor's office or clinic visit in the last 12 months whose doctor sometimes or never explained things in a way they could understand, Medicare fee for service, by State, 2010

14_1_5.6_1 Adults who had a doctor's office or clinic visit in the last 12 months whose doctor sometimes or never explained things in a way they could understand, commercial plans, by State, 2010

State Data Source

AHRQ, CQuIPS, CAHPS.

State Denominator

Adults with Medicaid benefits who visited a doctor's office or clinic in the last 6 months.

Adults with Medicare benefits who visited a doctor's office or clinic in the last 12 months.

State 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.

Top of Page


 

Patient Experience of Care

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).

National Tables

14_1_6.1 Children who had a doctor�s office or clinic visit in the last 12 months whose health providers sometimes or never explained things clearly, United States, 2002-2008

14_1_6.2a-c Children who had a doctor�s office or clinic visit in the last 12 months whose health providers sometimes or never explained things clearly, United States, 2008, by:

  1. Race.
  2. Ethnicity.
  3. Family income.

National Data Source

AHRQ, CFACT, MEPS.

National 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 person's] doctors or other health providers explain things in a way you could understand?" Nonrespondents and respondents indicating "Don't Know" were excluded.

National Numerator

Subset of the denominator whose parent or guardian responded "Sometimes," or "Never" to the above question.

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Patient Experience of Care

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.

State Tables

14_1_6.3_1 Children who had a doctor's office or clinic visit in the last 6 months whose doctor sometimes or never explained things clearly to their parents, Medicaid, by State, United States, 2010

14_1_6.4_1 Children who had a doctor's office or clinic visit in the last 6 months whose doctor sometimes or never explained things clearly to them (children), Medicaid, by State, United States, 2010

State Data Source

AHRQ, CQuIPS, CAHPS.

State Denominator

Children with Medicaid benefits who visited a doctor's office or clinic in the last 6 months.

State 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.

Top of Page


 

Patient Experience of Care

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).

National Tables

14_1_7.1 Adults who had a doctor�s office or clinic visit in the last 12 months whose health providers sometimes or never showed respect for what they had to say, United States, 2002-2008

14_1_7.2a-d Adults who had a doctor�s office or clinic visit in the last 12 months whose health providers sometimes or never showed respect for what they had to say, United States, 2008, by:

  1. Race.
  2. Ethnicity.
  3. Family income.
  4. Education.

National Data Source

AHRQ, CFACT, MEPS.

National 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?" Nonrespondents and respondents indicating "Don't Know" were excluded.

National Numerator

Subset of the denominator who responded "Sometimes" or "Never" to the above question.

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Patient Experience of Care

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.

State Tables

14_1_7.3_1 Adults who had a doctor's office or clinic visit in the last 6 months whose doctor sometimes or never showed respect for what they had to say, Medicaid, by State, United States, 2010

14_1_7.4_1 Adults who had a doctor's office or clinic visit in the last 12 months whose doctor sometimes or never showed respect for what they had to say, Medicare managed care, by State, United States, 2010

14_1_7.5_1 Adults who had a doctor's office or clinic visit in the last 12 months whose doctor sometimes or never showed respect for what they had to say, Medicare fee for service, by State, United States, 2010

14_1_7.6_1 Adults who had a doctor's office or clinic visit in the last 12 months whose doctor sometimes or never showed respect for what they had to say, commercial plans, by State, United States, 2010

State Data Source

AHRQ, CQuIPS, CAHPS.

State Denominator

Adults with Medicaid benefits who visited a doctor's office or clinic in the last 6 months.

Adults with Medicare benefits who visited a doctor's office or clinic in the last 12 months.

State 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.

Top of Page


 

Patient Experience of Care

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).

National Tables

14_1_8.1 Children who had a doctor's office or clinic visit in the last 12 months whose health providers sometimes or never showed respect for what they had to say, United States, 2002-2008

14_1_8.2a-c Children who had a doctor's office or clinic visit in the last 12 months whose health providers sometimes or never showed respect for what they or their parents had to say, United States, 2008, by:

  1. Race.
  2. Ethnicity.
  3. Family income.

National Data Source

AHRQ, CFACT, MEPS.

