The Development of a CAHPS® Instrument for Nursing Home Residents (NHCAHPS)

Sangl, Judith; Buchanan, Joan L.; Cosenza, Carol; Bernard, Shula; Keller, Susan; Mitchell, Nancy; Brown, Julie A.; Castle, Nicholas G.; Sekscenski, Edward; Larwood, Deborah

doi:10.1300/j031v19n02_04

Cited by 42 publications

(39 citation statements)

References 17 publications

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“…CAHPS surveys are used in several therapeutic areas to inform patient experiences with care in a variety of settings such as ESRD (12), women's health (13), nursing home residents (14), family member experiences of nursing home care (15), and dental care (16). An evaluation of the CAHPS Medicare survey for patients with ESRD conducted in 2009-2010 was recently reported (12).…”

Section: Discussionmentioning

confidence: 99%

Evaluation of the Consumer Assessment of Healthcare Providers and Systems In-Center Hemodialysis Survey

Wood

Paoli

Taylor‐Stokes

et al. 2014

Clinical Journal of the American Society of Nephrology

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Background and objectives The US Centers for Medicare and Medicaid Services (CMS) End Stage Renal Disease Prospective Payment System and Quality Incentive Program requires that dialysis centers meet predefined criteria for quality of patient care to ensure future funding. The CMS selected the Consumer Assessment of Healthcare Providers and Systems In-Center Hemodialysis (CAHPS-ICH) survey for the assessment of patient experience of care. This analysis evaluated the psychometric properties of the CAHPS-ICH survey in a sample of hemodialysis patients.Design, setting, participants, & measurements Data were drawn from the Adelphi CKD Disease Specific Program (a retrospective, cross-sectional survey of nephrologists and patients). Selected United States-based nephrologists treating patients receiving hemodialysis completed patient record forms and provided information on their dialysis center. Patients (n=404) completed the CAHPS-ICH survey (comprising 58 questions) providing six scores for the assessment of patient experience of care. CAHPS-ICH item-scale convergence, discrimination, and reliability were evaluated for multi-item scales. Floor and ceiling effects were estimated for all six scores. Patient (demographics, dialysis history, vascular access method) and facility characteristics (size, ratio of patients-tophysicians, nurses, and technicians) associated with the CAHPS-ICH scores were also evaluated.Results Item-scale correlations and internal consistency reliability estimates provided support for the nephrologists' communication (range, 0.16-0.71; a=0.81) and quality of care (range, 0.16-0.76; a=0.90) composites. However, the patient information composite had low internal consistency reliability (a=0.55). Provider-topatient ratios (range, 2.37 for facilities with .36 patients per physician to 2.8 for those with ,8 patients per physician) and time spent in the waiting room (3.44 for .15 minutes of waiting time to 3.75 for 5 to ,10 minutes) were characteristics most consistently related to patients' perceptions of dialysis care.Conclusions CAHPS-ICH is a potentially valuable and informative tool for the evaluation of patients' experiences with dialysis care. Additional studies are needed to estimate clinically meaningful differences between care providers.

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Section: Discussionmentioning

confidence: 99%

Evaluation of the Consumer Assessment of Healthcare Providers and Systems In-Center Hemodialysis Survey

Wood

Paoli

Taylor‐Stokes

et al. 2014

Clinical Journal of the American Society of Nephrology

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“…Until now, however, efforts to collect and disseminate consumer-oriented data for nursing homes have been very limited. (16,17,20)…”

Section: Policy Implicationsmentioning

confidence: 99%

Satisfaction With Massachusetts Nursing Home Care Was Generally High During 2005–09, With Some Variability Across Facilities

Cai

et al. 2013

Health Affairs

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Since 2005 Massachusetts has publicly reported results from biennial surveys of satisfaction with nursing homes, completed by responsible parties for residents, to promote consumer-centered care. Our analysis of the results from 2005, 2007, and 2009 revealed generally high satisfaction with care, which remained stable over time. On a scale of 1 to 5 (from very dissatisfied to very satisfied), average satisfaction with overall care was 4.22–4.31 and satisfaction that overall residents’ needs were met was 4.09–4.16; 89.9–90.1 percent of respondents would recommend the facility. Satisfaction ratings varied considerably across facilities, with higher scores associated with higher nursing staffing levels, fewer deficiency citations, and nonprofit or government ownership. Scores for six domains of care were, in general, closely associated with satisfaction scores. However, family members seemed less satisfied with the physical and social activities available to residents and with the food and meals served than with such attributes as the physical environment. Our findings suggest that including the consumer's perspective would improve the Centers for Medicare and Medicaid Services’ current nursing home reporting efforts, but that refinements may be necessary to detect the impact of consumer reporting on the quality of patient-centered care.

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“…Items to assess satisfaction with current activities were drawn and adapted from: (1) The 2002 Ohio Department of Aging Resident Satisfaction Survey (Straker, Ejaz, McCarthy, & Jones, 2007), (2) the Nursing Facility Family Satisfaction Questionnaire (NF-FSQ) (Castle, 2004), and (3) The CAHPS Nursing Home Survey: Long-Stay Resident Instrument (Agency for Healthcare Research and Quality, 2007;Sangl et al, 2007).…”

Section: Survey Developmentmentioning

confidence: 99%

Activity Preferences and Satisfaction Among Older Adults in a Veterans Administration Long-Term Care Facility

Kracker

Kearns

Kier

et al. 2011

Clinical Gerontologist

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Activities can be a nonpharmacological intervention for depression in long-term care. To address the activity needs of men, 183 residents of a VA long-term care facility were surveyed about activity interests, past and present, and activity satisfaction. With a 30% return rate, residents reported 85% overall satisfaction with activities and identified television as the most preferred activity, past and present. Bingo, movies, and listening to music ranked high for current activities. Prayer, reading, and pets increased in popularity. Current satisfaction with flea markets, pool, and gardening decreased from prior levels of satisfaction. Model making and arts and crafts activities were rated poorly. Long-term care facilities may want to expand television-based activities for older men in ways that promote increased socialization and mental activity.Activities can enhance a person's sense of well being and serve as a source of interest, satisfaction, and structure in daily life (Harel, 1981). Lewinsohn

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The Development of a CAHPS® Instrument for Nursing Home Residents (NHCAHPS)

Cited by 42 publications

References 17 publications

Evaluation of the Consumer Assessment of Healthcare Providers and Systems In-Center Hemodialysis Survey

Evaluation of the Consumer Assessment of Healthcare Providers and Systems In-Center Hemodialysis Survey

Satisfaction With Massachusetts Nursing Home Care Was Generally High During 2005–09, With Some Variability Across Facilities

Activity Preferences and Satisfaction Among Older Adults in a Veterans Administration Long-Term Care Facility

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