THE CAHPS DATABASE
2014 CAHPS Clinician & Group Survey Database
2014 Chartbook: What Patients Say About Their Health Care Providers and Medical Practices
AHRQ Contract No.: HHSA290201300003C
Managed and prepared by:
Westat, Rockville, MD
Dale Shaller
Teresa Dodson
Janice Ricketts
Stephanie Li
Naomi Yount
AHRQ Publication No. 15-CAHPS002-EF
June 2015
This document is in the public domain and may be used and reprinted without permission except those copyrighted materials noted for which further reproduction is prohibited without specific permission of copyright holders.
Table of contents
1. EXECUTIVE SUMMARY
2. INTRODUCTION
3. CG-CAHPS DATABASE COMPOSITION
4. CHARACTERISTICS OF THE 2014 CG-CAHPS DATABASE
Region
Provider Specialty and Type
Practice Ownership and Affiliation
Survey Mode
Providers Working per Week
Patient Visits per Week
5. COMPARATIVE RESULTS BY SURVEY VERSION
12/6-month Adult/PCMH 2.0 Combined Core Results
12/6-month Adult PCMH 2.0 Supplemental Composites
12/6-month Child/PCMH 2.0 Combined Core Results
12/6-month Child/PCMH 2.0 Supplemental Composite
Visit Adult 2.0
Tables
Table 1-1. Comparison of Top-Box Scores By Survey Version
Table 1-2. Comparison of Top-Box Scores for 12/6-month Adult and Child PCMH Survey Composites
Table 1-3. Comparison of 12/6-month Adult/PCMH Top-Box Scores By Region
Table 1-4. Comparison of 12/6-month Adult/PCMH Top-Box Scores By State
Table 1-5. Comparison of 12/6-month Adult/PCMH Top-Box Scores By Overall Physician Specialty
Table 1-6. Comparison of 12/6-month Adult/PCMH Top-Box Scores By Provider Type
Table 1-7. Adult Visit Survey Top Box Scores Over Time
Table 3-1. Number of Respondents and Practice Sites (in parentheses) by Survey Version
Table 3-2. Number of 2014 Respondents and Practice Sites (in parentheses) by 12-month vs 6-month survey versions
Table 4-1. Distribution of Practice Sites and Survey Respondents by Region
Table 4-2. Distribution of Practice Sites and Survey Respondents by Overall Physician Specialty
Table 4-3. Distribution of Practice Sites and Survey Respondents by Physician Specialty
Table 4-4. Distribution of Practices and Survey Respondents by Provider Type
Table 4-5. Distribution of Practices and Survey Respondents by Practice Site Ownership and Affiliation
Table 4-6. Distribution of Practices and Survey Respondents by Survey Mode
Table 4-7. Distribution of Practices and Survey Respondents by Number of Providers Working per Week
Table 4-8. Distribution of Practice Sites and Survey Respondents by Patient Visits per Week
Appendixes
Appendix A. About the CG-CAHPS Database
Appendix B. Definition of Regions
Appendix C. Definition of Specialties and Provider Type
Appendix D. Comparison of CG-CAHPS 12-month and 6-month Versions
Appendix E. Definition of Composites and Question Items
1. EXECUTIVE SUMMARY
The 2014 CAHPS Clinician and Group Survey (CG-CAHPS) Database includes comparative results for the following sets of CG-CAHPS Survey data:
- 12/6-month Adult/PCMH Combined: Combined results from the 12-month and 6-month Adult 2.0 Core Survey combined with the core questions from the 12-month and 6-month Adult 2.0 Survey with Patient-Centered Medical Home (PCMH) Supplemental Items
- 12/6-month Child/PCMH Combined: Combined results from the 12-month and 6-month Child 2.0 Core Survey combined with the core questions from the 12-month and 6-month Child 2.0 Survey with Patient-Centered Medical Home (PCMH) Supplemental Items
- Visit Adult 2.0 Core Survey
The 2014 CG-CAHPS Database also includes comparative results for the Adult and Child Patient-Centered Medical Home (PCMH) supplemental composites and items, which survey sponsors may add to the 12-month or 6-month CG-CAHPS core surveys.
This Chartbook presents comparative results from the 2014 CG-CAHPS Database for the composites and provider ratings for the 12/6-month Adult and Child combined core surveys as well as the PCMH supplemental composites. A series of bar charts shows the overall national distribution of responses followed by the response distributions for selected practice site characteristics including region, physician specialty, provider type, practice ownership and affiliation, survey mode, and two measures for size of practice site (number of providers working per week and number of patient visits per week).