National 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?" Nonrespondents and respondents indicating "Don't Know" were excluded.

National Numerator

Subset of the denominator whose parent or guardian responded "Sometimes" or "Never" to the above question.

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Patient Experience of Care

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.

State Table

14_1_8.3_1 Children who had a doctor's office or clinic visit in the last 6 months whose doctor sometimes or never showed respect for what they or their parents had to say, Medicaid, by State, United States, 2010

State Data Source

AHRQ, CQuIPS, CAHPS.

State Denominator

Children with Medicaid benefits who visited a doctor's office or clinic in the last 6 months.

State 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.

Top of Page


 

Patient Experience of Care

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).

National Tables

14_1_9.1 Adults who had a doctor's office or clinic visit in the last 12 months whose health providers sometimes or never spent enough time with them, United States, 2002-2008

14_1_9.2a-d Adults who had a doctor's office or clinic visit in the last 12 months whose health providers sometimes or never spent enough time with them, United States, 2008, by:

  1. Race.
  2. Ethnicity.
  3. Family income.
  4. Education.

National Data Source

AHRQ, CFACT, MEPS.

National 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?" Nonrespondents and "Don't Know" responses were excluded.

National Numerator

Subset of the denominator who responded "Sometimes" or "Never" to the above question.

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Patient Experience of Care

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.

State Tables

14_1_9.3_1 Adults who had a doctor's office or clinic visit in the last 6 months whose doctor sometimes or never spent enough time with them, Medicaid, by State, United States, 2010

14_1_9.4_1 Adults who had a doctor's office or clinic visit in the last 12 months whose doctor sometimes or never spent enough time with them, Medicare managed care, by State, United States, 2010

14_1_9.5_1 Adults who had a doctor's office or clinic visit in the last 12 months whose doctor sometimes or never spent enough time with them, Medicare fee for service, by State, United States, 2010

14_1_9.6_1 Adults who had a doctor's office or clinic visit in the last 12 months whose doctor sometimes or never spent enough time with them, commercial plans, by State, United States, 2010

State Data Source

AHRQ, CQuIPS, CAHPS.

State Denominator

Adults with Medicaid benefits who visited a doctor's office or clinic in the last 6 months.

Adults with Medicare benefits who visited a doctor's office or clinic in the last 12 months.

State 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.

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Patient Experience of Care

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).

National Tables

14_1_10.1 Children who had a doctor's office or clinic visit in the last 12 months whose health providers sometimes or never spent enough time with them, United States, 2002-2008

14_1_10.2a-c Children who had a doctor's office or clinic visit in the last 12 months whose health providers sometimes or never spent enough time with them, United States, 2008, by:

  1. Race.
  2. Ethnicity.
  3. Family income.

National Data Source

AHRQ, CFACT, MEPS.

National 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?"

National Numerator

Subset of the denominator who responded "Sometimes" or "Never" to the above question.

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Patient Experience of Care

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.

State Table

14_1_10.3 Children who had a doctor's office or clinic visit in the last 6 months whose doctor sometimes or never spent enough time with them and their parents, Medicaid, by State, United States, 2010

State Data Source

AHRQ, CQuIPS, CAHPS.

State Denominator

Children with Medicaid benefits who visited a doctor's office or clinic in the last 6 months.

State 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.

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Patient Experience of Care

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).

National Tables

14_1_11.1 Rating of health care 0-6 on a scale from 0 to 10 (best grade) by adults who had a doctor's office or clinic visit in the last 12 months, United States, 2002-2008

14_1_11.2a-d Rating of health care 0-6 on a scale from 0 to 10 (best grade) by adults who had a doctor's office or clinic visit in the last 12 months, United States, 2008, by:

  1. Race.
  2. Ethnicity.
  3. Family income.
  4. Education.

National Data Source

AHRQ, CFACT, MEPS.

National 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 doctors 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?" Nonrespondents and "Don't Know" responses were excluded.

National Numerator

Subset of the denominator who rated their health care as less than 7 on a scale from 0 to 10.

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Patient Experience of Care

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.

