Consumer Assessment of Healthcare Providers and Systems CAHPS IV

描述（由申请人提供）：本申请提出了一个研究、开发和评估计划，用于设计、收集和使用消费者对医疗保健的评估，为医疗保健选择和质量改进提供信息。该计划的具体目标是：1)开发和测试CAHPS调查产品；2)维护现有的CAHPS调查和与CAHPS调查管理相关的资料；3)开发和维护报告CAHPS调查结果的相关材料；4)利用CAHPS数据设计和实施质量改进研究；5)推广CAHPS产品。将采用的方法包括焦点小组、认知访谈、专家举报人访谈和调查草案的实地测试。标准的心理测量统计技术将用于评估定量数据。基于网络的实验将用于评估报告策略。申请者是一个由来自耶鲁大学公共卫生学院、马萨诸塞总医院/伙伴医疗保健系统、哈佛医学院、马萨诸塞大学调查研究中心、还有几位全国知名的独立研究人员和顾问。该联盟建议通过继续CAHPS I、CAHPS II、CAHPS III和医疗保险和医疗补助服务中心（CMS）项目的关键活动和良好的合作，保持CAHPS开发过程的连续性，同时加强团队，为项目带来新的技能、观点和专业知识。该小组与几个合作示范站点保持密切联系，并与公共和私人组织建立了关系，这些组织对改进和评估CAHPS产品以改进决策和质量有共同兴趣。

DESCRIPTION (provided by applicant): This application proposes a program of research, development, and evaluation for design, collection, and use of consumers' assessments of health care for informing health care choices and quality improvement. The specific goals of the program are to: 1) develop and test CAHPS survey products, 2) maintain existing CAHPS surveys and materials related to CAHPS survey administration; 3) develop and maintain materials related to reporting CAHPS survey results; 4) design and implement quality improvement studies using CAHPS data; and 5) promote CAHPS products. The methods to be used will include focus groups, cognitive interviewing, interviewing of expert informants, and field tests of draft surveys. Standard psychometric statistical techniques will be used to assess quantitative data. Web-based experiments will be used to assess reporting strategies. The applicants are a consortium of experts in consumer survey design, report development, experimental assessment of consumer perceptions and medical care choice behavior, quality improvement, evaluation research, and community-based dissemination methods from the School of Public Health, Yale University, Massachusetts General Hospital/Partners Healthcare System and the Harvard Medical School, the Center for Survey Research at the University of Massachusetts, and several nationally known independent researchers and consultants. This consortium proposes maintaining continuity in the CAHPS development process by continuing critical activities and well established collaborations from the CAHPS I, CAHPS II, CAHPS III and Centers for Medicare & Medicaid Services (CMS) projects, while strengthening the team to bring new skills, perspectives and expertise to the project. The team has maintained close contact with several collaborating demonstration sites and has established relationships with public and private organizations that share an interest in refining and assessing CAHPS products for improved decision making and quality improvement. PUBLIC HEALTH RELEVANCE: The CAHPS team will develop, test, and maintain CAHPS surveys; survey administration materials; and CAHPS reporting materials. In addition the team will conduct and evaluate quality improvement projects. The surveys, reporting materials and quality improvement strategies will be disseminated and promoted to improve patients' care experiences.