This application proposes a program of research, development, and evaluation for design, collection, and use of consumers'assessments of health care for informing health care choices and quality improvement. The specific goals of the program are to: 1) develop and test CAHPS survey products, 2) maintain existing CAHPS surveys and materials related to CAHPS survey administration;3) develop and maintain materials related to reporting CAHPS survey results;4) design and implement quality improvement studies using CAHPS data;and 5) promote CAHPS products. The methods to be used will include focus groups, cognitive interviewing, interviewing of expert informants, and field tests of draft surveys. Standard psychometric statistical techniques will be used to assess quantitative data. Web-based experiments will be used to assess reporting strategies. The applicants are a consortium of experts in consumer survey design, report development, experimental assessment of consumer perceptions and medical care choice behavior, quality improvement, evaluation research, and community-based dissemination methods from the School of Public Health, Yale University, Massachusetts General Hospital/Partners Healthcare System and the Harvard Medical School, the Center for Survey Research at the University of Massachusetts, and several nationally known independent researchers and consultants. This consortium proposes maintaining continuity in the CAHPS development process by continuing critical activities and well established collaborations from the CAHPS I, CAHPS II, CAHPS III and Centers for Medicare &Medicaid Services (CMS) projects, while strengthening the team to bring new skills, perspectives and expertise to the project. The team has maintained close contact with several collaborating demonstration sites and has established relationships with public and private organizations that share an interest in refining and assessing CAHPS products for improved decision making and quality improvement.

Public Health Relevance

The CAHPS team will develop, test, and maintain CAHPS surveys;survey administration materials;and CAHPS reporting materials. In addition the team will conduct and evaluate quality improvement projects. The surveys, reporting materials and quality improvement strategies will be disseminated and promoted to improve patients'care experiences.

Agency
National Institute of Health (NIH)
Institute
Agency for Healthcare Research and Quality (AHRQ)
Type
Research Demonstration--Cooperative Agreements (U18)
Project #
5U18HS016978-07
Application #
8551621
Study Section
Special Emphasis Panel (ZHS1-HSR-X (02))
Program Officer
Crofton, Christine
Project Start
2007-09-01
Project End
2017-09-29
Budget Start
2013-09-30
Budget End
2014-09-29
Support Year
7
Fiscal Year
2013
Total Cost
Indirect Cost
Name
Yale University
Department
Public Health & Prev Medicine
Type
Schools of Medicine
DUNS #
043207562
City
New Haven
State
CT
Country
United States
Zip Code
06520
Kanouse, David E; Schlesinger, Mark; Shaller, Dale et al. (2016) How Patient Comments Affect Consumers' Use of Physician Performance Measures. Med Care 54:24-31
Elliott, Marc N; Cohea, Christopher W; Lehrman, William G et al. (2015) Accelerating Improvement and Narrowing Gaps: Trends in Patients' Experiences with Hospital Care Reflected in HCAHPS Public Reporting. Health Serv Res 50:1850-67
Nembhard, Ingrid M; Yuan, Christina T; Shabanova, Veronika et al. (2015) The relationship between voice climate and patients' experience of timely care in primary care clinics. Health Care Manage Rev 40:104-15
Anhang Price, Rebecca; Elliott, Marc N; Cleary, Paul D et al. (2015) Should health care providers be accountable for patients' care experiences? J Gen Intern Med 30:253-6
Xu, Xiao; Buta, Eugenia; Anhang Price, Rebecca et al. (2015) Methodological Considerations When Studying the Association between Patient-Reported Care Experiences and Mortality. Health Serv Res 50:1146-61
Shadel, William G; Elliott, Marc N; Haas, Ann C et al. (2015) Clinician advice to quit smoking among seniors. Prev Med 70:83-9
Weidmer, Beverly A; Cleary, Paul D; Keller, San et al. (2014) Development and evaluation of the CAHPS (Consumer Assessment of Healthcare Providers and Systems) survey for in-center hemodialysis patients. Am J Kidney Dis 64:753-60
Shaller, Dale; Kanouse, David E; Schlesinger, Mark (2014) Context-based strategies for engaging consumers with public reports about health care providers. Med Care Res Rev 71:17S-37S
Drake, Keith M; Hargraves, J Lee; Lloyd, Stephanie et al. (2014) The effect of response scale, administration mode, and format on responses to the CAHPS Clinician and Group survey. Health Serv Res 49:1387-99
Anhang Price, Rebecca; Elliott, Marc N; Zaslavsky, Alan M et al. (2014) Examining the role of patient experience surveys in measuring health care quality. Med Care Res Rev 71:522-54

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