Consumers, providers and health care purchasers need high quality information to help them compare and evaluate their health care options. The proposed CAHPS IV project will advance the AHRQ CAHPS mission of improving health care by ongoing measurement and reporting of patients'experiences with care. We propose a 5-year effort to conduct quality improvement (QI) studies based on CAHPS data, enhance reporting guidelines and update existing reporting resources, extend the science of reporting, facilitate use of existing CAHPS survey, develop new surveys, evaluate new data collection methods, and promote the use of CAHPS products. Specifically, we will perform a systematic literature review and environmental scan focusing on how organizations learn to conduct effective QI using CAHPS surveys, an initial QI study of early, middle and late adopters of the patient-centered medical home (PCMH) model of care in a northern California preferred provider network, a final QI study of accountable care organizations, a pilot of a national learning network for organizations engaged in QI using CAHPS, cognitive interviews to evaluate composite labels for the CAHPS PCMH survey, an experiment evaluating innovative reporting techniques that involve combinations of standard CAHPS data with patient anecdotes about care, evaluation of the benefits and costs of including CAHPS roll- up scores in comparative quality reports, development of a """"""""Your CAHPS Survey"""""""" tool to help users compile surveys tailored to their specific needs, and data collection (e.g., web versus interactive voice response) experiments. In addition, we will update the CAHPS Improvement Guide, TalkingQuality website and the Report Card Compendium, develop and evaluate a Spanish language report for the CAHPS PCMH survey, maintain existing survey tools and prepare OMB and NQF applications for CAHPS surveys, and advance analytic methods for CAHPS data. The project team is well suited to achieving the study objectives given its prior accomplishments and established working relationships. The work is innovative because it will yield important new information about how to improve health care using CAHPS data, improve reporting of quality information to consumers, facilitate use of existing CAHPS surveys by creating an interactive database and search engine, improve participation rates in CAHPS surveys by translating into the third most common language in the United States, and provide information about the comparability of data collected using existing and newer modes of data collection.

Public Health Relevance

This project will advance public health by providing information and tools providers can use to improve the patient experience with care, how survey sponsors can best report quality information to consumers, and how the patient experience with care can be optimally elicited using surveys. It will also make CAHPS survey information more accessible by creating reports for consumers about health care quality for the second most common language in the U.S. (Spanish). Finally, the project will facilitate use of the CAHPS suite of surveys by creating an interactive database tool, and increase participation in CAHPS surveys by translating into the third most common language in the U.S. (Chinese).

National Institute of Health (NIH)
Agency for Healthcare Research and Quality (AHRQ)
Research Demonstration--Cooperative Agreements (U18)
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Study Section
Special Emphasis Panel (ZHS1-HSR-X (02))
Program Officer
Crofton, Christine
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Budget End
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Rand Corporation
Santa Monica
United States
Zip Code
Hays, Ron D; Mallett, Joshua S; Haas, Ann et al. (2018) Associations of CAHPS Composites With Global Ratings of the Doctor Vary by Medicare Beneficiaries' Health Status. Med Care 56:736-739
Quigley, Denise D; Elliott, Marc N; Setodji, Claude Messan et al. (2018) Quantifying Magnitude of Group-Level Differences in Patient Experiences with Health Care. Health Serv Res 53 Suppl 1:3027-3051
Setodji, Claude M; Quigley, Denise D; Elliott, Marc N et al. (2017) Patient Experiences with Care Differ with Chronic Care Management in a Federally Qualified Community Health Center. Popul Health Manag 20:442-448
Quigley, Denise D; Palimaru, Alina I; Chen, Alex Y et al. (2017) Implementation of Practice Transformation: Patient Experience According to Practice Leaders. Qual Manag Health Care 26:140-151
Quigley, Denise D; Predmore, Zachary S; Chen, Alex Y et al. (2017) Implementation and Sequencing of Practice Transformation in Urban Practices with Underserved Patients. Qual Manag Health Care 26:7-14
Grob, Rachel; Schlesinger, Mark; Parker, Andrew M et al. (2016) Breaking Narrative Ground: Innovative Methods for Rigorously Eliciting and Assessing Patient Narratives. Health Serv Res 51 Suppl 2:1248-72
Mayer, Lauren A; Elliott, Marc N; Haas, Ann et al. (2016) Less Use of Extreme Response Options by Asians to Standardized Care Scenarios May Explain Some Racial/Ethnic Differences in CAHPS Scores. Med Care 54:38-44
Stucky, Brian D; Hays, Ron D; Edelen, Maria O et al. (2016) Possibilities for Shortening the CAHPS Clinician and Group Survey. Med Care 54:32-7
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
Hays, Ron D; Mallett, Joshua S; Gaillot, Sarah et al. (2016) Performance of the Medicare Consumer Assessment of Health Care Providers and Systems (CAHPS) Physical Functioning Items. Med Care 54:205-9

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