Patient Centeredness
Patient Experience of Care
Composite measure: people's experiences with how well their doctors communicate
Composite measure: parents of health plan members who reported how often their children's doctors or other health providers communicated well
Among adults 18+ who reported going to a doctor's office or clinic in the last 12 months, how often their health providers listened carefully to them
Among children under 18 who had a doctor's office or clinic visit reported in the last 12 months, how often their health providers listened carefully to their parents
Among adults 18+ who reported going to a doctor's office or clinic in the last 12 months, how often their health providers explained things clearly
Among children under 18 who had a doctor's office or clinic visit in the last 12 months, how often their health providers explained things clearly
Among adults 18+ who reported going to a doctor's office or clinic in the last 12 months, how often their health providers showed respect for what they had to say
Among children under 18 who had a doctor's office or clinic visit in the last 12 months, how often their health providers showed respect for what their parents had to say
Among adults 18+ who reported going to a doctor's office or clinic in the last 12 months, how often their health providers spent enough time with them
Among children under 18 who had a doctor's office or clinic visit in the last 12 months, how often their health providers spent enough time with them and their parents
Racial/ethnic representation of physicians and surgeons
Hospital patients who reported sometimes or never having good communications with doctors
Hospital patients who reported sometimes or never having good communications with nurses
Hospital patients who reported sometimes or never having good communications about medications
Patient Experience of Care
Measure Title
Composite measure: people's experiences with how well their doctors communicate.
Source
Agency for Healthcare Research and Quality (AHRQ), Consumer Assessment of Health Plans (CAHPS).
AHRQ, Center for Financing, Access and Cost Trends (CFACT), Medical Expenditure Panel Survey (MEPS).
National Tables
4.1a. Among adults age 18 and over who had a doctor's office or clinic visit in the last 12 months, percent distribution of how often their health providers listened carefully, explained things clearly, showed respect for what they had to say, and spent enough time with them, United States, 2003.
4.1b. Among adults age 18 and over who had a doctor's office or clinic visit in the last 12 months, percent distribution of how often their health providers listened carefully, explained things clearly, showed respect for what they had to say, and spent enough time with them, United States, 2000.
National Data Source
AHRQ, MEPS.
National Denominator
Adults age 18 and over who visited a doctor's office or clinic to get heath care in the past 12 months with valid, nonmissing answer to all fours questions that comprise the composite measure.
National Numerator
Subset of the denominator population in 3 categories according to their answer to the 4 questions: "Always," "Usually," "Sometimes," or "Never."
State Tables
4.1c. Among adults age 18 and over who had a doctor's office or clinic visit in the last 6 months, percent whose health providers always listened carefully, explained things clearly, showed respect for what they had to say, and spent enough time with them, Medicaid, by State, 2004 and 2005.
4.1d. Among adults age 18 and over who had a doctor's office or clinic visit in the last 12 months, percent whose health providers always listened carefully, explained things clearly, showed respect for what they had to say, and spent enough time with them, Medicare fee for service, by State, 2003 and 2004.
4.1e. Among adults age 18 and over who had a doctor's office or clinic visit in the last 12 months, percent whose health providers always listened carefully, explained things clearly, showed respect for what they had to say, and spent enough time with them, Medicare managed care, by State, 2003 and 2004.
State Data Source
AHRQ, Center for Quality Improvement and Patient Safety, National CAHPS Benchmarking Database.
State Denominator
Adults who visited a doctor's office or clinic in the past 6 months (if Medicaid) or 12 months (if Medicare).
State Numerator
Subset of the denominator population in 3 categories according to their answer to the 4 questions: "Always," "Usually," "Sometimes," or "Never."
Comments
The national table reports data from the MEPS Child Health section. See the MEPS entry in the Data Sources section of this appendix for more information.
See entries for each of the 4 components of the composite measure for further details about the individual survey questions.
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Patient Experience of Care
Measure Title
Composite measure: percentage of parents of health plan members who reported how often their children's doctors or other health providers communicated well.
Source
Agency for Healthcare Research and Quality (AHRQ), Consumer Assessment of Health Plans (CAHPS).
Agency for Healthcare Research and Quality (AHRQ), Center for Financing, Access and Cost Trends (CFACT), Medical Expenditure Panel Survey (MEPS).