Selected highlights are as follows:
- The 2014 CG-CAHPS Database includes a total of 798,967 patient experience survey responses submitted voluntarily by 3,962 medical practices.
- The CG-CAHPS Visit Adult survey no longer comprises the single largest component of the CG-CAHPS Database. The 12/6-month Adult/PCMH Combined core survey consists of 457,418 responses, and the CG-CAHPS Visit Adult survey consists of 312,624 responses.
- As shown in Table 1-1, top-box scores (the most positive survey response) are generally consistent across the three survey data sets (for the composites and ratings that can be compared).1 Notable exceptions are higher scores for the Access and Provider Communication composites among the 12/6-month Adult/PCMH combined survey responses, and higher Office Staff scores for the 12/6-month Child/PCMH combined survey responses.
1 Note that the Visit Adult version top-box results for Provider Communication, Office Staff, and Follow-Up on Test Results cannot be compared to the 12/6-month versions because of differences in the survey response scales.
Composite/Item | 12/6-month Adult/PCMH Combined |
12/6-month Child/PCMH Combined |
Visit Adult |
---|---|---|---|
Number of Respondents | 457,418 | 28,925 | 312,624 |
Access (Getting Timely Appointments, Care, and Information) | 62% | 66% | 63% |
Provider Communication (How Well Providers Communicate with Patients) | 84% | 87% | NC* |
Office Staff (Helpful, Courteous, and Respectful Office Staff) | 80% | 73% | NC* |
Follow-Up on Test Results | 74% | 73% | NC* |
Patients' Rating of the Provider | 80% | 82% | 82% |
* NC indicates that survey results are Not Comparable due to differences in question wording or response scales or both.
- Highest scores for all survey versions are reported for the Provider Communication composite, followed by Provider Rating, Office Staff, and Follow-Up on Test Results. Lowest scores are reported for the Access composite.
- As shown in Table 1-2, scores for the supplemental composites for the PCMH survey versions are generally lower compared to the core composites. Some of these differences may be related to differences in response scales.
Composite | 12/6-month Adult/PCMH Combined Combined |
12/6-month Child/PCMH Combined Combined |
---|---|---|
Number of Respondents | 457,418 | 28,925 |
Access (Getting Timely Appointments, Care, and Information) | 62% | 66% |
Provider Communication (How Well Providers Communicate with Patients) | 84% | 87% |
Office Staff (Helpful, Courteous, and Respectful Office Staff) | 80% | 73% |
Providers Pay Attention to Your Mental and Emotional Health | 51% | NA* |
Providers Support You in Taking Care of Your/Child's Own Health | 51% | 37% |
Providers Discuss Medication Decisions | 67% | NA* |
Providers' Attention to Your Child's Growth and Development | NA* | 57% |
Providers' Advice on Keeping Your Child Safe and Healthy | NA* | 56% |
* NA indicates that the composite is Not Available for comparison because it is not included in the survey.
- As shown in Table 1-3, a comparison of survey results by region for the 12/6-month Adult/PCMH combined survey data set reveals largely consistent scores across the Northeast, Midwest and South regions, with slightly lower scores in the South for the Office Staff composite. The West region historically maintains the lowest scores for all four core measures.
Composite/Item | CAHPS DB Overall |
Northeast | Midwest | South | West |
---|---|---|---|---|---|
Number of Respondents | 457,418 | 131,788 | 156,875 | 58,121 | 110,634 |
Access (Getting Timely Appointments, Care, and Information) | 62% | 65% | 62% | 63% | 57% |
Provider Communication (How Well Providers Communicate with Patients) | 84% | 86% | 85% | 86% | 81% |
Office Staff (Helpful, Courteous, and Respectful Office Staff) | 80% | 83% | 82% | 79% | 73% |
Patients' Rating of the Provider | 80% | 82% | 82% | 82% | 75% |
- Table 1-4 presents a comparison of 12/6-month Adult/PCMH top-box survey scores for 22 States, which had at least 5 practices sites and 300 respondents for reporting. For the Access composite, highest scores are reported in South Carolina (72 percent), Kentucky (71 percent), Wisconsin (71 percent) and New Hampshire (70 percent). For the Provider Communication composite, the highest score is reported in South Carolina (90 percent), followed by Massachusetts, New Hampshire, Pennsylvania, and Wisconsin (each with 88 percent). Highest scores for Office Staff were reported in South Carolina (88 percent) followed by New Hampshire (86 percent) and Wisconsin (86 percent). The highest Provider Rating score was reported in Wisconsin (87 percent).
