Supplemental Item Topics for the CAHPS Health Plan Survey

This page lists the topics and supplemental items available for use with the CAHPS Health Plan Survey 5.0.

Please note: The CAHPS team is currently reviewing all supplemental items for the Health Plan Survey 5.0 to ensure that the items are relevant, consistent across surveys, not duplicative with core items, and in line with current CAHPS standards and approaches. Items will be added to this list as they are finalized.

To download supplemental items for the 4.0 version of the CAHPS Health Plan Survey, go to http://www.ahrq.gov/cahps/surveys-guidance/hp/instructions/index.html.

For guidance on using supplemental items, refer to Preparing a Questionnaire Using the CAHPS Health Plan Survey ( PDF [ - 349.25 KB] )

Version: Adult 

Topic: Access

• AC1. Number of days wait for urgent care appointment
• AC2. Number of days wait for routine care appointment
• AC3. Patient needed care during evenings, weekends, or holidays
• AC4. Patient got needed care from doctor’s office or clinic during evenings, weekends, or holidays
• AC5. Patient needed care from doctor’s office or clinic after regular office hours
• AC6. Patient got needed care from doctor’s office or clinic after regular office hours
• AC7. Patient needed care from personal doctor during evenings, weekends, or holidays
• AC8. Patient got needed care from personal doctor during evenings, weekends, or holidays
• AC9. Patient saw personal doctor within 15 minutes of appointment time
• AC10. Patient was informed about length of wait time at personal doctor’s office after checking in for appointment
• AC11. Patient contacted personal doctor’s office with medical question during regular office hours
• AC12. Patient got answer to medical question same day  when contacted personal doctor’s office during regular office hours
• AC13. Patient contacted personal doctor’s office with medical question after regular office hours
• AC14. Patient got answer to medical question as soon as needed  when contacted personal doctor’s office after regular office hours

Review the full item wording, response options, and instructions. (Supplemental Access Items for the Adult Survey: English: Word [ - 35.46 KB] )

Version: Child 

Topic: Access

• AC1. Number of days wait for urgent care appointment
• AC2. Number of days wait for routine care appointment
• AC3. Child needed care during evenings, weekends, or holidays
• AC4. Child got needed care from doctor’s office or clinic during evenings, weekends, or holidays
• AC5. Child needed care from doctor’s office or clinic after regular office hours
• AC6. Child got needed care from doctor’s office or clinic after regular office hours
• AC7. Child needed care from personal doctor during evenings, weekends, or holidays
• AC8. Child got needed care from personal doctor during evenings, weekends, or holidays
• AC9. Child saw personal doctor within 15 minutes of appointment time
• AC10. Respondent was informed about length of wait time at doctor’s office after checking in for appointment
• AC11. Respondent contacted doctor’s office with medical question during regular office hours
• AC12. Respondent got answer to medical question same day  when contacted doctor’s office during regular office hours
• AC13. Respondent contacted doctor’s office with medical question after regular office hours
• AC14. Respondent got answer to medical question as soon as needed  when contacted doctor’s office after regular office hours

Review the full item wording, response options, and instructions. (Supplemental Access Items for the Child Survey: English: Word [ - 34.44 KB] )