National Tables
4.2a. Among children under age 18 who had a doctor's office or clinic visit in the last 12 months, percent distribution of how often their health providers listened carefully, explained things clearly to their parents, showed respect for what their parents had to say, and spent enough time with them, United States, 2003.
4.2b. Among children under age 18 who had a doctor's office or clinic visit in the last 12 months, percent distribution of how often their health providers listened carefully, explained things clearly to their parents, showed respect for what their parents had to say, and spent enough time with them, United States, 2001.
National Data Source
AHRQ, MEPS.
National Denominator
Children under age 18 who visited a doctor's office or clinic to get heath care in the past 12 months with valid, nonmissing answer to all fours questions that comprise the composite measure.
National Numerator
Subset of the denominator population in 3 categories according to their answer to the 4 questions: "Always," "Usually," "Sometimes," or "Never."
State Table
4.2c. Among children under age 18 who had a doctor's office or clinic visit in the last 6 months, percent whose health providers always listened carefully, explained things clearly, showed respect for what their parents had to say, and spent enough time with them, Medicaid, by State, 2004 and 2005.
State Data Source
AHRQ, Center for Quality Improvement and Patient Safety, National CAHPS Benchmarking Database.
State Denominator
Children with Medicaid benefits who visited a doctor's office or clinic in the past 6 months.
State Numerator
Subset of the denominator population in 3 categories according to their answer to the 4 questions: "Always," "Usually," "Sometimes," or "Never."
Comments
The national table reports data from the MEPS Child Health section. See the MEPS entry in the Data Sources section of this appendix for more information.
See entries for each of the 4 components of the composite measure for further details about the individual survey questions.
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Patient Experience of Care
Measure Title
Among adults age 18 and over who reported going to a doctor's office or clinic in the last 12 months, percent distribution of how often their health providers listened carefully to them.
Measure Source
Agency for Healthcare Research and Quality (AHRQ), Center for Financing, Access and Cost Trends (CFACT), Medical Expenditure Panel Survey (MEPS).
National Tables
4.3a. Among adults age 18 and over who reported going to a doctor's office or clinic in the last 12 months, percent distribution of how often their health providers listened carefully to them, United States, 2003.
4.3b. Among adults age 18 and over who reported going to a doctor's office or clinic in the last 12 months, percent distribution of how often their health providers listened carefully to them, United States, 2000.
National Data Source
AHRQ, MEPS.
National Denominator
Adults who visited a doctor's office or clinic to get health care in the past 12 months and answered the question "In the last 12 months how often did doctors or other health providers listen carefully to you?" Nonresponses and "Don't know" responses were excluded.
National Numerator
Subset of the denominator population in 3 categories according to their answer to the above question: "Always," "Usually," "Sometimes," or "Never."
State Tables
4.3c. Among adults age 18 and over who reported going to a doctor's office or clinic in the last 6 months, percent of their health providers who always listened carefully to them, Medicaid, by State, 2004 and 2005.
4.3d. Among adults age 18 and over who reported going to a doctor's office or clinic in the last 12 months, percent of their health providers who always listened carefully to them, Medicare fee for service, by State, 2003 and 2004.
4.3e. Among adults age 18 and over who reported going to a doctor's office or clinic in the last 12 months, percent of their health providers who always listened carefully to them, Medicare managed care, by State, 2003 and 2004.
State Data Source
AHRQ, Center for Quality Improvement and Patient Safety, National CAHPS Benchmarking Database.
State Denominator
Adults who visited a doctor's office or clinic to get health care in the past 6 months (if Medicaid) or 12 months (if Medicare).
State Numerator
Subset of the denominator population who responded "Always" to the question "In the last 6 months (if Medicaid) or 12 months (if Medicare), how often did doctors or other health providers listen carefully to you?"
Comments
National tables report data from the MEPS Self-Administered Questionnaire (SAQ). See the MEPS entry in the Data Sources section of this appendix for more information on the SAQ.
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Patient Experience of Care
Measure Title
Among children under age 18 who had a doctor's office or clinic visit reported in the last 12 months, percent distribution of how often their health providers listened carefully to their parents.
Measure Source
Agency for Healthcare Research and Quality (AHRQ), Center for Financing, Access and Cost Trends (CFACT), Medical Expenditure Panel Survey (MEPS).
