Effect of change in the CG CAHPS survey instrument recall period on patient experience scores on healthcare utilization
Standardized patient experience survey instruments play an important role in informing healthcare quality and process improvement. However, any changes in standardized instruments can impact the interpretation, trending, and analysis of patient reported data. This study investigates how the change i...
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The Beryl Institute
2019
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oai:doaj.org-article:b3f00b1b637944e7a231d098371a4c9b2021-11-15T04:28:53ZEffect of change in the CG CAHPS survey instrument recall period on patient experience scores on healthcare utilization2372-0247https://doaj.org/article/b3f00b1b637944e7a231d098371a4c9b2019-11-01T00:00:00Zhttps://pxjournal.org/journal/vol6/iss3/14https://doaj.org/toc/2372-0247Standardized patient experience survey instruments play an important role in informing healthcare quality and process improvement. However, any changes in standardized instruments can impact the interpretation, trending, and analysis of patient reported data. This study investigates how the change in Clinician and Group Consumer Assessment of Healthcare Providers and Systems (CG CAHPS) survey recall period, from 12- to 6-months, can impact the accuracy and quality of patient experience data. This study used primary survey data on patient experience collected in 2016. Analyses included tests of proportion and t-tests for a comparison of: 1) experience ratings, and 2) administrative data to corroborate how accurately respondents report the number of visits received within the recall period. The findings indicated that respondents, on average, underestimated their usage of care based on a 12-month recall period, apart from those who reported just one visit. A shorter 6-month recall period resulted in higher accuracy in reporting the number of actual visits that occurred. Furthermore, experiential measures showed consistently higher scores across measures for <em>Provider Communications</em>, <em>Staff Communications</em>, <em>Timely Access to Care</em>, and <em>Care Coordination</em> for a 6-month recall period compared to a 12-month period. This study showed that it would be difficult to compare CG CAHPS Version 2.0 to Version 3.0 due to recall differences in experiential measures. Given that shorter recall periods tend to be associated with higher CG CAHPS ratings, healthcare stakeholders should consider bias introduced by changes of recall periods in survey instruments. <strong>Experience Framework</strong> This article is associated with the Policy & Measurement lens of The Beryl Institute Experience Framework. (<a href="http://bit.ly/ExperienceFramework">http://bit.ly/ExperienceFramework</a>) <ul> <li><a href="https://www.theberylinstitute.org/page/PXSEARCH#resource-list-all/?view_28_page=1&view_28_filters=%5B%7B%22field%22%3A%22field_38%22%2C%22operator%22%3A%22in%22%2C%22value%22%3A%5B%22PXJ%20Article%22%5D%7D%2C%7B%22field%22%3A%22field_20%22%2C%22operator%22%3A%22is%22%2C%22value%22%3A%5B%22%22%5D%7D%2C%7B%22field%22%3A%22field_40%22%2C%22operator%22%3A%22is%22%2C%22value%22%3A%5B%22%22%2C%22Policy%20%26%20Measurement%22%5D%7D%2C%7B%22field%22%3A%22field_41%22%2C%22operator%22%3A%22is%22%2C%22value%22%3A%5B%22%22%5D%7D%5D">Access other PXJ articles</a> related to this lens.</li> <li><a href="https://www.theberylinstitute.org/page/Ecosystem-PolicyMeasurement">Access other resources</a> related to this lens.</li> </ul>Kimberley Marshall-AiyelawoRichard BannickSharon BeamerMelissa GlinerTerry McDavidDaniel MuraidaJanice EllisonBeatrice AbieroAlan RoshwalbMark AndrewsThe Beryl Institutearticlecahpsquality carepatient experiencemeasurementMedicine (General)R5-920Public aspects of medicineRA1-1270ENPatient Experience Journal (2019) |
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cahps quality care patient experience measurement Medicine (General) R5-920 Public aspects of medicine RA1-1270 |
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cahps quality care patient experience measurement Medicine (General) R5-920 Public aspects of medicine RA1-1270 Kimberley Marshall-Aiyelawo Richard Bannick Sharon Beamer Melissa Gliner Terry McDavid Daniel Muraida Janice Ellison Beatrice Abiero Alan Roshwalb Mark Andrews Effect of change in the CG CAHPS survey instrument recall period on patient experience scores on healthcare utilization |
