Consumer Assessment of Healthcare Providers and Systems V (CAHPS V)

消费者对医疗保健提供者和系统的评估 V (CAHPS V)

• 批准号: 9491282
• 负责人: RONALD Dale HAYS
• 金额: $ 118.25万
• 依托单位: RAND CORPORATION
• 依托单位国家: 美国
• 财政年份: 2017
• 资助国家: 美国
• 起止时间: 2017-09-30 至 2022-09-29
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/9491282
• 关键词: Consumer; Assessment; Healthcare; Providers; Systems

Consumers, providers and health care purchasers need high-quality information to help them compare and evaluate their health care options. The CAHPS V project will advance the AHRQ CAHPS mission of improving patients' experiences with health care by developing and evaluating strategies for survey measurement, reporting and quality improvement (QI). We propose a 5-year effort to advance the science and practice of patient experience assessment, continue innovation to ensure relevance to health service delivery and implement best survey practices, further the science of reporting, and evaluate CAHPS QI efforts. We will develop program communication strategies, and disseminate and promote use of CAHPS products. In particular, we will develop a survey to assess patient experiences with end-of-life care; develop new items to assess shared decision-making, care coordination, patient engagement, and patient safety; test alternatives to the standard CAHPS modes of data collection), explore the feasibility of administering a short-form survey dividing CG-CAHPS composites among respondents to reduce response burden, elicit stakeholder feedback about the value of different CAHPS supplement item sets, evaluate “The Your CAHPS Survey” that was designed to help users of the CAHPS surveys compile a survey tailed to their specific needs, and evaluate existing Spanish translations of CAHPS surveys. In addition, we will gather input from stakeholders on best practices for narrative data analysis, develop an approach for using automated Natural Language Processing for analyses of narratives, and construct an algorithm approach to select representative narratives that reflect and illustrate overall provider ratings. Finally, we will evaluate the contribution of patient narratives to quality improvement efforts in hospital care for children, characterize primary care practices use of the CG-CAHPS survey and patient-centered medical home items during PCMH transformation, assess the impact of pay- for-performance for care delivered by primary and specialty care safety net providers on CAHPS survey responses, explore the value of new shared decision-making, patient engagement, communication and patient safety items for QI and identify QI strategies that improve patient experience across various settings. We will also advance analytic methods for CAHPS data. The project team is well suited to achieving the study objectives given its prior accomplishments and established working relationships. The work is innovative and designed to facilitate the use of CAHPS surveys and improve response rates to them, enhance reporting and use of CAHPS survey data, and improve health care QI efforts.

消费者、提供者和医疗保健购买者需要高质量的信息来帮助他们 比较和评估他们的医疗保健选择。CAHPS V项目将推进AHRQ CAHPS的使命是通过开发和 评估调查测量、报告和质量改进的战略。我们 建议进行5年的努力，以推进患者体验评估的科学和实践， 继续创新，确保与卫生服务提供相关，并实施最佳调查 实践，促进报告的科学性，并评估CAHPS QI工作。我们将开发 制定沟通策略，传播和推广CAHPS产品的使用。在 特别是，我们将开展一项调查，以评估病人在临终关怀方面的经历; 评估共同决策、护理协调、患者参与和 患者安全;测试标准CAHPS数据收集模式的替代方案），探索 管理将CG-CAHPS复合材料分为以下几类的简短调查的可行性： 减少答复负担，征求利益攸关方对不同 CAHPS补充项目集，评估“您的CAHPS调查”，旨在帮助 CAHPS调查的用户根据他们的具体需求编制一份调查，并评估 CAHPS调查的现有西班牙语翻译。此外，我们还将收集来自 利益攸关方关于叙述性数据分析的最佳做法， 自动化自然语言处理分析的叙述，并构建一个算法 选择反映和说明总体提供者评级的代表性叙述的方法。 最后，我们将评估患者叙述对质量改进工作的贡献， 儿童的医院护理，描述CG-CAHPS调查中使用的初级保健实践， 以病人为中心的医疗家庭项目在PCMH转型，评估支付的影响， CAHPS上的初级和专科护理安全网提供者提供的护理的绩效 调查答复，探索新的共享决策的价值，患者参与， QI的沟通和患者安全项目，并确定改善患者的QI策略 体验各种设置。我们还将推进CAHPS数据的分析方法。 鉴于项目组先前的成就，项目组非常适合实现研究目标 并建立了工作关系。这项工作是创新的，旨在促进使用 提高CAHPS调查的响应率，加强CAHPS的报告和使用 调查数据，提高医疗质量的努力。