Skip to main content

The AHRQ National Quality Measures Clearinghouse (NQMC, qualitymeasures.ahrq.gov) Web site will not be available after July 16, 2018 because federal funding
through AHRQ will no longer be available to support the NQMC as of that date. For additional information, read our full announcement.
  • Measure Summary
  • NQMC:010490
  • May 2012
  • NQF-Endorsed Measure

Health plan enrollees' satisfaction with care: parents' or guardians' overall rating of their child's specialist.

Agency for Healthcare Research and Quality (AHRQ). CAHPS Health Plan Surveys. Child Commercial Survey 5.0. Rockville (MD): Agency for Healthcare Research and Quality (AHRQ); 2012 Apr 30. 10 p.
Agency for Healthcare Research and Quality (AHRQ). CAHPS Health Plan Surveys. Child Medicaid Survey 5.0. Rockville (MD): Agency for Healthcare Research and Quality (AHRQ); 2012 Apr 2. 11 p.
Agency for Healthcare Research and Quality (AHRQ). CAHPS Health Plan Surveys: overview of the questionnaires. Rockville (MD): Agency for Healthcare Research and Quality (AHRQ); 2012 May 1. 28 p.

View the original measure documentation External Web Site Policy

This is the current release of the measure.

This measure updates a previous version: CAHPS® health plan survey and reporting kit 2008. Rockville (MD): Agency for Healthcare Research and Quality (AHRQ); 2009 Jan. various p.

Primary Measure Domain

Clinical Quality Measures: Patient Experience

Secondary Measure Domain

Does not apply to this measure

Description

This measure is used to assess parents' or guardians' overall rating of their child's specialist. Parents or guardians rate the specialist their child saw most often on a scale from 0 to 10, where 0 is the worst specialist possible and 10 is the best specialist possible.

This measure is based on the CAHPS Health Plan Survey 5.0 (Child Questionnaire). Please note that there is another version of the survey available: CAHPS Health Plan Survey 4.0 (Child Questionnaire) External Web Site Policy.

Note: Responses are grouped by rating: percentages are reported for ratings of 9 and 10, 7 and 8, and 6 and lower. The higher the percentage of ratings for the group 9 and 10 is associated with better quality.

Rationale

The CAHPS Health Plan Survey is a tool for collecting standardized information on enrollees' experiences with health plans and their services. Since its launch in 1997, this survey has become the national standard for measuring and reporting on the experiences of consumers with their health plans. A version of this survey is conducted in almost every state in the United States (U.S.).

The National Quality Forum (NQF)-endorsed Health Plan Survey includes standardized questionnaires and optional supplemental items that can be administered to adults and children in commercial plans and Medicaid plans and programs. To be accredited by the National Committee for Quality Assurance, health plans must submit the results of a modified version of the commercial questionnaire. The Centers for Medicare & Medicaid Services also administers a version of the CAHPS Health Plan Survey designed for Medicare beneficiaries.

The Health Plan Survey asks enrollees about their recent experiences with health plans and their services. This standardized survey was designed to support consumers in assessing the performance of health plans and choosing the plans that best meet their needs. Health plans can also use the survey results to identify their strengths and weaknesses and target areas for improvement.

Evidence for Rationale

Agency for Healthcare Research and Quality (AHRQ). Health plan. [internet]. Rockville (MD): Agency for Healthcare Research and Quality (AHRQ); [accessed 2015 Nov 19].

Agency for Healthcare Research and Quality (AHRQ). Read about the Health Plan Surveys. [internet]. Rockville (MD): Agency for Healthcare Research and Quality (AHRQ); [accessed 2015 Nov 19].

Primary Health Components

Health plan; overall rating of specialist; children

Denominator Description

Health plan enrollees age 17 years and younger whose parent or guardian answered the "Rating of Specialist" item on the CAHPS Health Plan Survey 5.0 (Child Questionnaire) (see the related "Denominator Inclusions/Exclusions" field)

Numerator Description

Parents' or guardians' rating of their child's specialist they saw most often on a scale from 0 to 10, where 0 is the worst specialist possible and 10 is the best specialist possible (see the related "Numerator Inclusions/Exclusions" field)

Type of Evidence Supporting the Criterion of Quality for the Measure

  • A formal consensus procedure, involving experts in relevant clinical, methodological, public health and organizational sciences
  • One or more research studies published in a National Library of Medicine (NLM) indexed, peer-reviewed journal

Additional Information Supporting Need for the Measure

Unspecified

Extent of Measure Testing

In May 2012, the CAHPS Consortium released the 5.0 version of the Health Plan Surveys. This update applies recent improvements in survey design that resulted from testing of the Clinician & Group Surveys.

