Hospital CAHPS: Patient Experience with Hospital Care

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Hospital CAHPSPatient Experience with Hospital
Care

• Christine Crofton
• CAHPS Project Officer

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CAHPS

• Highlights from CAHPS I, CAHPS II
• CAHPS approach
• Hospital CAHPS (HCAHPS) timeline
• Draft HCAHPS domains

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CAHPS I Highlights

• CAHPS I, Sept 95 to May 02
• ? Develop and tests instruments, reports for
  consumer assessment of health plans
• ? Evaluate all products
• ? Develop and disseminate implementation
  procedures
• ? All products available at www.cahps-sun.org

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CAHPS II

• CAHPS II, May 02 to May 07
• ? Movement beyond assessment of health plans
• ? HCAHPS requested by CAHPS users
• ? HCAHPS requested and funded by CMS
• ? Purpose provide valid, comparable information
  so consumers, doctors can make an informed choice
  about hospital care

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CAHPS II Consortium

• Three grantee teams (PIs)
• AIR Steve Garfinkel, Jim Lubalin
• Harvard Paul Cleary, Susan Edgman-Levitan
• RAND Ron Hays, Donna Farley
• One Survey User Network (SUN)
• Staff from AHRQ, CMS, CDC and NIDRR

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Key Features of CAHPS Approach

• Collaborative approach
• Within the CAHPS team
• With other organizations -
• Emphasis on testing and evaluation
• Reliance on user input
• Free and open access to standardized instruments
• CAHPS trademark owned by AHRQ
• Technical assistance to users

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CAHPS Users

• National Committee for Quality Assurance
• Centers for Medicare and Medicaid Services
• State agencies
• Office of Personnel Management
• Department of Defense
• Employers and purchasing coalitions
• Health plans
• Others

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Use of CAHPS

• 123, 000,000 Americans are in health plans for
  which CAHPS data are available

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Hospital CAHPS - AHRQ Role

• Develop survey to measure patient experience with
  hospital care (HCAHPS Instrument Team)
• Develop sampling and data collection methods
• Develop consumer reports
• Assist CMS in testing these elements in pilot
  tests
• Continue cognitive and field testing
• Get Stakeholder input throughout

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HCAHPS Timeline

• July 02 ? Call for measures
• ? 8 organizations respond
• Oct 02 ? Web chat, FAQs posted
• Nov 02 ? Stakeholder meeting
• ? Vendor meeting
• ? Selection of candidate items
• ? Development of cognitive testing
  plan

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HCAHPS Timeline

• Dec 02 ? Cognitive testing conducted
• Jan 03 ? Testing results reviewed
• ? Changes made to survey
• ? Draft survey delivered to CMS
• ? Emergency clearance package to OMB
• ? CAHPS team continues testing

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HCAHPS Timeline

• Projected
• Winter 03 ? Clearance received
• ? CMS Pilot Test begins
• ? Develop, test report template
• ? Additional pilot tests?
• Spring 03 ? CMS Pilot Test ends
• ? CAHPS team analyzes all test data

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HCAHPS Timeline

• Summer 03 ? CAHPS team revises
  questionnaire, delivers to CMS
• ? Team delivers draft template for
  reporting
• ? CMS makes plans for national
  administration

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Draft HCAHPS Domains

• Care from nurses
• Care from doctors
• Hospital environment
• Your experiences in the hospital
• Admissions
• Discharge
• About you (demographic information)

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Questions?

• About CAHPS instruments
• www.cahps-sun.org
• About HCAHPS
• www.ahrq.gov
• www.cms.gov
• About either
• ccrofton_at_ahrq.gov
• cdarby_at_ahrq.gov
• Your experiences in the hospital
• Admissions
• Discharge
• About you (demographic information)