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

We report on a federal initiative to develop a CAHPS® (The Consumer Assessment of Healthcare Providers and Systems) survey to measure residents' experiences with quality-of-care and quality-of-life in nursing homes (known as NHCAHPS). We focus on how we created and tested questions for inclusio...

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Bibliographic Details
Published in:Journal of aging & social policy 2007, Vol.19 (2), p.63-82
Main Authors: Sangl, Judith, Buchanan, Joan, Cosenza, Carol, Bernard, Shula, Keller, Susan, Mitchell, Nancy, Brown, Julie, Castle, Nicholas, Sekscenski, Edward, Larwood, Deborah
Format: Article
Language:English
Subjects:
Attitude surveys
Client Satisfaction
Consumer Behavior
Health Professions
Health technology assessment
Humans
Measures (Instruments)
Nursing Homes
Older people
Patient experience
Quality of care
Quality of Health Care
Quality of Life
Research Design
Research methodology
satisfaction survey
Surveys
Surveys and Questionnaires
United States
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Summary:We report on a federal initiative to develop a CAHPS® (The Consumer Assessment of Healthcare Providers and Systems) survey to measure residents' experiences with quality-of-care and quality-of-life in nursing homes (known as NHCAHPS). We focus on how we created and tested questions for inclusion in the instrument and tested a possible cognitive screener to determine which residents could participate in a NHCAHPS interview. The major lessons learned were: (1) In contrast to other CAHPS surveys, ratings were more useful than reports because of the difficulty that residents had with summarizing over time and people; (2) consistent with other CAHPS surveys, the 0 to 10 response scale appeared to work well with nursing home residents for many of the quality-of-care questions; however, a different response scale was needed for many of the quality-of-life items; and (3) in contrast with typical survey methodology and other CAHPS surveys where explicit time reference periods are used, a non-specific present reference period in questions seemed to work best.
ISSN:0895-9420
1545-0821
DOI:10.1300/J031v19n02_04