State | Access | Provider Communication | Office Staff | Patients' Rating of the Provider |
---|---|---|---|---|
CAHPS DB Overall (n=457,418) |
62% | 84% | 80% | 80% |
California (n=105,018) |
57% | 80% | 73% | 75% |
Florida (n= 22,639) |
64% | 87% | 82% | 84% |
Kentucky (n= 1,628) |
71% | 87% | 83% | 82% |
Maine
(n= 98,501) |
64% | 85% | 83% | 82% |
Maryland
(n= 2,539) |
64% | 84% | 80% | 82% |
Massachusetts
(n= 21,789) |
69% | 88% | 81% | 84% |
Michigan
(n= 23,965) |
55% | 82% | 74% | 78% |
Minnesota
(n= 86,950) |
61% | 84% | 83% | 81% |
Missouri
(n= 7,211) |
62% | 85% | 81% | 82% |
New Hampshire
(n= 1,803) |
70% | 88% | 86% | 85% |
New Jersey (n= 3,280) |
64% | 87% | 83% | 86% |
New York (n= 3,230) |
66% | 85% | 79% | 81% |
North Dakota (n= 3,550) |
63% | 83% | 83% | 78% |
Oregon (n= 3,722) |
62% | 82% | 80% | 75% |
Pennsylvania (n= 2,426) |
63% | 88% | 80% | 84% |
South Carolina (n= 10,869) |
72% | 90% | 88% | 86% |
Texas (n= 519) |
50% | 76% | 73% | 77% |
Utah (n= 1,396) |
59% | 82% | 76% | 79% |
Vermont (n= 759) |
63% | 85% | 84% | 82% |
Virginia (n= 18,587) |
57% | 83% | 71% | 78% |
West Virginia (n= 589) |
69% | 87% | 83% | 82% |
Wisconsin (n= 31,624) |
71% | 88% | 86% | 87% |
- As shown in Table 1-5, a comparison of survey results by overall physician specialty for the 12/6-month Adult/PCMH combined data set reveals slightly higher scores for Other Specialties compared to Primary Care, with the most notable difference in the Access composite. The one exception is the Provider Communication composite.
Composite/Item | CAHPS DB Overall |
Physicians | Other Specialties | Pediatrics |
---|---|---|---|---|
Number of Respondents | 457,418* | 205,180 | 148,698 | 1,002 |
Access (Getting Timely Appointments, Care, and Information) | 62% | 59% | 64% | 63% |
Provider Communication (How Well Providers Communicate with Patients) | 84% | 84% | 84% | 87% |
Office Staff (Helpful, Courteous, and Respectful Office Staff) | 80% | 78% | 80% | 81% |
Patients' Rating of the Provider | 80% | 79% | 80% | 81% |
* The total number of respondents for Specialties is not equal to the CAHPS DB Overall total due to missing values.
- Table 1-6 presents a comparison of the 12/6-month Adult/PCMH combined survey results by provider type. The physician scores are slightly higher than the NP/PA scores combined, with the most notable differences in the Access composite and the Patients’ Rating of the Provider.
Composite/Item | CAHPS DB Overall |
Physicians | NP/PA2 |
---|---|---|---|
Number of Respondents | 457,418* | 61,669 | 3,679 |
Access (Getting Timely Appointments, Care, and Information) | 62% | 64% | 61% |
Provider Communication (How Well Providers Communicate with Patients) | 84% | 86% | 84% |
Office Staff (Helpful, Courteous, and Respectful Office Staff) | 80% | 79% | 78% |
Patients' Rating of the Provider | 80% | 82% | 78% |
* The total number of respondents for Provider Types is not equal to the CAHPS DB Overall total due to missing values.
2 NP = Nurse Practitioner and PA = Physician Assistant. Category also includes Midwives.
- Table 1-7 presents top box scores for the Adult Visit survey over the 5-year period from 2010-2014. Although comparisons over time must be made with caution, since the number and characteristics of practices included in the CAHPS Database change from year to year, the table shows that CG-CAHPS scores remained consistent in 2014 compared to the previous 4-year period.
