Continuation of Consumer Assessment of Healthcare Providers and Systems CAHPS IV

描述(由申请人提供)：消费者、医疗服务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。拟议的CAHPS IV项目将推进AHRQ CAHPS的使命，即通过持续测量和报告患者的护理经验来改善卫生保健。我们建议进行为期5年的工作，以进行基于CAHPS数据的质量改进(QI)研究，改进报告指南和更新现有报告资源，扩展报告的科学，促进现有CAHPS调查的使用，开发新的调查，评估新的数据收集方法，并推广CAHPS产品的使用。具体地说，我们将进行系统的文献回顾和环境扫描，重点关注组织如何使用CAHPS调查进行有效的QI，对北加州首选提供者网络中以患者为中心的医疗之家(PCMH)模式的早期、中期和晚期采用者的初始QI研究，对负责任的护理组织的最终QI研究，全国学习网络的试点 对于使用CAHPS进行QI的组织来说，CAHPS是一项评估复合标签的认知访谈，CAHPS PCMH调查是一项评估创新报告技术的实验，其中包括将标准CAHPS数据与患者有关护理的轶事结合在一起，评估在比较质量报告中包含CAHPS汇总分数的好处和成本，开发一种“您的CAHPS调查”工具来帮助用户编制针对其特定需求的调查，以及数据收集(例如，网络与交互式语音响应)实验。此外，我们将更新CAHPS改进指南、TalkingQuality网站和成绩单汇编，为CAHPS PCMH调查开发和评估西班牙语报告，维护现有调查工具，为CAHPS调查准备OMB和NQF应用程序，并改进CAHPS数据的分析方法。鉴于项目组以前取得的成就和已建立的工作关系，它非常适合实现研究目标。这项工作具有创新性，因为它将产生关于如何使用CAHPS数据改善医疗保健的重要新信息，改进对消费者的高质量信息报告，通过创建互动数据库和搜索引擎促进现有CAHPS调查的使用，通过翻译成美国第三种最常用的语言来提高CAHPS调查的参与率，并提供关于使用现有和更新的数据收集模式收集的数据的可比性的信息。

DESCRIPTION (provided by applicant): Consumers, providers and health care purchasers need high quality information to help them compare and evaluate their health care options. The proposed CAHPS IV project will advance the AHRQ CAHPS mission of improving health care by ongoing measurement and reporting of patients' experiences with care. We propose a 5-year effort to conduct quality improvement (QI) studies based on CAHPS data, enhance reporting guidelines and update existing reporting resources, extend the science of reporting, facilitate use of existing CAHPS survey, develop new surveys, evaluate new data collection methods, and promote the use of CAHPS products. Specifically, we will perform a systematic literature review and environmental scan focusing on how organizations learn to conduct effective QI using CAHPS surveys, an initial QI study of early, middle and late adopters of the patient-centered medical home (PCMH) model of care in a northern California preferred provider network, a final QI study of accountable care organizations, a pilot of a national learning network for organizations engaged in QI using CAHPS, cognitive interviews to evaluate composite labels for the CAHPS PCMH survey, an experiment evaluating innovative reporting techniques that involve combinations of standard CAHPS data with patient anecdotes about care, evaluation of the benefits and costs of including CAHPS roll- up scores in comparative quality reports, development of a "Your CAHPS Survey" tool to help users compile surveys tailored to their specific needs, and data collection (e.g., web versus interactive voice response) experiments. In addition, we will update the CAHPS Improvement Guide, TalkingQuality website and the Report Card Compendium, develop and evaluate a Spanish language report for the CAHPS PCMH survey, maintain existing survey tools and prepare OMB and NQF applications for CAHPS surveys, and 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 because it will yield important new information about how to improve health care using CAHPS data, improve reporting of quality information to consumers, facilitate use of existing CAHPS surveys by creating an interactive database and search engine, improve participation rates in CAHPS surveys by translating into the third most common language in the United States, and provide information about the comparability of data collected using existing and newer modes of data collection.