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THE CAHPS DATABASE


2015 CAHPS Clinician & Group Survey Database


2015 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
Naomi Yount
John Rauch
Stephanie Li
Michael Corrothers

AHRQ Publication No. 16-CAHPS002-EF
July 2016




The content of this document may be used and reprinted without permission except for the following: Federal Government logos, items noted with specific restrictions, and those copyrighted materials that are clearly noted in the document. Further reproduction of those copyrighted materials is prohibited without the specific permission of copyright holders.

No investigators have any affiliations or financial involvement (e.g., employment, consultancies, honoraria, stock options, expert testimony, grants or patents received or pending, or royalties) that conflict with material presented in this report.

The authors of this report are responsible for its content. Statements in the report should not be construed as endorsement by the Agency for Healthcare Research and Quality or the U.S. Department of Health and Human Services.


Table of contents

1. EXECUTIVE SUMMARY

2. 2015 CG-CAHPS DATABASE COMPOSITION

3. COMPARATIVE RESULTS BY SURVEY VERSION

Adult Survey 2.0 Combined

Child Survey 2.0 Combined

Adult Visit Survey 2.0

Adult Survey 3.0

APPENDIX A. CHARACTERISTICS OF THE 2015 CG-CAHPS DATABASE

Region

Practice Ownership and Affiliation

Providers Working per Week

Survey Completion Mode

APPENDIX B. LISTING OF COMPOSITES, RATINGS, AND INDIVIDUAL ITEMS BY SURVEY VERSION

1. EXECUTIVE SUMMARY

This Chartbook presents comparative results from the 2015 CAHPS Clinician & Group Survey (CG-CAHPS) Database for the following CG-CAHPS Survey versions:

Results are presented for each survey version in the form of bar charts that show the overall national distribution of scores at the respondent level. For selected survey versions with sufficient data, results also are presented by State and provider specialty. Trend data for available years are presented for each version except for the Adult Survey 3.0, since 2015 was the first year of data collection for this new survey version.

Selected highlights of the results presented in this Chartbook include the following:


The summary results presented in this Chartbook are compiled from detailed data displays available in the CG-CAHPS Database Online Reporting System (ORS) at https://www.cahpsdatabase.ahrq.gov/CAHPSIDB/Public/CG/CG_About.aspx

The CG-CAHPS Database ORS consists of both a public site and a private submitterís site that is 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 ORS that allows them to compare their own results to selected benchmarks. Both the public site and the submitterís 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 of the ORS include ďtop boxĒ scores, frequencies, bar charts, and percentiles. The ďreport builderĒ 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 previous years, are available upon request according to the CAHPS Database Data Release Policy. (To learn more, visit https://www.cahpsdatabase.ahrq.gov/DataResearchers.aspx)

The CG-CAHPS Database Online Reporting System is 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.

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2. 2015 CG-CAHPS DATABASE COMPOSITION

The 2015 CG-CAHPS Database includes a total of 636,468 patient experience survey responses submitted voluntarily by 2,829 unique medical practices.

As shown in Table 1, the Adult Survey 2.0 Combined data represents the largest volume of data (with 418,901 respondents), followed by the Adult Visit Survey 2.0 (with 166,266 respondents). The Child Survey 2.0 Combined (26,364 respondents) and Adult Survey 3.0 (24,937 respondents) are significantly smaller. Because the new CG-CAHPS 3.0 version was released in July 2015, this represents only the first year of limited data collection for the Adult version of the survey. Data submitted for all survey versions were collected from January 2015 through March 2016.

Table 1. Composition of the 2015 CG-CAHPS Database
Survey Version CG-CAHPS Database
Number of Practice Sites Number of Respondents
Adult Survey 2.0 Combined 1,935 418,901
Child Survey 2.0 Combined 247 26,364
Adult Visit Survey 2.0 490 166,266
Adult Survey 3.0 157 24,937
Total 2,829 636,468

Data collected with the 2.0 version of the survey (excluding the Visit version) include surveys using the 6-month and 12-month reference period, as well as surveys that did or did not include PCMH supplemental items. 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 6-month core survey results have been combined with the 12-month core survey results for versions with and without the PCMH supplemental items.

The number of survey respondents and practice sites submitting the 12-month and 6-month surveys with and without the PCMH items in 2015 is shown in Table 2. Because some practices used both the Adult core survey and the Adult core survey with PCMH supplemental items, the total number of unique practice sites is shown in the Total column.