Composite/Item | 2010 | 2011 | 2012 | 2013 | 2014 |
---|---|---|---|---|---|
Number of Practice Sites | 469 | 769 | 1,718 | 1,234 | 1,330 |
Number of Respondents | 103,442 | 266,327 | 613,396 | 428,154 | 312,624 |
Access (Getting Timely Appointments, Care, and Information) | 59% | 61% | 62% | 63% | 63% |
Provider Communication (How Well Providers Communicate with Patients) | 90% | 90% | 91% | 92% | 91% |
Office Staff (Helpful, Courteous, and Respectful Office Staff) | 90% | 90% | 91% | 92% | 92% |
Patients' Rating of the Provider | 75% | 78% | 80% | 82% | 82% |
2. INTRODUCTION
This Chartbook presents a summary of results for several versions of the CAHPS Clinician & Group Survey (CG-CAHPS). Results were obtained through the voluntary submission of survey data to the CAHPS Database by health systems, medical practices, and other survey sponsors administering one or more of the following CG-CAHPS versions:
- 12-month and 6-month Adult 2.0 (4-point scale)
- 12-month and 6-month Adult 2.0 (4-point scale) with Patient-Centered Medical Home (PCMH) Supplemental Items (i.e., the PCMH Survey for adults)
- 12-month and 6-month Child 2.0 (4-point scale)
- 12-month and 6-month Child 2.0 (4-point scale) with Patient-Centered Medical Home (PCMH) Supplemental Items (i.e., the PCMH Survey for children)
- Visit Adult 2.0
Data submitted for these survey versions were collected primarily in calendar year 2014, beginning in January 2014. However, a small number of results reflect field periods ending in the first quarter of 2015.
The summary results presented in this Chartbook are compiled from detailed data displays reported in the CG-CAHPS Database Online Reporting System (ORS) at https://cahpsdatabase.ahrq.gov/CAHPSIDB/Public/CG/CG_About.aspx.
The CG-CAHPS Database ORS consists of both a public site and a private submitter’s site available only to survey users that contribute data. Survey users that submit data to the CG-CAHPS Database are provided access to a secure, password-protected area of the online reporting system that allows them to compare their own results to selected benchmarks. Both the public site and the submitter’s site present CG-CAHPS results for composite measures, ratings, and individual survey items, organized according to survey version and field period. Displays available through the various tabs include “top box” scores, frequencies, bar charts, and percentiles. The “report builder” feature allows users to create and download custom reports on demand.
Research files for the CG-CAHPS data presented in this Chartbook, as well as from the 2013. 2012, 2011 and 2010 CG-CAHPS Databases, are available upon request according to the CAHPS Database Data Release Policy. (To learn more, visit https://cahpsdatabase.ahrq.gov/DataResearchers.aspx)
The CG-CAHPS Database Online Reporting System will be updated periodically with new data submitted by CAHPS Clinician & Group survey users. Questions or comments regarding this Chartbook or any aspect of the CG-CAHPS Survey Database may be directed to the CAHPS Database toll-free help line at 888-808-7108 or by email to CAHPSDatabase@westat.com.
3. CG-CAHPS DATABASE COMPOSITION
Growing numbers of health systems and medical practices administering the CAHPS Clinician & Group (CG-CAHPS) Survey are submitting their survey results to the CAHPS Database. Table 3-1 summarizes the number of survey respondents and practices contained in the CG-CAHPS Database for the five submission periods offered since the inception of this component of the CAHPS Database in 2010. The number of practice sites is indicated in parentheses.
Year (Version) |
Adult Visit | Adult |
Adult PCMH | Child |
Child PCMH |
---|---|---|---|---|---|
2014 (2.0) | 312,624 (1,330) |
457,418*
(2,291) |
28,925* (341) |
||
2013 (2.0) | 428,154 (1,234) |
199,038 (833) |
8,265 (105) |
||
2012 (2.0) | 613,396 (1,718) |
100,527 (286) |
49,307 (337) |
3,276 (58) |
|
2011 (1.0) | 266,327 (769) |
52,434 (219) |
N/A | N/A | N/A |
2010 (1.0) | 103,442 (469) |
41,834 (234) |
N/A | N/A | N/A |
* 2014 Adult/Adult PCMH and Child/Child PCMH surveys combine 12-month and 6-month versions.