State Tables

14_1_11.3_1 Adults who had a doctor's office or clinic visit in the last 6 months who gave the worst rating for their doctor, Medicaid, by State, United States, 2010

14_1_11.4_1 Adults who had a doctor's office or clinic visit in the last 12 months who gave the worst rating for their doctor, Medicare managed care, by State, United States, 2010

14_1_11.5_1 Adults who had a doctor's office or clinic visit in the last 12 months who gave the worst rating for their doctor, Medicare fee for service, by State, United States, 2010

14_1_11.6_1 Adults who had a doctor's office or clinic visit in the last 12 months who gave the worst rating for their doctor, commercial plans, by State, United States, 2010

State Data Source

AHRQ, CQuIPS, National CAHPS Benchmarking Database.

State 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 doctors 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?" Nonrespondents and "Don't Know" responses were excluded.

State Numerator

Subset of the denominator who rated their health care as 0 or 1 (where 10 is the best grade).

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.

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Patient Experience of Care

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).

National Tables

14_1_12.1 Rating of health care 0-6 on a scale from 0 to 10 (best grade) for children who had a doctor's office or clinic visit in the last 12 months, United States, 2002-2008

14_1_12.2a-c Rating of 0-6 on a scale from 0 to 10 (best grade) of health care for children who had a doctor's office or clinic visit in the last 12 months, United States, 2008, by:

  1. Race.
  2. Ethnicity.
  3. Family income.

National Data Source

AHRQ, CFACT, MEPS.

National 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 doctors 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?" Nonrespondents and "Don't Know" responses were excluded.

National Numerator

Subset of the denominator whose parents or guardians rated their health care as less than 7 on a scale from 0 to 10.

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Patient Experience of Care

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.

State Tables

14_1_12.3_1 Children who had a doctor's office or clinic visit in the last 6 months whose parents gave the worst rating for their child's doctor, Medicaid, by State, United States, 2010

State Data Source

AHRQ, CQuIPS, CAHPS.

State 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 doctors 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?" Nonrespondents and "Don't Know" responses were excluded.

State Numerator

Subset of the denominator who rated their health care as 0 or 1 (where 10 is the best grade).

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.

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Patient Experience of Care

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).

National Tables

14_1_13.1_2a-d Adults with limited English proficiency and usual source of care who had assistance, United States, 2008, by:

  1. Race.
  2. Ethnicity.
  3. Family income.
  4. Education.

Data Source

AHRQ, CFACT, MEPS.

National Denominator

Adult U.S. civilian noninstitutionalized population with limited English proficiency and a usual source of care.

National Numerator

Subset of the denominator who received language assistance at their usual source of care.

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Patient Experience of Care

Measure Title

People with a usual source of care whose health care providers sometimes or never asked for the person's help to make treatment decisions.

Measure Source

Agency for Healthcare Research and Quality (AHRQ), Center for Financing, Access, and Cost Trends (CFACT), Medical Expenditure Panel Survey (MEPS).

National Tables

14_1_14.1 People with a usual source of care whose health care providers sometimes or never asked for the person's help to make treatment decisions, United States, 2002-2008

14_1_14.2a-d People with a usual source of care whose health care providers sometimes or never asked for the person's help to make treatment decisions, United States, 2008, by:

  1. Race.
  2. Ethnicity.
  3. Family income.
  4. Education.

National Data Source

AHRQ, CFACT, MEPS.

National Denominator

Adult U.S. civilian noninstitutionalized population with a usual source of care.

National Numerator

Subset of the denominator who indicated that their usual source of care "Sometimes" or "Never" discussed decisions with them.

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Patient Experience of Care

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).

National Tables

14_1_15.1 People with a usual source of care for whom health care providers explained and provided all treatment options, United States, 2002-2008

14_1_15.2a-d People with a usual source of care for whom health care providers explained and provided all treatment options, United States, 2008, by:

  1. Race.
  2. Ethnicity.
  3. Family income.
  4. Education.

National Data Source

AHRQ, CFACT, MEPS.

National Denominator

Adult U.S. civilian noninstitutionalized population with a usual source of care.