Table 2. Number of 2015 Respondents and Practice Sites by 12-month vs. 6-month Survey Versions
Survey Version 12-Month 6-Month Total
Number of Practice Sites Number of Respondents Number of Practice Sites Number of Respondents Number of Practice Sites Number of Respondents
Adult 589 137,752 875 156,563 1,424 294,315
Adult PCMH 209 45,060 409 79,526 618 124,586
Total Adult 2.0 Combined 798 182,812 1,284 236,089 1,935* 418,901
Child 22 3,913 143 9,895 164 13,808
Child PCMH 35 4,588 52 7,968 87 12,556
Total Child 2.0 Combined 57 8,501 195 17,863 247* 26,364

* These totals display the number of unique practice sites.

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3. COMPARATIVE RESULTS BY SURVEY VERSION

This section presents a summary of comparative results for each CG-CAHPS survey version included in the 2015 CG-CAHPS Database. Results are presented in the form of bar charts that graphically show the distribution of scores for the core composites, individual question items, provider ratings, and supplemental composites where applicable. Users can compare their own results to the relevant bar charts, in order to identify performance strengths as well as opportunities for improvement.

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", "sometimesĒ, "never"), the left-most segment combines the two lowest response categories (i.e., "sometimes" and "never").

Results also are presented by State and provider specialty for survey versions with sufficient data. Trend data for available years are presented for each version except for the Adult Survey 3.0, since 2015 was the first year of data collection for this new survey version.

All results presented in these charts are calculated at the respondent level. Survey results are presented in the following order:

As noted earlier, detailed results are available through the CG-CAHPS Database Online Reporting System at https://www.cahpsdatabase.ahrq.gov/CAHPSIDB/Public/CG/CG_About.aspx.

Adult Survey 2.0 Combined

(Adult 12/6-Month Survey 2.0 with/without PCMH Items)



  Composite/Item
Never + SometimesUsuallyAlways


Scale
   N
Getting Timely Appointments, Care, and Information
14%23%63%
414,810
Got appointment for urgent care as soon as needed
11%21%68%
 168,526
Got appointment for check-up or routine care as soon as needed
7%21%72%
 280,131
Got answer to phone question during regular office hours on same day
14%24%62%
 148,300
Got answer to phone question after hours as soon as needed
17%20%63%
   27,066
Saw provider within 15 minutes of appointment time
20%30%50%
 407,740




  Composite/Item
Never + SometimesUsuallyAlways


Scale
   N
How Well Providers Communicate With Patients
4%11%85%
413,547
Provider explained things clearly
3%10%86%
 410,450
Provider listened carefully
4%9%87%
 409,751
Provider gave easy to understand information on health questions or concerns
4%11%85%
 342,267
Provider knew important information about your medical history
6%17%77%
 405,908
Provider showed respect
3%7%90%
 409,279
Provider spent enough time
4%12%84%
 408,377




  Composite/Item
NoYes


Scale
   N
Providers Pay Attention to Your Mental or Emotional Health (PCMH)
52%48%
109,893
Provider asked if there was a period of time when respondent felt sad, empty, or depressed
42%58%
 108,575
Talked with provider about things causing worry or stress
49%51%
 108,150
Talked with provider about personal problem, family, alcohol or drug use
66%34%
 108,024




  Composite/Item
NoYes


Scale
   N
Providers Support You in Taking Care of Your Own Health (PCMH)
51%49%
110,867
Provider talked about specific goals
40%60%
 109,298
Provider asked if there are things making it hard to take care of health
62%38%
 108,132




  Composite/Item
No + Not at allA little + SomeYes + A lot


Scale
   N
Providers Discuss Medication Decisions (PCMH)
10%24%66%
 53,715
Provider talked about reasons to take a medicine
2%32%66%
  52,475
Provider talked about reasons not to take a medicine
11%41%49%
  52,073
Provider asked what respondent thought was best regarding medicine
18%82%
  51,786




  Individual Items
Never + SometimesUsuallyAlways


Scale
   N
Days waited for an appointment for urgent care
6%30%64%
  45,172
Got needed care during evenings, weekends, or holidays
45%17%38%
  12,460
Provider was informed and up-to-date on care received from specialist
11%21%67%
  62,820
Talked about prescription medicines at each visit
14%86%
  97,253
Provider's office gave information on what to do if care needed on evenings, weekends, or holidays
28%72%
 101,745
Got reminders from provider's office between visits
29%71%
 107,517
Provider's office followed up with test results
13%13%74%
 277,881