The 2014 CG-CAHPS Database includes a total of 798,967 patient experience survey responses submitted by 3,962 medical practices. In contrast to previous years, the Adult Visit version no longer represents the largest portion of the total CG-CAHPS Database. Submissions of the 12-month and 6-month versions increased significantly in 2014.
In order to create the most comprehensive set of comparative results possible from the various versions of CG-CAHPS that were submitted, results for the core survey measures have been combined as follows:
- Adult 12-month and 6-month core survey results have been combined for versions with and without the Adult PCMH supplemental items3
- Child 12-month and 6-month core survey results have been combined for versions with and without the Child PCMH supplemental items
3 A study comparing differences in results between samples of patients in 4 community health centers randomly selected to receive either the 12-month or 6-month version of CG-CAHPS showed only small differences in response rates, self-reported health status, visit history, and survey scores. Based on these findings, the CAHPS Consortium has determined that the advantages of combining the 12-month and 6-month survey results for reporting in the CAHPS Database (to achieve fewer, larger consolidated data sets for comparison) outweigh any concerns related to comparability of results. However, users of the 6-month version of the CG-CAHPS Survey should be aware of the slightly higher scores that might be obtained with this survey when comparing their results to the combined benchmarks reported by the CAHPS Database. See Appendix D for further details.
The number of survey respondents and practice sites submitting the 12-month and 6-month surveys with and without the PCMH items in 2014 is shown in Table 3-2. Because some practices used both the Adult core survey and the Adult core survey with PCMH supplemental items, the total number of practice sites is greater than the absolute number of practice sites.
The largest component of the 2014 CG-CAHPS Database is the Adult 12/6-month survey combined data set. As shown in Table 3-2, the 12-month survey accounts for nearly 3/4 of the respondents in this combined data set. In contrast, the Child 12/6-month survey combined data set is much smaller, with an almost equal proportion of 12-month and 6-month survey versions.
Survey Version |
Adult | Adult
PCMH |
Adult and Adult PCMH Combined |
Child |
Child PCMH |
Child and Child PCMH Combined |
---|---|---|---|---|---|---|
12-month (410) |
203,455 (804) |
130,919 (687) |
334,374 (1,491) |
3,988 (37) |
11,573 (154) |
15,561 (191) |
6-month | 61,569 (412) |
61,475 (434) |
123,044 (846) |
6,907 (84) |
6,457 (68) |
13,364 (152) |
TOTAL* | 265,024 (1,216) |
192,394 (1,075) |
457,418 (2,291) |
10,895 (121) |
18,030 (220) |
28,925 (341) |
* The total displays the unique number of practice sites.
4. CHARACTERISTICS OF THE 2014 CG-CAHPS DATABASE
This section describes the types of practices that comprise the comparative results for each CG-CAHPS version included in the 2014 CG-CAHPS Database. Although it is important to note that the practices voluntarily submitting data to the CAHPS Database do not constitute a representative sample of all medical practices in the United States, users can compare their results to similar organizations using the reported practice site characteristics.
The practice site characteristics collected by the CAHPS Database include region, overall physician specialty, physician specialty, provider type, practice ownership and affiliation, survey mode, providers working per week, and patient visits per week. Data on the region, practice ownership and affiliation, providers working per week, and patient visits per week were reported by participating practice sites separately from the survey response data. Overall physician specialty, physician specialty, provider type, and survey mode were reported at the sample level for each completed survey.
The total number of practice sites shown in the following tables is greater than the absolute number of practice sites because it is possible for one practice site to cover multiple categories. In addition, when reporting comparison scores by practice site characteristic categories, results are suppressed if there are fewer than five practice sites and/or fewer than 300 completed surveys available for a given category. These suppression rules also contribute to differences in the total number of practice sites and number of survey respondents reported in all eight characteristic tables.
Region
The distribution of regions is shown in Table 4-1. Each version of the CAHPS Clinician & Group Survey reflects a different regional distribution and is not representative of the U.S. distribution. The largest concentration of practice sites for the 12/6-month Adult/PCMH combined survey was from the Northeast; the largest concentration for the Visit Adult survey was from the South; and for the 12/6-month Child/PCMH combined survey, most practice sites were from the South (although the South region had the fewest number of survey respondents). Practice sites were assigned to one of the U.S. Census Bureau’s four official regions, based on the practice sites’ self-reported State and ZIP code information. Appendix B lists the regions and the States included in each region.