National Tables
4.4a. Among children under age 18 who had a doctor's office or clinic visit in the last 12 months, percent distribution of how often their health providers listened carefully to their parents, United States, 2003.
4.4b. Among children under age 18 who had a doctor's office or clinic visit in the last 12 months, percent distribution of how often their health providers listened carefully to their parents, United States, 2001.
National Data Source
AHRQ, MEPS.
National Denominator
Children under age 18 who visited a doctor's office or clinic to get health care in the past 12 months with a valid answer to the question "In the last 12 months how often did doctors or other health providers listen carefully to you?" Nonresponses and "Don't know" responses were excluded.
National Numerator
Subset of the denominator population in 3 categories according to their answer to the above question: "Always," "Usually," "Sometimes," or "Never."
State Table
4.4c Among children under age 18 who had a doctor's office or clinic visit reported in the last 6 months, percent of their health providers who always listened carefully to their parents, Medicaid, by State, 2004 and 2005.
State Data Source
AHRQ, Center for Quality Improvement and Patient Safety, National CAHPS Benchmarking Database.
State Denominator
Children with Medicaid benefits who visited a doctor's office or clinic in the past 6 months.
State Numerator
Subset of the denominator population with a response of "always" to the question of "In the last 6 months, how often did doctors or other health providers listen carefully to you?"
Comments
The national table reports data from the MEPS Child Health section. See the MEPS entry in the Data Sources section of this appendix for more information.
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Patient Experience of Care
Measure Title
Among adults age 18 and over who reported going to a doctor's office or clinic in the last 12 months, percent distribution of how often their health providers explained things clearly.
Measure Source
Agency for Healthcare Research and Quality (AHRQ), Center for Financing, Access and Cost Trends (CFACT), Medical Expenditure Panel Survey (MEPS).
National Tables
4.5a. Among adults age 18 and over who reported going to a doctor's office or clinic in the last 12 months, percent distribution of how often their health providers explained things clearly to them, United States, 2003.
4.5b. Among adults age 18 and over who reported going to a doctor's office or clinic in the last 12 months, percent distribution of how often their health providers explained things clearly to them, United States, 2000.
National Data Source
AHRQ, MEPS.
National Denominator
Adults age 18 and over who visited a doctor's office or clinic to get health care in the past 12 months and answered the question "In the last 12 months how often did doctors or other health providers explain things in a way you could understand?" Nonresponses and "Don't know" responses were excluded.
National Numerator
Subset of the denominator population who answered "Always" to the question "In the last 12 months how often did doctors or other health providers explain things in a way you could understand?"
State Tables
4.5c. Among adults age 18 and over who reported going to a doctor's office or clinic in the last 6 months, percent of their health providers who always explained things clearly, Medicaid, by State, 2004 and 2005.
4.5d. Among adults age 18 and over who reported going to a doctor's office or clinic in the last 12 months, percent of their health providers who always explained things clearly, Medicare fee for service, by State, 2003 and 2004.
4.5e. Among adults age 18 and over who reported going to a doctor's office or clinic in the last 12 months, percent of their health providers who always explained things clearly, Medicare managed care, by State, 2003 and 2004.
State Data Source
AHRQ, Center for Quality Improvement and Patient Safety, National CAHPS Benchmarking Database.
State Denominator
Number of adults visiting a doctor's office or clinic in the past 6 months (if Medicaid) or 12 months (if Medicare).
State Numerator
Subset of the denominator population who answered "always" to the question "In the last 6 months (if Medicaid) or 12 months (if Medicare), how often did doctors or other health providers explain things in a way you could understand?"
Comments
National tables report data from the MEPS Self-Administered Questionnaire (SAQ). See the MEPS entry in the Data Sources section of this appendix for more information.
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Patient Experience of Care
Measure Title
Among children under age 18 who had a doctor's office or clinic visit in the last 12 months, percent distribution of how often their health providers explained things clearly.
Measure Source
Agency for Healthcare Research and Quality (AHRQ), Center for Financing, Access and Cost Trends (CFACT), Medical Expenditure Panel Survey (MEPS).
National Tables
4.6a. Among children under age 18 who had a doctor's office or clinic visit in the last 12 months, percent distribution of how often their health providers explained things clearly to their parents, United States, 2003.
