Development of and field test results for the CAHPS PCMH Survey.
OBJECTIVE
To develop and evaluate survey questions that assess processes of care relevant to Patient-Centered Medical Homes (PCMHs).


METHODS
We convened expert panels, reviewed evidence on effective care practices and existing surveys, elicited broad public input, and conducted cognitive interviews and a field test to develop items relevant to PCMHs that could be added to the Consumer Assessment of Healthcare Providers and Systems (CAHPS®) Clinician & Group (CG-CAHPS) 1.0 Survey. Surveys were tested using a 2-contact mail protocol in 10 adults and 33 pediatric practices (both private and community health centers) in Massachusetts. A total of 4875 completed surveys were received (overall response rate of 25%).


METHODS
We calculated the rate of valid responses for each item. We conducted exploratory factor analyses and estimated item-to-total correlations, individual and site-level reliability, and correlations among proposed multi-item composites.


RESULTS
Ten items in 4 new domains (Comprehensiveness, Information, Self-Management Support, and Shared Decision-Making) and 4 items in 2 existing domains (Access and Coordination of Care) were selected to be supplemental items to be used in conjunction with the adult CG-CAHPS 1.0 Survey. For the child version, 4 items in each of 2 new domains (Information and Self-Management Support) and 5 items in existing domains (Access, Comprehensiveness-Prevention, Coordination of Care) were selected.


CONCLUSIONS
This study provides support for the reliability and validity of new items to supplement the CG-CAHPS 1.0 Survey to assess aspects of primary care that are important attributes of PCMHs.
National Committee for Quality Assurance, Washington, DC, USA.
Sarah Hudson
SH
Scholle
Oanh
O
Vuong
Lin
L
Ding
Stephanie
S
Fry
Patricia
P
Gallagher
Julie A
JA
Brown
Ron D
RD
Hays
Paul D
PD
Cleary
D000293:Adolescent; D000328:Adult; D000368:Aged; D002648:Child; D002675:Child, Preschool; D003151:Community Health Centers / Q000592:standards / Q000706:statistics & numerical data; D003258:Consumer Behavior / Q000706:statistics & numerical data; D005163:Factor Analysis, Statistical; D005260:Female; D017144:Focus Groups; D019538:Health Care Surveys / Q000379:methods*; D006282:Health Personnel / Q000592:standards / Q000706:statistics & numerical data; D006801:Humans; D007223:Infant; D007407:Interviews as Topic; D008297:Male; D008875:Middle Aged; D017060:Patient Satisfaction / Q000706:statistics & numerical data; D018802:Patient-Centered Care / Q000592:standards* / Q000706:statistics & numerical data; D011320:Primary Health Care / Q000592:standards / Q000706:statistics & numerical data; D011331:Private Practice / Q000592:standards / Q000706:statistics & numerical data; D015203:Reproducibility of Results; D011795:Surveys and Questionnaires / Q000592:standards; D014481:United States; D055815:Young Adult