Region | 12/6-month Adult/PCMH Combined | Visit Adult | 12/6-month Child/ PCMH Combined | |||
---|---|---|---|---|---|---|
Number of Practice Sites |
Number of Survey Respondents |
Number of Practice Sites |
Number of Survey Respondents |
Number of Practice Sites |
Number of Survey Respondents |
|
Midwest | 764 | 156,875 | 343 | 109,080 | 120 | 11,667 |
Northeast | 800 | 131,788 | 260 | 45,127 | 74 | 8,189 |
South | 363 | 58,121 | 626 | 86,234 | 122 | 4,462 |
West | 364 | 110,634 | 101 | 72,183 | 25 | 4,607 |
Provider Specialty and Type
Data submission specifications for the CG-CAHPS Database allowed submitters to identify 51 different provider specialties/types including an option for “other” or “missing.” The option of “other” or “missing” was provided to help reduce the burden of data submission for some participants. Three different benchmarks are established at the practice site level using the same data. They are overall physician specialty, physician specialty, and provider type. Definitions for these three categories are provided in Appendix C.
The distribution of the overall physician specialty by each survey type is shown in Table 4-2. The largest concentration of specialty types reported for the 12/6-month Adult/PCMH combined survey and Visit Adult survey was “primary care,” followed by “other specialty.” The largest concentration of specialty types reported for the 12/6-month Child/PCMH combined survey was “pediatrics” followed by “primary care.” Since more than one specialty can be attributed to a given practice site, the total number of practice sites included across all specialty categories may be greater than the absolute number of practice sites.
Physician Specialty | 12/6-month Adult/ PCMH Combined | Visit Adult | 12/6-month Child/ PCMH Combined |
|||
---|---|---|---|---|---|---|
Number of Practice Sites |
Number of Survey Respondents |
Number of Practice Sites |
Number of Survey Respondents |
Number of Practice Sites |
Number of Survey Respondents |
|
Primary Care | 1,197 | 205,180 | 388 | 97,448 | 130 | 3,886 |
Pediatrics | 47 | 1,002 | - | - | 116 | 15,841 |
Other Specialties | 977 | 148,698 | 563 | 94,274 | 50 | 1,019 |
Table 4-3 includes distributions of the 16 most reported physician specialties. The largest concentration of practice sites across for the 12/6-month Adult/PCMH combined survey and Visit Adult survey was “family practice,” followed by “internal medicine.” The largest concentration of practice sites for the 12/6-month Child/PCMH combined survey was “pediatrics” followed by “family practice.” Again, since more than one specialty can be attributed to a given practice site, the total number of practice sites included across all specialty categories may be greater than the absolute number of practice sites.
Physician Specialty | 12/6-month Adult/ PCMH Combined | Visit Adult | 12/6-month Child/ PCMH Combined | |||
---|---|---|---|---|---|---|
Number of Practice Sites |
Number of Survey Respondents |
Number of Practice Sites |
Number of Survey Respondents |
Number of Practice Sites |
Number of Survey Respondents |
|
Cardiology | 252 | 13,132 | 39 | 7,545 | - | - |
Dermatology | 232 | 8,135 | 39 | 4,056 | - | - |
Endocrinology | 233 | 6,926 | 36 | 3,107 | - | - |
Family Practice | 961 | 130,395 | 304 | 71,177 | 115 | 3,547 |
Gastroenterology | 229 | 9,021 | 57 | 9,470 | - | - |
Hematology/ Oncology | 220 | 5,682 | 43 | 5,216 | - | - |
Internal Medicine | 576 | 71,321 | 148 | 26,022 | - | - |
Neurology | 244 | 11,462 | 43 | 5,372 | - | - |
OB/GYN | 354 | 23,598 | 79 | 8,865 | - | - |
Ophthalmology | 232 | 10,460 | 44 | 6,093 | - | - |
Orthopedics | 171 | 10,431 | 64 | 7,012 | - | - |
Pediatrics | 47 | 1,002 | - | - | 116 | 15,841 |
Pulmonary Medicine | 179 | 4,904 | 34 | 3,716 | - | - |
Rheumatology | 194 | 3,374 | 31 | 3,105 | - | - |
Surgical | 385 | 23,091 | 129 | 17,020 | - | - |
Urology | 240 | 6,686 | 35 | 5,018 | - | - |
The number of practice sites and survey respondents by provider type is shown in Table 4-4. Physicians constituted the largest population evaluated for the 12/6-month Adult/PCMH combined survey and the 12/6-month Child/PCMH combined survey. The Visit Adult survey did not have any reported provider types submitted.