Development of the CAHPS Health Plan Surveys included:

  • Cognitive testing. In order to determine whether the questionnaire items were understandable and meaningful to respondents, the CAHPS Consortium and the National Committee for Quality Assurance (NCQA) submitted the draft of the Health Plan Survey 4.0 to multiple rounds of cognitive testing starting in December 2004. This testing helped survey developers choose the most accurate and accessible language in English and Spanish for each question included in the survey.
  • Field testing. Once the Consortium had incorporated findings from cognitive testing into the draft instrument, they moved on to the field testing stage. Working closely again with NCQA, they submitted the instrument to field tests at six geographically diverse sites in the spring of 2005, analyzed the field test data, and revised the instrument as needed.

Evidence for Extent of Measure Testing

Agency for Healthcare Research and Quality (AHRQ). Development of the CAHPS Health Plan Surveys. [internet]. Rockville (MD): Agency for Healthcare Research and Quality (AHRQ); [accessed 2015 Nov 19].

State of Use

Current routine use

Current Use

Accreditation

Decision-making by businesses about health plan purchasing

Decision-making by consumers about health plan/provider choice

External oversight/Department of Defense/TRICARE

External oversight/Medicaid

External oversight/State government program

Internal quality improvement

National reporting

Quality of care research

Measurement Setting

Managed Care Plans

Professionals Involved in Delivery of Health Services

Physicians

Least Aggregated Level of Services Delivery Addressed

Single Health Care Delivery or Public Health Organizations

Statement of Acceptable Minimum Sample Size

Specified

Target Population Age

Age less than or equal to 17 years

Target Population Gender

Either male or female

National Quality Strategy Aim

Better Care

National Quality Strategy Priority

Health and Well-being of Communities
Person- and Family-centered Care

IOM Care Need

End of Life Care

Getting Better

Living with Illness

Staying Healthy

IOM Domain

Patient-centeredness

Case Finding Period

  • 12 months or longer (commercial)
  • 6 months or longer (Medicaid)

Denominator Sampling Frame

Enrollees or beneficiaries

Denominator (Index) Event or Characteristic

Patient/Individual (Consumer) Characteristic

Denominator Time Window

Time window brackets index event

Denominator Inclusions/Exclusions

Inclusions
All individuals age 17 years and younger who have been enrolled in:

  • The commercial plan for 12 months or longer, with no more than one 45-day break in enrollment during the 12 months

    OR

  • A Medicaid plan or product for 6 months or longer, with no more than one 30-day break in enrollment during the 6 months.

AND

Whose parent or guardian answered the "Rating of Specialist" item on the CAHPS Health Plan Survey 5.0 (Child Questionnaire). Include refusals, nonresponse, and bad addresses/phone numbers.

Exclusions

  • Individuals with coverage other than primary health coverage, such as dental-only plan
  • Deceased
  • Ineligible (not enrolled in the plan)

Exclusions/Exceptions

Does not apply to this measure

Numerator Inclusions/Exclusions

Inclusions
Parents' or guardians' rating of their child's specialist they saw most often on a scale from 0 to 10, where 0 is the worst specialist possible and 10 is the best specialist possible

Responses are grouped by rating: percentages are reported for ratings of 9 and 10, 7 and 8, and 6 and lower. The higher the percentage of ratings for the group 9 and 10 is associated with better quality.

Note: Include all completed questionnaires. A questionnaire is considered complete if responses are available for 10 or more of a selected list of key CAHPS items. Refer to the original measure documentation for more information.

