CAHPS

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CAHPSInformation from the Consumer
PerspectiveLiz Goldstein, Ph.D.Centers for
Medicare Medicaid Services
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Melding Measurementand Improvement

• CMSs Quality Strategy
• Define quality through standardized
• performance measures
• Plans and providers measure care
• Create data standards and infrastructure for
  measurement, quality improvement, and public
  reporting

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Patient-centered Measures

• Priority for CMS is to give consumers information
  to make choices
• From our previous experiences we have found
  consumers value information from the perspective
  of other consumers
• CMS is working with AHRQ to develop a survey
  tools to capture patient experiences across
  provider types

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CMS CAHPS Efforts

• Health Plan CAHPS
• Medicare Advantage plans (enrollees and
  disenrollees)
• Fee-for-service beneficiaries
• Preferred Provider Organization (PPO) survey
  being developed
• Hospital CAHPS -- developmental
• Nursing Home CAHPS -- developmental
• Resident survey
• Family survey
• ESRD CAHPS -- developmental
• Prescription Drug Plan CAHPS -- to be developed

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Goals of CAHPS Surveys

• Create a public domain tool for public reporting
  and quality improvement so comparable information
  will be available across provider types.

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CAHPS Development

• CMS partners with the Agency for Healthcare
  Research and Quality (AHRQ)
• Current CAHPS surveys are being developed
  through CAHPS II

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Key Features of CAHPS Approach

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

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CAHPS ll Consortium

• Three grantee teams (PIs)
• AIR Steve Garfinkel, Jim Lubalin
• Harvard Paul Cleary, Susan Edgman-Levitan
• RAND Ron Hays, Donna Farley
• Survey Users Network (SUN)
• National CAHPS Benchmarking Database

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New Focuses for CAHPS ll

• More emphasis on reporting
• Use of CAHPS for Quality Improvement
• Continued movement beyond health plan CAHPS

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CAHPS Surveys

• Collect information that consumers want to know
• Collect information for which consumers are the
  best source
• Draw on existing research and surveys
• Conduct thorough cognitive and field tests
• Coordinate with reports development

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Standard CAHPS Development Process

• Rigorous process of scientific research that
  includes
• a call for measures
• review of existing literature
• cognitive interviews
• testing of the draft instrument
• psychometric analysis
• consumer focus groups
• public input in response to Federal Register
  notices
• stakeholder input