Development of the CAHPS Clinician & Group Visit Survey 2.0
Initial development. The CAHPS team drafted the first version of this instrument early in 2008 and then refined that draft based on feedback from stakeholders. The first version of the survey asked about care received in a specific visit identified in the sampling frame; therefore, items referred to "this visit," which may or may not have been the respondent’s most recent visit.
Field testing. The initial version of the survey was field tested in Spring 2009 by Minnesota Community Measurement (MNCM). Allina, a large medical group in Minnesota, also conducted a comparison study of the Visit Survey with the 12-Month Survey.
Results of this field test showed that the two instruments performed similarly with the exception of the survey items measuring access. These items did not achieve an acceptable level of reliability, which is not surprising given that these items were designed to assess health care encounters over a 12-month period. As a result, the team changed the access items back to the 12-month reference period, leaving all other items visit-specific.
Another significant revision was the move away from a specific reference visit identified in the sampling frame to the "most recent visit." The team added a question that categorizes how long ago the most recent visit was but does not ask the respondent to confirm a specific visit date. This change reduces the cognitive complexity of the survey.
Review presentations on the development and testing of this instrument:
Page originally created November 2011