Exclusions
Unspecified

Numerator Search Strategy

Fixed time period or point in time

Data Source

Patient/Individual survey

Type of Health State

Does not apply to this measure

Instruments Used and/or Associated with the Measure

CAHPS® Health Plan Survey 5.0, Child Questionnaire

Measure Specifies Disaggregation

Does not apply to this measure

Scoring

Composite/Scale

Mean/Median

Rate/Proportion

Interpretation of Score

Desired value is a higher score

Allowance for Patient or Population Factors

Case-mix adjustment

Description of Allowance for Patient or Population Factors

The CAHPS Team recommends adjusting the survey data for respondent age, education, and general health status. This makes it more likely that reported differences are due to real differences in performance, rather than differences in the characteristics of enrollees or patients.

Refer to the Instructions for Analyzing Data from CAHPS® Surveys document (see also the "Companion Documents" field) for additional information.

Standard of Comparison

External comparison at a point in, or interval of, time

External comparison of time trends

Internal time comparison

Original Title

Rating of specialist.

Measure Collection Name

CAHPS Health Plan Survey

Measure Set Name

CAHPS Health Plan Survey 5.0, Child Questionnaire

Submitter

Agency for Healthcare Research and Quality - Federal Government Agency [U.S.]

Developer

Agency for Healthcare Research and Quality - Federal Government Agency [U.S.]

CAHPS Consortium - Health Care Quality Collaboration

Funding Source(s)

Agency for Healthcare Research and Quality (AHRQ)

Composition of the Group that Developed the Measure

  1. Agency for Healthcare Research and Quality (AHRQ)
  2. National Committee for Quality Assurance
  3. CAHPS Consortium/AHRQ Grantees
    • Yale
    • RAND
    • Westat (CAHPS User Network)

Financial Disclosures/Other Potential Conflicts of Interest

None

Endorser

National Quality Forum

NQF Number

0006

Date of Endorsement

2015 Jan 7

Adaptation

This measure was not adapted from another source.

Date of Most Current Version in NQMC

2012 May

Measure Maintenance

Unspecified

Date of Next Anticipated Revision

Unspecified

Measure Status

This is the current release of the measure.

This measure updates a previous version: CAHPS® health plan survey and reporting kit 2008. Rockville (MD): Agency for Healthcare Research and Quality (AHRQ); 2009 Jan. various p.

Source(s)

Agency for Healthcare Research and Quality (AHRQ). CAHPS Health Plan Surveys. Child Commercial Survey 5.0. Rockville (MD): Agency for Healthcare Research and Quality (AHRQ); 2012 Apr 30. 10 p.

Agency for Healthcare Research and Quality (AHRQ). CAHPS Health Plan Surveys. Child Medicaid Survey 5.0. Rockville (MD): Agency for Healthcare Research and Quality (AHRQ); 2012 Apr 2. 11 p.

Agency for Healthcare Research and Quality (AHRQ). CAHPS Health Plan Surveys: overview of the questionnaires. Rockville (MD): Agency for Healthcare Research and Quality (AHRQ); 2012 May 1. 28 p.

Measure Availability

CAHPS Health Plan Surveys: Child Commercial Survey 5.0 and CAHPS Health Plan Surveys: Child Medicaid Survey 5.0 available from the CAHPS Web site External Web Site Policy.

For more information, contact CAHPS Technical Assistance at E-mail: cahps1@westat.com; Phone: 1-800-492-9261.

Companion Documents

The following are available:

  • Health care report card compendium. [internet]. Rockville (MD): Agency for Healthcare Research and Quality (AHRQ); [accessed 2015 Feb 5].
  • CAHPS ambulatory care improvement guide. [internet]. Rockville (MD): Agency for Healthcare Research and Quality (AHRQ); [accessed 2015 Feb 5]. This is available from the Agency for Healthcare Research and Quality (AHRQ) Web site External Web Site Policy.
  • What's available for the CAHPS Health Plan Surveys. Rockville (MD): Agency for Healthcare Research and Quality (AHRQ); 2012 May 1. 4 p. This document is available from the AHRQ Web site External Web Site Policy.
  • Instructions for analyzing data from CAHPS surveys. Rockville (MD): Agency for Healthcare Research and Quality (AHRQ); 2012 Apr 2. 74 p. This document is available from the AHRQ Web site External Web Site Policy.
  • 2015 chartbook: what consumers say about their experiences with their health plans and medical care. Rockville (MD): Agency for Healthcare Research and Quality (AHRQ); 2015 Dec. 35 p. This document is available from the CAHPS Web site External Web Site Policy.
  • Fielding the CAHPS Health Plan Survey: Medicaid version. Rockville (MD): Agency for Healthcare Research and Quality (AHRQ); 2008 Jun 17. 28 p. This document is available from the AHRQ Web site External Web Site Policy.
  • Fielding the CAHPS Health Plan Survey: Commercial version. Rockville (MD): Agency for Healthcare Research and Quality (AHRQ); 2008 Jun 17. 30 p. This document is available from the AHRQ Web site External Web Site Policy.

