Consumer Assessment of Healthcare Providers and Systems

描述（由申请人提供）：本申请提出了一项研究、开发和评价计划，涉及设计、收集和使用消费者对医疗保健的评估，以告知医疗保健选择和质量改进。该计划的具体目标是：1）开发和测试组织可以将CAHPS数据用于质量改进目的的方法，重点是使用CAHPS临床医生和团体工具的数据，2）进行研究并制定向消费者，患者和提供者以及其他受众报告CAHPS结果的策略，以促进计划选择，公共责任和质量改进。这将包括开发和测试可供报告开发人员用于设计有用和可用报告的资源，3）开发CAHPS调查，例如对辅助生活设施居民的调查，并维护和完善当前的CAHPS调查，以及4）传播和 促进CAHPS产品的使用。将采用的方法包括焦点小组、认知和 访谈、访谈提供信息的专家和实地测试调查草稿。标准心理测量学 将使用统计技术评估定量数据。申请人是来自耶鲁大学公共卫生学院、马萨诸塞州总医院/合作伙伴医疗保健系统和哈佛医学院、马萨诸塞州大学调查研究中心的消费者调查设计、报告开发、消费者感知和医疗保健选择行为的实验评估、质量改进、评估研究和基于社区的传播方法的专家联盟，波士顿大学康复结果测量中心，以及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和CAHPS II项目的关键活动和良好合作来保持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。该团队与早期CAHPS项目的合作示范点保持密切联系，并与公共和私营组织建立了新的关系，这些组织对改进和评估CAHPS产品以改善决策和质量改进感兴趣。

DESCRIPTION (provided by the applicant): This application proposes a program of research, development, and evaluation with respect to the 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 ways that organizations can use CAHPS data for quality improvement purposes, with an emphasis on using data from the CAHPS clinician and group instrument, 2) conduct research on and develop strategies for reporting CAHPS results to consumers, patients, and providers and other audiences to facilitate plan choice, public accountability, and quality improvement. This will include developing and testing resources that can be used by report developers to design useful and usable reports, 3) develop CAHPS surveys, such as a survey for residents of assisted living facilities, and maintain and refine the current CAHPS surveys, and 4) disseminate and promote the use of 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. 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, the Center for Measuring Rehabilitation Outcomes at Boston University, 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 and CAHPS II projects, while strengthening the team to bring new skills, perspectives and expertise to the project. The team has maintained close contact with collaborating demonstration sites from earlier CAHPS projects and has established new relationships with public and private organizations that share an interest in refining and assessing CAHPS products for improved decision making and quality improvement.