  Rating
0-67-89-10


Scale
   N
Rating of provider
5%14%82%
 405,483


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Table 3. Comparison of Adult Survey 2.0 Combined Top-Box Scores by State
State N Access Provider Communication Office Staff Patients' Rating of the Provider
CAHPS DB Overall 418,901 63% 85% 81% 82%
Alabama 306 65% 81% 88% 90%
Arizona 6,358 59% 86% 81% 84%
Arkansas 13,012 59% 84% 79% 82%
California 82,067 58% 81% 74% 75%
Colorado 11,458 61% 84% 80% 82%
Connecticut 423 59% 82% 83% 77%
Florida 19,882 63% 86% 83% 83%
Illinois 13,134 59% 85% 79% 83%
Kentucky 1623 70% 88% 85% 83%
Maine 76,671 67% 86% 84% 83%
Massachusetts 19,727 68% 87% 81% 84%
Minnesota 25,511 55% 82% 74% 78%
Montana 8,451 59% 83% 83% 79%
Mississippi 2,301 71% 90% 84% 86%
Nebraska 2,893 66% 86% 80% 84%
New Hampshire 37,756 66% 88% 84% 85%
New York 8,346 66% 86% 82% 83%
North Carolina 8,696 71% 87% 86% 85%
Ohio 6,657 67% 86% 86% 86%
Oklahoma 4,656 65% 88% 82% 86%
Oregon 1,533 57% 82% 79% 79%
Pennsylvania 6,483 60% 84% 78% 80%
Tennessee 3,500 65% 88% 83% 87%
Texas 7,688 59% 84% 80% 83%
Virginia 6,152 64% 85% 84% 83%
West Virginia 963 66% 84% 84% 82%
Wisconsin 32,818 70% 88% 87% 87%

When reporting comparison scores by State, State with fewer than five practices and/or fewer than 300 completed surveys are not shown.



Table 4. Comparison of Adult Survey 2.0 Combined Top-Box Scores by Specialty
State N Access Provider Communication Office Staff Patients' Rating of the Provider
CAHPS DB Overall 418,901 63% 85% 81% 82%
Allergy/Immunology 1,237 63% 84% 81% 77%
Cardiology 9,821 68% 87% 84% 86%
Dermatology 8,709 65% 85% 83% 81%
Endocrinology 7,345 63% 86% 80% 82%
Family Practice 90,357 59% 84% 78% 80%
Gastroenterology 9,066 62% 83% 80% 79%
General Practice 1,694 64% 89% 80% 85%
Hematology/Oncology 14,178 68% 87% 86% 87%
Internal Medicine 61,077 62% 85% 79% 81%
Neurology 10,954 58% 82% 80% 78%
OB/GYN 20,546 65% 86% 77% 82%
Ophthalmology 8,446 65% 83% 81% 82%
Orthopedics 13,197 66% 84% 83% 83%
Pediatrics 809 59% 87% 79% 85%
Physical Medicine & Rehabilitation 2,213 60% 82% 81% 79%
Podiatry 772 63% 83% 79% 77%
Psychiatry 1,052 60% 86% 81% 82%
Pulmonary Medicine 4,431 65% 88% 86% 84%
Radiology 651 62% 83% 75% 81%
Rheumatology 10,179 67% 86% 84% 85%
Surgery 21,549 69% 86% 83% 83%
Urology 6,134 64% 85% 82% 82%

When reporting comparison scores by specialty, specialties with fewer than five practices and/or fewer than 300 completed surveys are not shown.

Figure 1. Comparison of Adult Survey 2.0 Combined Top Box Scores: 2010-2015*

Figure 1. Comparison of Adult Survey 2.0 Combined Top Box Scores: 2010-2015*
* Scores for 2010-2012 do not include results from the Adult PCMH version.
Horizontal bar graph comparing Adult Survey 2.0 Combined Top box scores over time.

Table 5. Number of Adult CG-CAHPS Survey Respondents and Practice Sites, 2010-2015
Year (Version) Child Survey 2.0 Combined
Number of Practice Sites Number of Respondents
  2015 (2.0) 1,935 418,901
*2014 (2.0) 2,291 457,418
  2013 (2.0) 833 199,038
  2012 (2.0) 286 100,527
  2011 (1.0) 519 52,434
  2010 (1.0) 234 41,834

* Numbers for 2010-2012 do not include the Adult PCMH version.