National Numerator

Subset of the denominator who reported that their health care providers explained and provided them with all treatment options.

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Hospital Communication

Measure Title

Adult hospital patients who sometimes or never had good communication with doctors in the hospital.

Measure Source

Centers for Medicare & Medicaid Services (CMS), Hospital Consumer Assessment of Healthcare Providers and Systems (HCAHPS).

National Tables

14_2_1.1 Adult hospital patients who sometimes or never had good communication with doctors in the hospital, United States, 2009-2010

14_2_1.2 Adult hospital patients who sometimes or never had good communication with doctors in the hospital, by race, United States, 2010

National Data Source

CMS, HCAHPS.

National Denominator

Patients age 18 and over discharged alive who had at least an overnight hospital stay and no psychiatry-related diagnoses.

National Numerator

Subset of the denominator who responded "Sometimes" or "Never" to any of three survey questions: "During this hospital stay, how often did doctors treat you with courtesy and respect?" "During this hospital stay, how often did doctors listen carefully to you?" and "During this hospital stay, how often did doctors explain things in a way you could understand?"

State Table

14_2_1.3 Adult hospital patients who sometimes or never had good communication with doctors in the hospital, by State, United States, 2009-2010

State Data Source

CMS, HCAHPS.

State Denominator

Same as national.

State Numerator

Same as national.

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Hospital Communication

Measure Title

Adult hospital patients who sometimes or never had good communication with nurses in the hospital.

Measure Source

Centers for Medicare & Medicaid Services (CMS), Hospital Consumer Assessment of Healthcare Providers and Systems (HCAHPS).

National Table

14_2_2.1 Adult hospital patients who sometimes or never had good communication with nurses in the hospital, United States, 2009-2010

14_2_2.2 Adult hospital patients who sometimes or never had good communication with nurses in the hospital, by race, United States, 2010

National Data Source

CMS, HCAHPS.

National Denominator

Hospital patients age 18 and over discharged alive who had at least an overnight stay and no psychiatry-related diagnoses.

National Numerator

Subset of the denominator who responded "Sometimes" or "Never" to any of three survey questions: "During this hospital stay, how often did nurses treat you with courtesy and respect?" "During this hospital stay, how often did nurses listen carefully to you?" and "During this hospital stay, how often did nurses explain things in a way you could understand?"

State Table

14_2_2.3 Adult hospital patients who sometimes or never had good communication with nurses in the hospital, by State, United States, 2009-2010

State Data Source

CMS, HCAHPS.

State Denominator

Same as national.

State Numerator

Same as national.

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Care Coordination

Measure Title

Hospital patients with heart failure discharged home with written instructions or educational material.

Measure Source

Centers for Medicare & Medicaid Services (CMS), Medicare Quality Improvement Organization Program (QIO).

National Tables

14_4_1.1 Hospital patients with heart failure who were given complete written discharge instructions, United States, 2005-2009

National Data Source

CMS, QIO.

National Denominator

Heart failure patients age 18 and over discharged to home or home care.

National Numerator

Subset of the denominator with documentation that they or their caregivers were given written discharge instructions or other educational material addressing all of the following: activity level, diet, discharge medications, followup appointment, weight monitoring, and information on what to do if symptoms worsen.

State Table

14_4_1.2 Hospital patients with heart failure who were given complete written discharge instructions, by State, United States, 2005-2009

State Data Source

CMS, QIO.

State Denominator

Same as national.

State Numerator

Same as national.

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Care Coordination

Measure Title

Rehospitalizations for congestive heart failure (CHF).

Measure Source

Agency for Healthcare Research and Quality (AHRQ), Center for Delivery, Organization, and Markets (CDOM), Healthcare Cost and Utilization Project (HCUP), Prevention Quality Indicators (PQIs).

National Tables

14_ 4_2.1a-b Adult hospital readmissions for congestive heart failure, by State, United States, 2008, by:

  1. Race.
  2. Ethnicity.

National Data Source

AHRQ, CDOM, HCUP, State Inpatient Databases (SID).

National Denominator

U.S. civilian population age 18 and over.

