Checklists & Guides

CG CAHPS 3.0 Guide

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SPH Analytics will work with you to determine appropriate sample sizes and the feasibility of reaching the quotas shown. Can the sample contain both adult and child patients? We can survey both adult and child patients on your behalf. However, this will require the administration of two separate surveys since the child survey has slight wording differences and more questions to account for the fact that the child's parent or guardian (not the child himself) is expected to complete the survey. What are the recommendations to determine patient eligibility? Eligible patients should include the following: • Patients with at least one visit to the selected physicians/providers in the measurement period. • For GC CAHPS 3.0 Adult version, this will include patients who have had an office visit in the last 6 months. • For CG CAHPS 2.0 Visit Specific Survey, this will include those who have had an office visit within the last X months (TBD). • Patients should appear only once in the final sample, even if they had more than one visit within the target timeframe. • Age criteria: Adult questionnaire – All adults 18 or older; Child questionnaire – All children 17 years or younger • Do not remove anyone based on reason for visit, duration with the provider, whether the patient still sees the provider, or whether the patient is still enrolled in a certain health plan. • Use the anticipated data collection start date to determine the target timeframe. • The final sample should only contain one patient per household to reduce respondent burden. Are there any requirements to conduct a CG CAHPS Survey at this time? Physicians and group practices are beginning to face multiple requirements at the state and national level to collect and report patient experience data using different versions of the survey. CMS has two primary mandates which incorporate the CGCAHPS core survey. 1. CAHPS for ACOs is required for Pioneer ACOs and ACOs in the Medicare Shared Savings and Next Generation Program. 2. CAHPS for MIPS survey is an optional quality measure and/or improvement activity that provider groups participating in the CMS Merit-based Incentive Payment System (MIPS) Payment Program can elect to demonstrate. The National Committee for Quality Assurance (NCQA) has created a CAHPS Patient-Centered Medical Home version of the CG CAHPS Survey which supports their PCMH recognition program. The following states have used CG CAHPS data for publicly reporting on the physician, practice or group level. These have included: Minnesota, Massachusetts, Main and Michigan, to name a few. Combined with state level mandates and other CMS programs, most group practices across the country will soon be mandated to measure the patient experience using a CG CAHPS Survey instrument. CMS and industry authorities are advising physician practices, "if you are not already measuring the patient experience in your medical practice, now is the time to start." Is there a national benchmark for the CG CAHPS Survey? Yes, AHRQ has developed the National CAHPS Benchmarking Database (NCBD) as the national warehouse of data collected from CAHPS patient surveys to assess patient care. The CAHPS database currently contains multiple years of trend and benchmark data from the CAHPS Clinician & Group 2.0 Survey. Participation in the CG CAHPS NCBD database is free and open to all healthcare organizations, practices, groups that administer surveys according to CAHPS specifications. It entitles you to access to a secure, password-protected Online Reporting System. Participants can view their organization's results compared to regional and national benchmarks by different types of physician practices or medical groups. Participating in the NCBD benchmark database significantly enhances your ability to evaluate the performance of your providers and or groups, set your internal benchmarks and determine areas for improvement.

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