Physician Specialty | 12/6-month Adult/ PCMH Combined | Visit Adult | 12/6-month Child/ PCMH Combined | |||
---|---|---|---|---|---|---|
Number of Practice Sites |
Number of Survey Respondents |
Number of Practice Sites |
Number of Survey Respondents |
Number of Practice Sites |
Number of Survey Respondents |
|
Physician | 239 | 61,669 | - | - | 32 | 3,480 |
NP/PA | 116 | 3,679 | - | - | - | - |
Practice Ownership and Affiliation
The distribution of the practice ownership and affiliation categories is shown in Table 4-5. The largest number of practice sites was “Hospital/Health system” across all survey versions, followed by “Provider/Physician.” In addition, some of the categories are not mutually exclusive and could therefore misrepresent the true distribution among the practice sites included in the database.
Practice Ownership and Affiliation | 12/6-month Adult/ PCMH Combined | Visit Adult | 12/6-month Child/ PCMH Combined | |||
---|---|---|---|---|---|---|
Number of Practice Sites |
Number of Survey Respondents |
Number of Practice Sites |
Number of Survey Respondents |
Number of Practice Sites |
Number of Survey Respondents |
|
Provider/ Physician | 706 | 145,751 | 339 | 67,483 | 84 | 7,715 |
Hospital/ Health System | 1,257 | 226,195 | 866 | 202,251 | 195 | 12,841 |
University/ Academic Med Center | 152 | 41,356 | 49 | 9,076 | 37 | 3,944 |
Community Health Center | 160 | 23,903 | 47 | 28,367 | 23 | 1,546 |
Other/County | 39 | 20,213 | 29 | 5,447 | - | - |
Survey Mode
As shown in Table 4-6, the vast majority of the surveys submitted to the CAHPS Database were collected using mail as the primary mode of survey administration. Phone survey mode accounted for the second largest number of survey completes.
Survey Mode | 12/6-month Adult/ PCMH Combined | Visit Adult | 12/6-month Child/ PCMH Combined |
|||
---|---|---|---|---|---|---|
Number of Practice Sites |
Number of Survey Respondents |
Number of Practice Sites |
Number of Survey Respondents |
Number of Practice Sites |
Number of Survey Respondents |
|
1,857 | 338,364 | 1,261 | 303,912 | 253 | 22,630 | |
Phone | 557 | 48,298 | 57 | 4,481 | 75 | 3,279 |
IVR | 196 | 49,984 | - | - | 24 | 2,950 |
Web/ Internet | 426 | 20,770 | 12 | 4,231 | - | - |
Providers Working per Week
As one measure of practice size, the distribution of the number of providers working per week is shown in Table 4-7. This information was self-reported at the practice site level. Other than “missing,” most practice sites that voluntarily submitted their data to the CAHPS Database have 4–9 providers (e.g., doctors of medicine, doctors of osteopathic medicine, physician assistants, nurse practitioners, etc.) working during a typical week.
Number of Providers Working per Week | 12/6-month Adult/ PCMH Combined | Visit Adult | 12/6-month Child/ PCMH Combined |
|||
---|---|---|---|---|---|---|
Number of Practice Sites |
Number of Survey Respondents |
Number of Practice Sites |
Number of Survey Respondents |
Number of Practice Sites |
Number of Survey Respondents |
|
Missing | 739 | 188,118 | 499 | 122,064 | 71 | 8,205 |
1 provider | 174 | 8,866 | 144 | 10,930 | 25 | 606 |
2 - 3 providers | 419 | 41,694 | 268 | 41,672 | 61 | 3,028 |
4 - 9 providers | 613 | 116,837 | 278 | 70,078 | 126 | 9,680 |
10 - 13 providers | 122 | 32,993 | 50 | 19,132 | 15 | 1,799 |
14 - 19 providers | 81 | 21,729 | 29 | 13,968 | 13 | 1,307 |
More than 20 providers | 143 | 47,181 | 62 | 34,780 | 30 | 4,300 |
Patient Visits per Week
Another measure of practice size is the number of patient visits per week. As shown in Table 4-8, other than “missing,” most practice sites that submitted data to the CAHPS Database have fewer than 100 patient visits during a typical week, followed by sites having 100 - 199 patient visits per week.