Child Survey 2.0 Combined

(Child 12/6-Month Survey 2.0 with/without PCMH Items)



  Composite/Item
Never + SometimesUsuallyAlways


Scale
   N
Getting Timely Appointments, Care, and Information
10%20%70%
 26,120
Got appointment for urgent care as soon as needed
7%17%76%
  11,483
Got appointment for check-up or routine care as soon as needed
7%21%72%
  18,592
Got answer to phone question during regular office hours on same day
7%17%76%
  11,273
Got answer to phone question after hours as soon as needed
9%16%75%
    3,386
Saw provider within 15 minutes of appointment time
20%30%51%
  25,649




  Composite/Item
Never + SometimesUsuallyAlways


Scale
   N
How Well Providers Communicate With Patients
3%9%88%
 25,992
Provider explained things clearly
3%8%90%
  25,841
Provider listened carefully
3%7%90%
  25,851
Provider gave easy to understand information on health questions or concerns
3%9%89%
  21,469
Provider knew important information about your child's medical history
5%15%79%
  25,575
Provider showed respect
3%6%92%
  25,704
Provider spent enough time
3%10%87%
  25,632




  Composite/Item
Never + SometimesUsuallyAlways


Scale
   N
Helpful, Courteous, and Respectful Office Staff
5%19%76%
 25,444
Office staff was helpful
6%23%70%
  25,309
Office staff courteous and respectful
4%15%82%
  25,355




  Composite/Item
NoYes


Scale
   N
Provider's Attention to Your Child's Growth and Development
42%58%
 22,852
Spoke with provider's office about child's learning ability
51%49%
  22,566
Spoke with provider's office about normal behaviors
34%66%
  22,620
Spoke with provider's office about child's growth
22%78%
  22,621
Spoke with provider's office about child's moods and emotions
42%58%
  22,569
Spoke with provider's office about time spent on the computer or watching TV
54%46%
  22,550
Spoke with provider's office about child's ability to get along with others
52%48%
  22,488




  Composite/Item
NoYes


Scale
   N
Provider's Advice on Keeping Your Child Safe and Healthy
44%56%
 22,798
Spoke with provider's office about ways to prevent injuries
45%55%
  22,552
Received information about preventing injuries
52%48%
  22,461
Spoke with provider's office about child's diet
26%74%
  22,577
Spoke with provider's office about child's exercise
39%61%
  22,544
Spoke with provider's office about household problems affecting the child
57%43%
  22,489




  Composite/Item
NoYes


Scale
   N
Providers Support You in Taking Care of Your Child's Health (PCMH)
62%38%
 12,130
Provider talked about specific goals
47%53%
  12,042
Provider asked if there are things making it hard to take care of health
76%24%
  12,026




  Individual Items
Never + SometimesUsuallyAlways


Scale
   N
Days waited for an appointment for urgent care
3%10%87%
    5,494
Got needed care during evenings, weekends, or holidays
30%18%52%
    2,122
Provider was informed and up-to-date on care received from specialist
12%19%69%
    3,676
Talked about prescription medicines at each visit
9%91%
    6,245
Provider's office gave information on what to do if care needed on evenings, weekends, or holidays
22%78%
  11,895
Got reminders from provider's office between visits
33%67%
  12,094
Provider's office followed up with test results
14%12%75%
    8,175




  Rating
0-67-89-10


Scale
   N
Rating of provider
3%13%83%
  25,383


Figure 2. Comparison of Child Survey 2.0 Combined Top Box Scores: 2012-2015

Figure 2. Comparison of Child Survey 2.0 Combined Top Box Scores: 2012-2015

Horizontal bar graph comparing Child Survey 2.0 Combined Top box scores over time.

