liz goldstein, ph.d. division of consumer assessment and plan performance cms cahps surveys: public...
TRANSCRIPT
Liz Goldstein, Ph.D.Division of Consumer Assessment and Plan
Performance
CMS CAHPS Surveys: Public Reporting
OverviewCMS Initiatives to Publicly Report CAHPS
DataConsumer Testing of DisplaysHCAHPS DisplaysHealth and Prescription Drug Plan CAHPS
Displays
2
CMS Initiatives to Publicly Report CAHPS Data
Hospital CAHPSMedicare Advantage (MA) and Prescription
Drug Plan CAHPS DataHome Health Care CAHPS – coming soon!
3
Consumer Testing
Conduct multiple rounds of cognitive and usability testing with consumers (including caregivers) and health care professionals
TestMock websites Print materials that include the narrative
content (including measures and footnotes) and alternate display options
4
Formats for Public Reporting
GraphsTablesStar Ratings
5
6
Public Reporting of HCAHPS Hospital results displayed on http://
www.hospitalcompare.hhs.gov
Roll-up of four most-recent quarters
Results adjusted for patient mix and mode of survey administrationSee http://www.hcahpsonline.org for details “The Effects of Survey Mode, Patient Mix, and Nonresponse on CAHPS Hospital
Survey (HCAHPS) Scores.” M.N. Elliott, A.M. Zaslavsky, E. Goldstein, W. Lehrman, K. Hambarsoomian, M.K. Beckett and L. Giordano. Health Services Research 44: 501-518. 2009.
6
7
HCAHPS Results on Hospital Compare: Summer 2009 Public Reporting Discharges: Oct. 2007 - Sept. 2008
3,746 hospitals National Response Rate: 34%
~2.5 million completed surveys
Ten HCAHPS measures reported
7
HCAHPS MeasuresComposite Measures
Communication with NursesCommunication with DoctorsResponsiveness of Hospital StaffPain managementCommunication about Medicines
Individual ItemsCleanliness of the Hospital EnvironmentQuietness of the Hospital Environment
Global ItemsOverall Hospital RatingRecommend the Hospital
8
9
10
11
12
13
Medicare CAHPS Surveys for Health and Prescription Drug
Plans: ObjectivesReport comparative performance
information for consumer choice
Help Plans identify problems & improve quality of care & services
Enhance CMS’ ability to monitor quality of care & relative performance within & across delivery systems
14
Medicare CAHPS Surveys for Health and Prescription Drug Plans: Sample Frame
42+M beneficiaries in 50 States, PR, DC, VI
Continually enrolled for 6+ months Institutionalized Excluded
15
2009 Data Collection690,000 overall national sample
Protocol: Two Questionnaire mailings/ Postcard reminder / Telephone follow-up
National Response Rate 65+%
Measures Reported by October 2009
16
Health Plan CAHPS Measures
CompositesGetting Needed CareDoctors who Communicate WellGetting Appointments and Care QuicklyCustomer Service
Global RatingsOverall Rating of the PlanOverall Rating of Health Care
17
Prescription Drug Plan Measures
CompositesDrug Plan Provides Information or Help When
Members Need ItMembers Ability to Get Prescriptions Filled
Easily When Used the Drug PlanGlobal Rating
Overall Rating of Drug Plan
18
19
20
21
22
23
24
Changes for the Upcoming Year
Adding Fee-for-Service comparison for CAHPS
Summary Plan Rating provided for previous year
25