description |
Standardized patient experience survey instruments play an important role in informing healthcare quality and process improvement. However, any changes in standardized instruments can impact the interpretation, trending, and analysis of patient reported data. This study investigates how the change in Clinician and Group Consumer Assessment of Healthcare Providers and Systems (CG CAHPS) survey recall period, from 12- to 6-months, can impact the accuracy and quality of patient experience data. This study used primary survey data on patient experience collected in 2016. Analyses included tests of proportion and t-tests for a comparison of: 1) experience ratings, and 2) administrative data to corroborate how accurately respondents report the number of visits received within the recall period. The findings indicated that respondents, on average, underestimated their usage of care based on a 12-month recall period, apart from those who reported just one visit. A shorter 6-month recall period resulted in higher accuracy in reporting the number of actual visits that occurred. Furthermore, experiential measures showed consistently higher scores across measures for <em>Provider Communications</em>, <em>Staff Communications</em>, <em>Timely Access to Care</em>, and <em>Care Coordination</em> for a 6-month recall period compared to a 12-month period. This study showed that it would be difficult to compare CG CAHPS Version 2.0 to Version 3.0 due to recall differences in experiential measures. Given that shorter recall periods tend to be associated with higher CG CAHPS ratings, healthcare stakeholders should consider bias introduced by changes of recall periods in survey instruments.
<strong>Experience Framework</strong>
This article is associated with the Policy & Measurement lens of The Beryl Institute Experience Framework. (<a href="http://bit.ly/ExperienceFramework">http://bit.ly/ExperienceFramework</a>) <ul> <li><a href="https://www.theberylinstitute.org/page/PXSEARCH#resource-list-all/?view_28_page=1&view_28_filters=%5B%7B%22field%22%3A%22field_38%22%2C%22operator%22%3A%22in%22%2C%22value%22%3A%5B%22PXJ%20Article%22%5D%7D%2C%7B%22field%22%3A%22field_20%22%2C%22operator%22%3A%22is%22%2C%22value%22%3A%5B%22%22%5D%7D%2C%7B%22field%22%3A%22field_40%22%2C%22operator%22%3A%22is%22%2C%22value%22%3A%5B%22%22%2C%22Policy%20%26%20Measurement%22%5D%7D%2C%7B%22field%22%3A%22field_41%22%2C%22operator%22%3A%22is%22%2C%22value%22%3A%5B%22%22%5D%7D%5D">Access other PXJ articles</a> related to this lens.</li> <li><a href="https://www.theberylinstitute.org/page/Ecosystem-PolicyMeasurement">Access other resources</a> related to this lens.</li> </ul> |
format |
article |
author |
Kimberley Marshall-Aiyelawo Richard Bannick Sharon Beamer Melissa Gliner Terry McDavid Daniel Muraida Janice Ellison Beatrice Abiero Alan Roshwalb Mark Andrews |
author_facet |
Kimberley Marshall-Aiyelawo Richard Bannick Sharon Beamer Melissa Gliner Terry McDavid Daniel Muraida Janice Ellison Beatrice Abiero Alan Roshwalb Mark Andrews |
author_sort |
Kimberley Marshall-Aiyelawo |
title |
Effect of change in the CG CAHPS survey instrument recall period on patient experience scores on healthcare utilization |
title_short |
Effect of change in the CG CAHPS survey instrument recall period on patient experience scores on healthcare utilization |
title_full |
Effect of change in the CG CAHPS survey instrument recall period on patient experience scores on healthcare utilization |
title_fullStr |
Effect of change in the CG CAHPS survey instrument recall period on patient experience scores on healthcare utilization |
title_full_unstemmed |
Effect of change in the CG CAHPS survey instrument recall period on patient experience scores on healthcare utilization |
title_sort |
effect of change in the cg cahps survey instrument recall period on patient experience scores on healthcare utilization |
publisher |
The Beryl Institute |
publishDate |
2019 |
url |
https://doaj.org/article/b3f00b1b637944e7a231d098371a4c9b |
work_keys_str_mv |
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