National Numerator

Subset of the denominator admitted to any hospital in that State with a principal diagnosis of CHF within 30 days of the discharge date of an index CHF admission.

Comments

SID includes a powerful set of hospital databases from data organizations in participating States. SID contains the universe of the inpatient discharge abstracts in participating States, translated into a uniform format to facilitate multi-State comparisons and analyses. Together, SID encompasses about 90% of all U.S. community hospital discharges. SID contains a core set of clinical and nonclinical information on all patients, regardless of payer, including people covered by Medicare, Medicaid, and private insurance, as well as uninsured people. In addition to the core set of uniform data elements common to all SID, some databases within SID include other elements, such as the patient's race.

The SID disparities analysis file is designed to provide national estimates on disparities using weighted records from a sample of hospitals from the following 31 States: Arizona, Arkansas, California, Colorado, Connecticut, Florida, Georgia, Hawaii, Kansas, Kentucky, Maine, Maryland, Massachusetts, Michigan, Missouri, Nevada, New Hampshire, New Jersey, New York, Oklahoma, Oregon, Pennsylvania, Rhode Island, South Carolina, Tennessee, Texas, Utah, Virginia, Vermont, Wisconsin, and Wyoming.

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Care Coordination

Measure Title

People with a usual source of care whose health provider usually asks about prescription medications and treatments from other doctors.

Measure Source

Agency for Healthcare Research and Quality (AHRQ), Center for Financing, Access, and Cost Trends (CFACT), Medical Expenditure Panel Survey (MEPS).

National Tables

14_4_3.1 People with a usual source of care who usually asks about prescription medications and treatments from other doctors, United States, 2002-2008

14_4_3.2a-d People with a usual source of care who usually asks about prescription medications and treatments from other doctors, United States, 2008, by:

  1. Race.
  2. Ethnicity.
  3. Family income.
  4. Education.

National Data Source

AHRQ, CFACT, MEPS.

National Denominator

People who had a usual source of care and a valid response to the question, "Does [respondent's usual care provider] usually ask about prescription medications and treatments other doctors may give you?"

National Numerator

Subset of the denominator who answered "Yes" to the question identified in the denominator.

Comments

Usual source of care is defined as a particular doctor's office, clinic, health center, or other health care facility to which an individual usually would go to obtain health care services.

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Care Coordination

Measure Title

Potentially avoidable emergency department encounters for asthma.

Measure Source

Agency for Healthcare Research and Quality (AHRQ), Center for Delivery, Organization, and Markets (CDOM), Healthcare Cost and Utilization Project (HCUP), Nationwide Emergency Department Sample (NEDS).

National Tables

14_4_4.1_1 All emergency department visits for asthma per 100,000 population (including inpatient admissions), ages 2-17, United States, 2008

14_4_4.1_2 All emergency department visits for asthma per 100,000 population (including inpatient admissions), age 18 and over, United States, 2008

National Data Source

AHRQ, CDOM, HCUP, Nationwide Inpatient Sample (NIS) and Nationwide Emergency Department Sample, and AHRQ Quality Indicators, modified version 4.1.

National Denominator

U.S. civilian population age 18 and over.

National Numerator

Subset of the denominator with an emergency department asthma visit.

Comments

Consistent with the AHRQ Pediatric Quality Indicators (PDIs) software, asthma must be the principal diagnosis and the following cases are excluded: admissions with cystic fibrosis or anomalies of the respiratory system, transfers from other institutions, and obstetric admissions.

Rates are adjusted by age and gender using the total U.S. population for 2000 as the U.S. standard population; when reporting is by age, the adjustment is by gender only; when reporting is by gender, the adjustment is by age only.

Although not all States participate in the HCUP database, NIS is weighted to give national estimates using weights based on all U.S. community, nonrehabilitation hospitals in the American Hospital Association Annual Survey Database.

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Current as of March 2012
Internet Citation: Patient Centeredness: 2011 National Healthcare Quality and Disparities Reports. March 2012. Agency for Healthcare Research and Quality, Rockville, MD. http://www.ahrq.gov/research/findings/nhqrdr/nhqrdr11/measurespec/patient_centeredness.html