consumer assessment of healthcare providers and systems (cahps)
DESCRIPTION
Consumer Assessment of Healthcare Providers and Systems (CAHPS). QTIP Learning Collaborative July 24, 2011. Kathy Mayfield–Smith, MA, MBA Ana Lòpez –De Fede , PhD Policy and Research Unit on Medicaid and Medicare Institute for Families in Society | University of South Carolina. - PowerPoint PPT PresentationTRANSCRIPT
Consumer Assessment of Healthcare Providers and Systems (CAHPS)
Kathy Mayfield–Smith, MA, MBAAna Lòpez–De Fede, PhD
Policy and Research Unit on Medicaid and MedicareInstitute for Families in Society | University of South Carolina
QTIP Learning CollaborativeJuly 24, 2011
Policy and Research Unit on Medicaid and MedicareInstitute for Families in Society | University of South Carolina
• Gain familiarity with CAHPS • Learn about CAHPS administration• Know what CAHPS measures• Review CHIPRA/QTIP Group Baseline
results
Presentation Objectives
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Policy and Research Unit on Medicaid and MedicareInstitute for Families in Society | University of South Carolina
• Family of Survey Tools (facility and ambulatory levels)
• Designed to assess patient and family experience rather than satisfaction with health care services
• Emphasis on patients– What patients value with respect to the setting of care– Aspects of care for which patients are the best or only
source of information– Extensive testing with patients and families
CAHPS: What is it?
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Policy and Research Unit on Medicaid and MedicareInstitute for Families in Society | University of South Carolina
• Assessing the patient-centeredness of care
• Comparing and reporting on performance
• Improving quality of care
CAHPS Survey: How is it used?
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Policy and Research Unit on Medicaid and MedicareInstitute for Families in Society | University of South Carolina
• Standardization– Surveys, data collection methods, analysis,
reporting, benchmarking• Evidence-based• Normed on both Commercial and Medicaid
populations • Allows user flexibility to select components
relevant for specific purposes while maintaining national standards for comparison
• All CAHPS surveys and products are in the public domain
CAHPS Design Principles
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Policy and Research Unit on Medicaid and MedicareInstitute for Families in Society | University of South Carolina
CAHPS Surveys . . .
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Policy and Research Unit on Medicaid and MedicareInstitute for Families in Society | University of South Carolina
• It’s a CHIPRA Measure• Includes Children with Chronic
Conditions• Addresses functions relevant at
different levels of health care system including health plans, practices and providers
• Allows for comparison to state
Why CAHPS, not Clinician & Group
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Policy and Research Unit on Medicaid and MedicareInstitute for Families in Society | University of South Carolina
• Sample of patient population
• Letter of introduction
• Toll-free telephone line
• CAHPS Certified Vendor – USC Survey Lab
• Trained Interviewers
• Computer Assisted Telephone Interview– Call times vary – Up to 15 attempts
How is it administered?
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Policy and Research Unit on Medicaid and MedicareInstitute for Families in Society | University of South Carolina
• 4 global ratings– Personal doctor– Specialists– Health care– Health plan
• Overall ratings questions ask “how would you rate _______” on a scale of 0 – 10, with 0 = Worst and 10 = Best
What does it measure?
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Policy and Research Unit on Medicaid and MedicareInstitute for Families in Society | University of South Carolina
• 4 composite reporting measures– Getting needed care– Getting care quickly– How well doctors communicate– Information and customer service
• Composite questions ask, “how often” with response choices: Never, Sometimes, Usually, Always
What does it measure? – (cont’d.)
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Policy and Research Unit on Medicaid and MedicareInstitute for Families in Society | University of South Carolina
• Children with Chronic Conditions Reporting measures – parents experience with:– Prescription medication– Getting specialized services for their child– Family-centered care– Shared decision-making– Getting needed information– Coordination of child’s care
What does it measure? – (cont’d.)
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Policy and Research Unit on Medicaid and MedicareInstitute for Families in Society | University of South Carolina
Research question:
Do consumers affiliated with QTIP practices report higher satisfaction with multiple dimensions of care than those not affiliated with QTIP practices?
CHIPRA Evaluation
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Policy and Research Unit on Medicaid and MedicareInstitute for Families in Society | University of South Carolina
Institute for Families in Society will administer the CAHPS survey:
Baseline – Conducted Spring 2011
Annually– Conduct annual CAHPS: February-May– Compile results: June– Present results: July
CAHPS Timeline
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Policy and Research Unit on Medicaid and MedicareInstitute for Families in Society | University of South Carolina
CAHPS Baseline – Global Ratings
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Policy and Research Unit on Medicaid and MedicareInstitute for Families in Society | University of South Carolina
CAHPS Baseline - Composites
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Policy and Research Unit on Medicaid and MedicareInstitute for Families in Society | University of South Carolina
CAHPS Baseline - Composites
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Policy and Research Unit on Medicaid and MedicareInstitute for Families in Society | University of South Carolina
Children with Chronic Conditions Composites
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Policy and Research Unit on Medicaid and MedicareInstitute for Families in Society | University of South Carolina
Children with Chronic Conditions Composites (cont)
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