4.6b. Among children under age 18 who had a doctor's office or clinic visit in the last 12 months, percent distribution of how often their health providers explained things clearly to their parents, United States, 2001.
National Data Source
AHRQ, MEPS.
National Denominator
Children under age 18 who had a doctor's office or clinic visit in the last 12 months with a valid answer to the question "In the last 12 months how often did (the person's) doctors or other health providers explain things in a way you could understand?" Nonresponses and "Don't know" responses were excluded.
National Numerator
Subset of the denominator population in 3 categories according to the answer to the above question: "Always," "Usually," "Sometimes," or "Never."
State Table
4.6c. Among children under age 18 who had a doctor's office or clinic visit in the last 6 months, percent whose health providers always explained things clearly, Medicaid, by State, 2004 and 2005.
State Data Source
AHRQ, Center for Quality Improvement and Patient Safety, National CAHPS Benchmarking Database.
State Denominator
Children with Medicaid benefits who visited a doctor's office or clinic in the past 6 months.
State Numerator
Subset of the denominator population with the response "Always" to the question "In the last 6 months, how often did doctors or other health providers explain things in a way you could understand?"
Comments
The national table reports data from the MEPS Child Health section. See the MEPS entry in the Data Sources section of this appendix for more information.
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Patient Experience of Care
Measure Title
Among adults age 18 and over who reported going to a doctor's office or clinic in the last 12 months, percent distribution of how often their health providers showed respect for what they had to say.
Measure Source
Agency for Healthcare Research and Quality (AHRQ), Center for Financing, Access and Cost Trends (CFACT), Medical Expenditure Panel Survey (MEPS).
National Tables
4.7a. Among adults age 18 and over who reported going to a doctor's office or clinic in the last 12 months, percent distribution of how often their health providers showed respect for what they had to say, United States, 2003.
4.7b. Among adults age 18 and over who reported going to a doctor's office or clinic in the last 12 months, percent distribution of how often their health providers showed respect for what they had to say, United States, 2000.
National Data Source
AHRQ, MEPS.
National Denominator
Adults age 18 and over who reported going to a doctor's office or clinic in the last 12 month and answered the question "In the last 12 months how often did doctors or other health providers show respect for what you had to say?" Nonresponses and "Don't know" responses were excluded.
National Numerator
Subset of the denominator population in 3 categories according to their answer to the above question: "Always," "Usually," "Sometimes," or "Never."
State Tables
4.7c. Among adults age 18 and over who reported going to a doctor's office or clinic in the last 6 months, percent of their health providers who always showed respect for what they had to say, Medicaid, by State, 2004 and 2005.
4.7d. Among adults age 18 and over who reported going to a doctor's office or clinic in the last 12 months, percent of their health providers who always showed respect for what they had to say, Medicare fee for service, by State, 2003 and 2004.
4.7e. Among adults age 18 and over who reported going to a doctor's office or clinic in the last 12 months, percent of their health providers who always showed respect for what they had to say, Medicare managed care, by State, 2003 and 2004.
State Data Source
AHRQ, Center for Quality Improvement and Patient Safety, National CAHPS Benchmarking Database.
State Denominator
Number of adults who visited a doctor's office or clinic in the last 6 months (if Medicaid) or 12 months (if Medicare).
State Numerator
Subset of the denominator population with the response "Always" to the question "In the last 6 months (if Medicaid) or 12 months (if Medicare), how often did doctors or other health providers show respect for what you had to say?"
Comments
National tables report data from the MEPS Self-Administered Questionnaire (SAQ). See the MEPS entry in the Data Sources section of this appendix for more information on the SAQ.
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Patient Experience of Care
Measure Title
Among children under age 18 who had a doctor's office or clinic visit in the last 12 months, percent distribution of how often their health providers showed respect for what their parents had to say.
Measure Source
Agency for Healthcare Research and Quality (AHRQ), Center for Financing, Access and Cost Trends (CFACT), Medical Expenditure Panel Survey (MEPS).
National Tables
4.8a. Among children under age 18 who had a doctor's office or clinic visit in the last 12 months, percent distribution of how often their health providers showed respect for what their parents had to say, United States, 2003.