Table 6. Number of Child Survey 2.0 Combined Respondents and Practice Sites, 2012-2015
Year (Version) Child Survey 2.0 Combined
Number of Practice Sites Number of Respondents
2015 (2.0) 247 26,364
2014 (2.0) 341 28,925
2013 (2.0) 105 8,265
2012 (2.0) 58 3,276

Adult Visit Survey 2.0



  Composite/Item
Never + SometimesUsuallyAlways


Scale
   N
Getting Timely Appointments, Care, and Information
14%24%62%
164,342
Got appointment for urgent care as soon as needed
12%22%66%
   63,787
Got appointment for check-up or routine care as soon as needed
7%22%71%
 114,197
Got answer to phone question during regular office hours on same day
15%25%60%
   59,182
Got answer to phone question after hours as soon as needed
16%21%63%
   11,314
Saw provider within 15 minutes of appointment time
18%32%50%
 160,716




  Composite/Item
NoYes, somewhatYes, definitely


Scale
   N
How Well Providers Communicate With Patients
1%7%91%
164,029
Provider explained things clearly
1%7%92%
 160,373
Provider listened carefully
1%5%93%
 162,966
Provider gave easy to understand information on health questions or concerns
1%8%91%
 139,934
Provider knew important information about your medical history
3%12%85%
 162,485
Provider showed respect
1%4%95%
 163,265
Provider spent enough time
2%7%92%
 163,025




  Composite/Item
NoYes, somewhatYes, definitely


Scale
   N
Helpful, Courteous, and Respectful Office Staff
1%7%92%
163,555
Office staff was helpful
1%9%90%
 162,526
Office staff courteous and respectful
1%5%94%
 163,051




  Individual Items
NoYes


Scale
   N
Provider's office followed up with test results
15%85%
  77,906

  
NoYes, somewhatYes, definitely


Scale
   N
Would you recommend this provider's office
3%8%90%
 161,561




  Rating
0-67-89-10


Scale
   N
Rating of provider
4%13%83%
 161,889


Table 7. Comparison of Adult Visit Survey 2.0 by State
State N Access Provider Communication Office Staff Patients' Rating of the Provider
CAHPS DB Overall 166,266 62% 91% 92% 83%
Arizona 8,441 55% 90% 89% 82%
Colorado 50,624 62% 91% 92% 83%
Idaho 9,613 65% 93% 93% 86%
Illinois 4,003 66% 92% 94% 83%
Indiana 27,091 62% 91% 92% 84%
Iowa 1,506 58% 90% 90% 81%
Maine 3,070 69% 92% 96% 83%
Minnesota 1,732 59% 89% 95% 79%
Montana 13,303 65% 93% 93% 85%
Ohio 2,364 70% 93% 95% 84%
Pennsylvania 19,639 62% 91% 91% 81%
Washington 17,768 57% 91% 92% 82%
Wisconsin 4,667 71% 89% 93% 81%

When reporting comparison scores by State, State with fewer than five practices and/or fewer than 300 completed surveys are not shown.

Table 8. Comparison of Adult Visit Survey 2.0 by Specialty
State N Access Provider Communication Office Staff Patients' Rating of the Provider
CAHPS DB Overall 166,266 62% 91% 92% 83%
Cardiology 4,288 70% 94% 95% 87%
Dermatology 3,151 61% 89% 92% 81%
Endocrinology 3,382 58% 91% 93% 82%
Family Practice 33,923 59% 92% 92% 2%
Gastroenterology 5,102 62% 89% 93% 80%
Hematology/Oncology 4,856 71% 93% 93% 87%
Internal Medicine 16,557 60% 93% 93% 84%
Neurology 7,667 49% 89% 90% 79%
OB/GYN 4,095 65% 91% 89% 82%
Ophthalmology 6,199 66% 92% 93% 83%
Orthopedics 2,888 63% 89% 92% 83%
Physical Medicine & Rehabilitation 2,139 62% 93% 89% 86%
Pulmonary Medicine 399 61% 93% 95% 83%
Radiology 832 61% 90% 91% 82%
Rheumatology 3,806 61% 91% 92% 86%
Surgery 9,106 67% 92% 92% 86%
Urology 2,541 64% 91% 92% 83%

When reporting comparison scores by specialty, specialties with fewer than five practices and/or fewer than 300 completed surveys are not shown.

Figure 3. Comparison of Adult Visit Survey 2.o Top Box Scores: 2010-2015

Figure 3. Comparison of Adult Visit Survey 2.o Top Box Scores: 2010-2015

Horizontal bar graph comparing Adult Visit Survey 2.0 Top box scores over time.

