Continuation of Consumer Assessment of Healthcare Providers and Systems CAHPS IV

描述（由申请人提供）：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。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体验来改善医疗保健。我们提出了一项为期5年的努力，以CAHPS数据为基础进行质量改进（QI）研究，加强报告指南和更新现有的报告资源，扩展报告的科学性，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，并促进CAHPS产品的使用。具体而言，我们将进行系统的文献综述和环境扫描，重点关注组织如何学习使用CAHPS调查进行有效的QI，在北方加州首选提供者网络中对以患者为中心的医疗之家（PCMH）护理模式的早期、中期和晚期采用者进行的初步QI研究，对责任护理组织进行的最终QI研究，国家学习网络的试点 对于从事使用CAHPS的QI的组织，认知访谈来评估CAHPS PCMH调查的复合标签，一项评估创新报告技术的实验，该技术涉及标准CAHPS数据与患者护理轶事的组合，评估在比较质量报告中包括CAHPS累积评分的收益和成本，开发“您的CAHPS调查”工具，以帮助用户编制适合其特定需求的调查，并收集数据（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网站和报告卡汇编，为CAHPS PCMH调查开发和评估西班牙语报告，维护现有的调查工具，为CAHPS调查准备OMB和NQF应用程序，并推进CAHPS数据的分析方法。鉴于项目团队先前的成就和已建立的工作关系，项目团队非常适合实现研究目标。这项工作是创新的，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，改善向消费者报告的质量信息，通过创建交互式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大通用语言提高CAHPS调查的参与率，并提供关于使用现有和较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.