4.8b. Among children under age 18 who had a doctor's office or clinic visit in the last 12 months, percent distribution of how often their health providers showed respect for what their parents had to say, United States, 2001.
National Data Source
AHRQ, MEPS.
National Denominator
Children under age 18 who had a doctor's office or clinic visit in the last 12 months and with a valid answer to the question "In the last 12 months how often did doctors or other health providers show respect for what you had to say?" Nonresponses and "Don't know" responses were excluded.
National Numerator
Subset of the denominator population in 3 categories according to the answer to the above question: "Always," "Usually," "Sometimes," or "Never."
State Table
4.8c. Among children under age 18 who had a doctor's office or clinic visit in the last 6 months, percent whose health providers always showed respect for what their parents had to say, Medicaid, by State, 2004 and 2005.
State Data Source
AHRQ, Center for Quality Improvement and Patient Safety, National CAHPS Benchmarking Database.
State Denominator
Children with Medicaid benefits who visited a doctor's office or clinic in the past 6 months.
State Numerator
Subset of the denominator population with the response "Always" to the question "In the last 6 months, how often did doctors or other health providers show respect for what you had to say?"
Comments
The national table reports data from the MEPS Child Health section. See the MEPS entry in the Data Sources section of this appendix for more information.
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Patient Experience of Care
Measure Title
Among adults age 18 and over who reported going to a doctor's office or clinic in the last 12 months, percent distribution of how often their health providers spent enough time with them.
Measure Source
Agency for Healthcare Research and Quality (AHRQ), Center for Financing, Access and Cost Trends (CFACT), Medical Expenditure Panel Survey (MEPS).
National Tables
4.9a. Among adults age 18 and over who reported going to a doctor's office or clinic in the last 12 months, percent distribution of how often their health providers spent enough time with them, United States, 2003.
4.9b. Among adults age 18 and over who reported going to a doctor's office or clinic in the last 12 months, percent distribution of how often their health providers spent enough time with them, United States, 2000.
National Data Source
AHRQ, MEPS.
National Denominator
Adults age 18 and over who reported going to a doctor's office or clinic in the last 12 months and answered the question "In the last 12 months how often did doctors or other health providers spend enough time with you?" Nonresponses and "Don't know" responses were excluded.
National Numerator
Subset of the denominator population in 3 categories according to their answer to the above question: "Always," "Usually," "Sometimes," or "Never."
State Tables
4.9c. Among adults age 18 and over who reported going to a doctor's office or clinic in the last 6 months, percent whose health providers always spent enough time with them, Medicaid, by State, 2004 and 2005.
4.9d. Among adults age 18 and over who reported going to a doctor's office or clinic in the last 12 months, percent whose health providers always spent enough time with them, Medicare fee for service, by State, 2003 and 2004.
4.9e. Among adults age 18 and over who reported going to a doctor's office or clinic in the last 12 months, percent whose health providers always spent enough time with them, Medicare managed care, by State, 2003 and 2004.
State Data Source
AHRQ, Center for Quality Improvement and Patient Safety, National CAHPS Benchmarking Database.
State Denominator
Adults who reported going to a doctor's office or clinic in the last 6 months (if Medicaid) or 12 months (if Medicare).
State Numerator
Subset of the denominator population who reported "Always" to the question "In the last 6 months (if Medicaid) or 12 months (if Medicare), how often did doctors or other health providers spend enough time with you"
Comments
National tables report data from the MEPS Self-Administered Questionnaire SAQ). See the MEPS entry in the Data Sources section of this appendix for more information on the SAQ.
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Patient Experience of Care
Measure Title
Among children under age 18 who had a doctor's office or clinic visit in the last 12 months, percent distribution of how often their health providers spent enough time with them and their parents.
Measure Source
Agency for Healthcare Research and Quality (AHRQ), Center for Financing, Access and Cost Trends (CFACT), Medical Expenditure Panel Survey (MEPS).
National Tables
4.10a. Among children under age 18 who had a doctor's office or clinic visit in the last 12 months, percent distribution of how often their health providers spent enough time with them and their parents, United States, 2003.
4.10b. Among children under age 18 who had a doctor's office or clinic visit in the last 12 months, percent distribution of how often their health providers spent enough time with them and their parents, United States, 2001.
National Data Source
AHRQ, MEPS.