Table 9. Number of Adult Visit Survey Respondents and Practice Sites, 2010-2015
Year (Version) Adult Visit
Number of Practice Sites Number of Respondents
2015 (2.0) 490 166,266
2014 (2.0) 1,330 312,624
2013 (2.0) 1,234 428,154
2012 (2.0) 1,718 613,396
2011 (1.0) 769 266,327
2010 (1.0) 469 103,442

Adult Survey 3.0



  Composite/Item
Never + SometimesUsuallyAlways


Scale
   N
Getting Timely Appointments, Care, and Information
12%21%67%
 21,614
Got appointment for urgent care as soon as needed
12%20%68%
  10,022
Got appointment for check-up or routine care as soon as needed
7%21%72%
  17,832
Got answer to phone question during regular office hours on same day
15%24%61%
    9,240




  Composite/Item
Never + SometimesUsuallyAlways


Scale
   N
How Well Providers Communicate With Patients
4%9%88%
 24,525
Provider explained things clearly
4%10%86%
  24,406
Provider listened carefully
4%8%88%
  24,337
Provider showed respect
3%6%91%
  24,307
Provider spent enough time
4%10%86%
  23,900




  Composite/Item
Never + SometimesUsuallyAlways


Scale
   N
Helpful, Courteous, and Respectful Office Staff
5%14%81%
 23,628
Office staff was helpful
6%18%76%
  23,568
Office staff courteous and respectful
3%11%86%
  23,375




  Composite/Item
Never + SometimesUsuallyAlways


Scale
   N
Providers' Use of Information to Coordinate Patient Care
12%14%75%
 24,453
Provider knew important information about your medical history
6%14%80%
  24,217
Provider's office followed up with test results
12%11%77%
  16,768
Talked about prescription medicines at each visit
18%15%67%
  20,321




  Rating
0-67-89-10


Scale
   N
Rating of provider
5%11%84%
  23,417


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Appendix A. CHARACTERISTICS OF THE 2015 CG-CAHPS DATABASE

When reviewing the CAHPS Clinician & Group (CG-CAHPS) Survey results, it is helpful as context to understand the types of practice sites that make up the comparative results for all versions of the survey. The CAHPS Database asked each submitter to provide information about their practices (i.e., ďpractice site characteristicsĒ) along with their survey responses. It is important to note that participating practice sites voluntarily submit data to the CAHPS Database and therefore do not constitute a representative sample of all medical practices in the United States. However, 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, practice ownership and affiliation, and providers working per week. Survey completion mode was reported at the respondent level.

Table A-1. Composition of the 2015 CG-CAHPS Database
Survey Version CG-CAHPS Database
Number of Practice Sites Number of Respondents
Adult Survey 2.0 Combined 1,935 418,901
Child Survey 2.0 Combined 247 26,364
Adult Visit Survey 2.0 490 166,266
Adult Survey 3.0 157 24,937
Total 2,829 636,468

Region

The distribution of regions is shown in Table A-2. Each version of the CG-CAHPS Survey reflects a different regional distribution and is not representative of the U.S. distribution. The largest concentration of practice sites for the Adult Survey 2.0 Combined was from the Northeast. The largest concentration for the Adult Visit 2.0 survey was from the West, and for Child Survey 2.0 Combined, most practice sites were from the Northeast. Practice sites were assigned to one of the four U.S. Census Bureauís regions, based on the practice sitesí self-reported State and ZIP code information 1.


1 NOTE: States are categorized into U.S. Census Bureau-defined regions as follows:
Northeast: CT, MA, ME, NH, NJ, NY, PA, PR, RI, VT
Midwest: IA, IL, IN, KS, MI, MN, MO, NE, ND, OH, SD, WI
West: AK, AZ, CA, CO, GU, HI, ID, MT, NM, NV, OR, UT, WA, WY
South: AL, AR, DC, DE, FL, GA, KY, LA, MD, MS, NC, OK, SC, TN, TX, VA, WV

Table A-2. Distribution of Practice Sites and Survey Respondents by Region
Region Number Adult 2.0 Combined Child 2.0 Combined Adult Visit 2.0 Adult 3.0
Midwest Practice Sites 509 63 117 51
Respondents 98,190 7,490 41,413 6,791
Northeast Practice Sites 740 129 125 22
Respondents 155,194 11,248 23,435 195
West Practice Sites 312 42 6 75
Respondents 60,161 4,045 1,196 16,803
West Practice Sites 374 13 242 9
Respondents 105,356 3,581 100,222 1,148
Total Practice Sites 1,935 247 490 157
Respondents 418,901 26,364 166,266 24,937

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Practice Ownership and Affiliation

The distribution of the practice ownership and affiliation categories is shown in style="text-align:right;" The largest number of practice sites was ďHospital/Health SystemĒ across all survey versions, followed by ďProvider/Physician.Ē 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.