For more information, contact the CAHPS User Network at E-mail: cahps1@westat.com; Phone: 1-800-492-9261.

NQMC Status

This NQMC summary was completed by ECRI on April 24, 2007. The information was verified by the measure developer on June 15, 2007.

This NQMC summary was updated by ECRI Institute on May 18, 2009. The information was verified by the measure developer on August 14, 2009.

This NQMC summary was retrofitted into the new template on April 29, 2011.

This NQMC summary was updated again by ECRI Institute on February 8, 2016. The information was verified by the measure developer on March 31, 2016.

Copyright Statement

No copyright restrictions apply.

NQMC Disclaimer

The National Quality Measures Clearinghouse™ (NQMC) does not develop, produce, approve, or endorse the measures represented on this site.

All measures summarized by NQMC and hosted on our site are produced under the auspices of medical specialty societies, relevant professional associations, public and private organizations, other government agencies, health care organizations or plans, individuals, and similar entities.

Measures represented on the NQMC Web site are submitted by measure developers, and are screened solely to determine that they meet the NQMC Inclusion Criteria.

NQMC, AHRQ, and its contractor ECRI Institute make no warranties concerning the content or its reliability and/or validity of the quality measures and related materials represented on this site. Moreover, the views and opinions of developers or authors of measures represented on this site do not necessarily state or reflect those of NQMC, AHRQ, or its contractor, ECRI Institute, and inclusion or hosting of measures in NQMC may not be used for advertising or commercial endorsement purposes.

Readers with questions regarding measure content are directed to contact the measure developer.

About NQMC Measure Summaries

NQMC provides structured summaries containing information about measures and their development.

Measure Summary FAQs

Related HHS Measure

From the HHS Measure Inventory

Consumer Assessment of Healthcare Providers and Systems (CAHPS) for PQRS Clinician/Group Survey: • Getting timely care, appointments, and information; • How well providers Communicate; • Patient’s Rating of Provider; • Access to Specialists; • Health Promotion & Education; • Shared Decision Making; • Health Status/Functional Status; • Courteous and Helpful Office Staff; • Care Coordination; • Between Visit Communication; • Helping Your to Take Medication as Directed; and • Stewardship of Patient Resources

Consumer assessment of healthcare providers and systems (CAHPS) for Physician Quality Reporting System (PQRS) Clinician/Group Survey (CG-CAHPS): Getting Timely Care, Appointments, and Information; How Well Providers Communicate; Patient's Rating of Provider; Access to Specialists; Health Promotion & Education; Shared Decision Making; Health Status/Functional Status; Courteous and Helpful Office Staff; Care Coordination; Between Visit Communication; Helping Your to Take Medication as Directed; and Stewardship of Patient Resources.

Consumer Assessment of Healthcare Providers and Systems (CAHPS) Health Plan Survey, Version 5.0 (Medicaid) (CPA): the CAHPS Health Plan Survey (HP-CAHPS) is a standardized survey instrument which asks enrollees to report on their experiences accessing care and health plan information, and the quality of care received by physicians. HP-CAHPS Version 4.0 was endorsed by NQF in July 2007 (NQF #0006). The survey is part of the CAHPS family of patient experience surveys and is available in the public domain at https://cahps.ahrq.gov/surveys-guidance/hp/index.html.


Measure Summaries

New This Week

View more and sign up for our Newsletter

Get Adobe Reader