National Denominator
Children under age 18 who visited a doctor's office or clinic to get heath care in the past 12 months and with a valid answer to the question "In the last 12 months how often did doctors or other health providers spend enough time with you?."
National Numerator
Subset of the denominator population in 3 categories according to their answer to the above question: "Always," "Usually," "Sometimes," or "Never."
State Table
4.10c. Among children under age 18 who had a doctor's office or clinic visit in the last 6 months, percent whose health providers always spent enough time with them and their parents, Medicaid, by State, 2004 and 2005.
State Data Source
AHRQ, Center for Quality Improvement and Patient Safety, National CAHPS Benchmarking Database.
State Denominator
Children with Medicaid benefits who visited a doctor's office or clinic in the past 6 months.
State Numerator
Subset of the denominator population who reported "Always" to the question "In the last 6 months, how often did doctors or other health providers spend enough time with you"
Comments
The national table reports data from the MEPS Child Health section. See the MEPS entry in the Data Sources section of this appendix for more information.
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Patient Experience of Care
Measure Title
Racial/ethnic representation of physicians and surgeons
Measure Source
The Center for Studying Health System Change (HSC), Community Tracking Study (CTS).
Table
4.11. Race/ethnicity of U.S. physicians and surgeons versus the U.S. population, United States, 2000.
Data Sources
United States Census 2000.
Census 2000 Equal Employment Opportunity Tabulations.
Denominator
All reported United States physicians, all United States citizens
National Numerator
Physicians by race, citizens by race.
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Patient Experience of Care
Measure Title
Hospital patients who reported sometimes or never having good communications with doctors.
Measure Source
Centers for Medicare & Medicaid Services (CMS), Agency for Healthcare Research and Quality (AHRQ), National CAHPS Benchmarking Database, Hospital CAHPS (HCAHPS) survey.
Table
4.12. Hospital patients age 18 or over who reported sometimes or never having good communications with doctors, United States, 2005.
Data Source
CMS/AHRQ, HCAHPS.
Denominator
Hospital patients age 18 and over discharged alive who had at least an overnight stay and no psychiatry-related diagnoses.
National Numerator
Subset of denominator who responded "sometimes" or "never" to any of three survey questions: "During this hospital stay, how often did doctors treat you with courtesy and respect?", "During this hospital stay, how often did doctors listen carefully to you?" and "During this hospital stay, how often did doctors explain things in a way you could understand?"
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Patient Experience of Care
Measure Title
Hospital patients who reported sometimes or never having good communications with nurses.
Measure Source
Centers for Medicare & Medicaid Services (CMS), Agency for Healthcare Research and Quality (AHRQ), National CAHPS Benchmarking Database, Hospital CAHPS (HCAHPS) survey.
Table
4.13. Hospital patients age 18 and over who reported sometimes or never having good communications with nurses, United States, 2005.
Data Source
CMS/AHRQ, HCAHPS.
Denominator
Hospital patients age 18 and over discharged alive who had at least an overnight stay and no psychiatry-related diagnoses.
National Numerator
Subset of denominator who responded "sometimes" or "never" to any of three survey questions: "During this hospital stay, how often did nurses treat you with courtesy and respect?", "During this hospital stay, how often did nurses listen carefully to you?" and "During this hospital stay, how often did nurses explain things in a way you could understand?"
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Patient Experience of Care
Measure Title
Hospital patients who reported sometimes or never having good communications about medications.
Measure Source
Centers for Medicare & Medicaid Services (CMS), Agency for Healthcare Research and Quality (AHRQ), National CAHPS Benchmarking Database, Hospital CAHPS (HCAHPS) survey.
Table
4.14. Hospital patients age 18 and over who reported sometimes or never having good communications about medications, United States, 2005.
Data Source
CMS/AHRQ, HCAHPS.
Denominator
Hospital patients age 18 and over discharged alive who had at least an overnight stay and no psychiatry-related diagnoses and who responded "yes" to the question "During this hospital stay, were you given any medicine that you had not taken before?"
National Numerator
Subset of denominator who responded "sometimes" or "never" to either of two survey questions: "Before giving you any new medicine, how often did hospital staff tell you what the medicine was for?" and "Before giving you any new medicine, how often did hospital staff describe possible side effects in a way you could understand?"
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