Number of Patient Visits per Week | 12/6-month Adult/ PCMH Combined | Visit Adult | 12/6-month Child/ PCMH Combined | |||
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Number of Practice Sites |
Number of Survey Respondents |
Number of Practice Sites |
Number of Survey Respondents |
Number of Practice Sites |
Number of Survey Respondents |
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Missing | 706 | 182,293 | 490 | 112,614 | 72 | 8,012 |
< 100 | 552 | 52,123 | 312 | 28,163 | 69 | 2,628 |
100 - 199 | 403 | 60,420 | 205 | 36,594 | 64 | 3,921 |
200 - 299 | 210 | 42,972 | 106 | 26,456 | 36 | 2,435 |
300 - 499 | 242 | 57,267 | 124 | 43,051 | 59 | 6,667 |
500 - 699 | 86 | 24,404 | 45 | 14,508 | 20 | 2,844 |
>700 | 92 | 37,939 | 48 | 51,238 | 21 | 2,418 |
5. COMPARATIVE RESULTS BY SURVEY VERSION
This section presents a summary of comparative results for each CG-CAHPS survey version included in the 2014 CG-CAHPS Database. Results are presented in the form of bar charts that graphically show the distribution of scores for the core composites, provider ratings, and supplemental composites where applicable.
The bar charts are composed of colored segments that show the percentage of responses in each of the response categories. For questions and composites based on 4-point response scales (i.e., "always", "usually", "sometimes", "never"), the bottom segment combines the two lowest response categories (i.e., "sometimes" and "never"). The use of N/A in the bar charts indicates that insufficient or no data were available for reporting.
The bar charts show the overall national distribution of responses, and then show response distributions for selected practice site characteristics. Users can compare their own results to the relevant bar charts, in order to identify performance strengths as well as opportunities for improvement.4
All results presented in these charts are calculated at the respondent level. Survey results are presented in the following order:
12/6-month Adult/PCMH 2.0 Combined
Core Results*- Getting Timely Appointments, Care, and Information
- How Well Providers Communicate with Patients
- Helpful, Courteous, and Respectful Office Staff
- Patients’ Rating of the Provider
4 See Appendix D for further guidance to users of the CG-CAHPS 6-month survey for comparing their results to the 12/6-month combined survey results.
Supplemental Composites
- Providers Support You in Taking Care of Your Own Health (PCMH)
- Providers Pay Attention to Your Mental or Emotional Health (PCMH)
- Providers Discuss Medication Decisions (PCMH)
12/6-month Child/PCMH 2.0 Combined
Core Results*- Getting Timely Appointments, Care, and Information
- How Well Providers Communicate with Patients
- Helpful, Courteous, and Respectful Office Staff
- Provider’s Attention to Your Child’s Growth and Development
- Provider’s Advice on Keeping Your Child Safe and Healthy
- Patients’ Rating of the Provider
- Providers Support You in Taking Care of Your Child’s Health (PCMH)
Visit Adult 2.0 Results
- Getting Timely Appointments, Care, and Information
- How Well Providers Communicate with Patients
- Helpful, Courteous, and Respectful Office Staff
- Patients’ Rating of the Provider
- Willingness to Recommend the Provider's Office
As noted earlier, detailed results for each question item are available through the CG-CAHPS Database Online Reporting System at https://cahpsdatabase.ahrq.gov/CAHPSIDB/Public/CG/CG_About.aspx.
* Note that results for the 12/6-month Adult and Child Core Surveys have been combined, respectively, with the core questions from the 12/6-month Adult and Child Surveys with PCMH Supplemental Items, in order to create a larger comparative data set for more meaningful benchmark comparisons. See Appendix D for further information.
12-month Adult/PCMH 2.0 Combined Core Results
Getting Timely Appointments, Care, and Information Combines responses from five questions regarding how much of a problem, if any, consumers had with various aspects of getting timely care. |
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Getting Timely Appointments, Care, and Information - (continued) Combines responses from five questions regarding how much of a problem, if any, consumers had with various aspects of getting timely care. |
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How Well Providers Communicate With Patients Combines responses from six questions regarding how often providers communicated well with consumers. |
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12-month Adult PCMH 2.0 Supplemental Composites
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