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.

National Institute of Health (NIH)
Agency for Healthcare Research and Quality (AHRQ)
Research Demonstration--Cooperative Agreements (U18)
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Application #
Study Section
Special Emphasis Panel (ZHS1)
Program Officer
Crofton, Christine
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Yale University
Public Health & Prev Medicine
Schools of Medicine
New Haven
United States
Zip Code
Hatfield, Laura A; Zaslavsky, Alan M (2018) Separable covariance models for health care quality measures across years and topics. Stat Med 37:2053-2066
Ndumele, Chima D; Schpero, William L; Schlesinger, Mark J et al. (2017) Association Between Health Plan Exit From Medicaid Managed Care and Quality of Care, 2006-2014. JAMA 317:2524-2531
Schlesinger, Mark; Grob, Rachel (2017) Treating, Fast and Slow: Americans' Understanding of and Responses to Low-Value Care. Milbank Q 95:70-116
Ndumele, Chima D; Cohen, Michael S; Cleary, Paul D (2017) Association of State Access Standards With Accessibility to Specialists for Medicaid Managed Care Enrollees. JAMA Intern Med 177:1445-1451
Winpenny, Eleanor; Elliott, Marc N; Haas, Ann et al. (2017) Advice to Quit Smoking and Ratings of Health Care among Medicare Beneficiaries Aged 65. Health Serv Res 52:207-219
Rinne, Seppo T; Castaneda, Jose; Lindenauer, Peter K et al. (2017) Chronic Obstructive Pulmonary Disease Readmissions and Other Measures of Hospital Quality. Am J Respir Crit Care Med 196:47-55
Oladeru, Oladoyin A; Hamadu, Musleehat; Cleary, Paul D et al. (2017) House staff communication training and patient experience scores. J Patient Exp 4:28-36
Cerully, Jennifer L; Martino, Steven C; Rybowski, Lise et al. (2017) Using ""roll-up"" measures in healthcare quality reports: perspectives of report sponsors and national alliances. Am J Manag Care 23:e202-e207
Hatfield, Laura A; Zaslavsky, Alan M (2017) Implications of Variation in the Relationships between Beneficiary Characteristics and Medicare Advantage CAHPS Measures. Health Serv Res 52:1310-1329
Martino, Steven C; Grob, Rachel; Davis, Sarah et al. (2017) Choosing Doctors Wisely: Can Assisted Choice Enhance Patients' Selection of Clinicians? Med Care Res Rev :1077558717743822

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