Grant Number: U18 HS09205
RFA/PA: HS95-003 - Consumer Assessments on Health Plan Study(CAHPS)
PI Name: CLEARY, PAUL
Project Title: CAHPS II

Abstract:

This application proposes a program of research, development, and evaluation that will advance the state of the field with respect to the design, collection, and use of consumers' assessments of health care for purposes of informing health care choices and improving health care quality. The specific goals of the proposed project are to: 1) maintain and refine existing CAHPS products, including the Experience with Care and Health Outcomes (ECHO) survey and the CAHPS analysis program (CAHPS macro), 2) further develop and test surveys and reports that assess nursing home performance, group practices, and care of persons with mobility impairments, 3) develop and test new survey modules and protocols that address individual clinician performance, PPO performance and patient safety, 4) test and evaluate new data collection methodologies, including use of the Internet and Interactive Voice Recognition, 5) develop, test, and evaluate new approaches to reporting CAHPS data to consumers, purchasers, and providers, 6) develop, implement and evaluate new approaches to facilitating quality improvement through the use of CAHPS data, and 7) evaluate new and conventional approaches to facilitating consumers' use of CAHPS data to inform their health care decisions and improve the quality of care they receive.

The applicants are a consortium of experts in consumer survey design, report development, experimental psychology, quality improvement, evaluation research, and community-based dissemination methods from the Department of Health Care Policy in the Harvard Medical School, Baruch College at City University of New York, the Center for Survey Research at the University of Massachusetts, The Department of Psychology at Harvard University, the Center for Measuring Rehabilitation Outcomes at Boston University, the National Committee for Quality Assurance, the New England Medical Center, the Academy of Educational Development (AED), and several nationally known independent researchers and consultants. This consortium (hereafter referred to as the "Harvard team") proposes maintaining continuity in the CAHPS development process by continuing critical activities and well established collaborations from the CAHPS I project, while expanding the team substantially to bring new skills, perspectives and expertise to the project. Similarly, the team has maintained close contact with collaborating demonstration sites from CAHPS I 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.


Fiscal Year: 1998
Department: HARVARD UNIVERSITY (MEDICAL SCHOOL)
Project Start: 09/30/1995
Project End: 05/31/2009
IRG: ZHS1

Related Publications:

Kim M, Zaslavsky AM, Cleary PD (2005). "Adjusting Pediatric Consumer Assessment of Health Plans Study (CAHPS) Scores to Ensure Fair Comparison of Health Plan Performances." Med Care, Vol. 43, pp. 44-52

Carlson, M.J., Shaul, J.A., Eisen, S.V., Cleary, P.D. (2002). "The influence of patient characteristics on ratings of managed behavioral health care." J Behav Health Serv Res , Vol. 29, pp. 481-9

Solomon, L.S., Zaslavsky, A.M., Landon, B.E., Cleary, P.D. (2002). "Variation in Patient-Reported Quality Among Health Care Organizations." Health Care Financing Review, Vol. 23, pp. 85-100

Schneider, E.C., Zaslavsky, A.M., Landon, B.E., Lied, T.R., Sheingold, S., Cleary, P.D. (2001). "National quality monitoring of Medicare health plans: the relationship between enrollees' reports and the quality of clinical care." Medical Care, Vol. 39, pp. 1313-1325

Shaul, J.A., Eisen, S.V., Stringfellow, V.L., Clarridge, B.R., Hermann, R.C., Nelson, D., Anderson, E., Kubrin, A.I., Leff, H.S., Cleary, P.D. (2001). "Use of consumer ratings for quality improvement in behavioral health insurance plans." Joint Commission Journal on Quality Improvement, Vol. 27, pp. 216-229

Hargraves, J.L, Wilson, I.B., Zaslavsky, A., James, C., Walker, J.D., Rogers, G., Cleary, P.D. (2001). "Adjusting for patient characteristics when analyzing reports from patients about hospital care." Medical Care, Vol. 39, pp. 635-641

Guadagnoli, E., Epstein, A.M., Zaslavsky, A., Shaul, J.A., Veroff, D., Fowler, F.J. Jr., Cleary, P.D. (2000). "Providing consumers with information about the quality of health plans: the Consumer Assessment of Health Plans demonstration in Washington State." Jt Comm J Qual Improv, Vol. 26, pp. 410-20

Homer, C.J., Fowler, F.J., Gallagher, P.M., Shaul, J., Uyeda, M., Zaslavsky, A., Wilson, V., & Cleary, P. (1999). "The Consumer Assessment of Health Plan Study (CAHPS) survey of children's health care.." Jt Comm J Qual Improv, Vol. 25, pp. 369-77

Cleary, PD, & Edgman-Levitan, S (1997). "Health care quality. Incorporating consumer perspectives.." JAMA, Vol. 278, pp. 1608-12