Table A-3. Distribution of Practice Sites and Survey Respondents by Practice Site Ownership and Affiliation
Practice Ownership and Affiliation Number Adult 2.0 Combined Child 2.0 Combined Adult Visit 2.0 Adult 3.0
Provider/Physician Practice Sites 485 48 75 62
Respondents 99,524 6,512 40,411 6,159
Hospital/Health System Practice Sites 1,088 173 286 95
Respondents 251,820 15,354 99,528 18,778
University/ Academic Med Center Practice Sites 199 21 45 0
Respondents 46,178 3,961 9,763 0
Community Health Center Practice Sites 114 4 58 0
Respondents 14,431 369 13,643 0
Other Practice Sites 49 1 26 0
Respondents 6,948 168 2,891 0
Total Practice Sites 1,935 247 490 157
Respondents 418,901 26,364 166,266 24,937

Providers Working per Week

As a proxy measure for practice size, the distribution of the number of providers working per week is shown in Table A-4. This information was self-reported at the practice-site level. Other than ďmissing,Ē most practice sites that voluntarily submitted their data to the CAHPS Database have 4 to 9 providers (e.g., doctors of medicine, doctors of osteopathic medicine, physician assistants, nurse practitioners, etc.) working during a typical week.

Table A-4. Distribution of Practice Sites and Survey Respondents by Number of Providers Working per Week
Number of Providers Working per Week Number Adult 2.0 Combined Child 2.0 Combined Adult Visit 2.0 Adult 3.0
Missing Practice Sites 1,079 163 417 24
Respondents 264,968 14,012 153,193 13,737
1 provider Practice Sites 114 5 15 13
Respondents 6,400 237 453 96
2 - 3 providers Practice Sites 223 21 25 37
Respondents 24,941 2,259 2,433 1,128
4 - 9 providers Practice Sites 297 28 24 53
Respondents 55,693 4,507 4,889 3,549
10 - 13 providers Practice Sites 76 6 5 15
Respondents 21,499 509 2,532 2,373
14 - 19 providers Practice Sites 46 13 1 9
Respondents 13,396 2,439 469 1,953
More than 20 providers Practice Sites 100 11 3 6
Respondents 32,004 2,401 2,297 2,101
Total Practice Sites 1,935 247 490 157
Respondents 418,901 26,364 166,266 24,937

Survey Completion Mode

As shown in Table A-5, the vast majority of the surveys submitted to the CAHPS Database were completed by mail. Web/Internet survey mode accounted for the second largest number of survey completes.

Table A-5. Distribution of Practice Sites and Survey Respondents by Survey Completion Mode
Survey Completion Mode Number Adult 2.0 Combined Child 2.0 Combined Adult Visit 2.0 Adult 3.0
Mail Practice Sites 1,539 211 431 63
Respondents 308,542 20,681 156,052 14,950
Phone Practice Sites 456 17 25 0
Respondents 19,159 1,799 2,456 0
IVR Practice Sites 228 18 0 0
Respondents 50,515 3,345 0 0
Web/Internet Practice Sites 683 49 78 100
Respondents 39,999 513 7,483 9,978

APPENDIX B. LISTING OF COMPOSITES, RATINGS, AND INDIVIDUAL ITEMS BY SURVEY VERSION

The following tables present the question wording and response options for the composites, ratings, and individual items included in the Adult and Child versions of the CAHPS Clinician & Group Survey.

Table B-1. Adult Survey 2.0 Combined
Getting Timely Appointments, Care, and Information
Q6 In the last 12/6 months, when you phoned this providerís office to get an appointment for care you needed right away, how often did you get an appointment as soon as you needed? Response Options
  • Never
  • Sometimes
  • Usually
  • Always
Q8/Q9 In the last 12/6 months, when you made an appointment for a check-up or routine care with this provider, how often did you get an appointment as soon as you needed?
Q10/Q14 In the last 12/6 months, when you phoned this providerís office during regular office hours, how often did you get an answer to your medical question that same day?
Q12/Q16 In the last 12/6 months, when you phoned this providerís office after regular office hours, how often did you get an answer to your medical question as soon as you needed?
Q13/Q18 Wait time includes time spent in the waiting room and exam room. In the last 12/6 months, how often did you see this provider within 15 minutes of your appointment time?
How Well Providers Communicate With Patients
Q14/Q19 In the last 12/6 months, how often did this provider explain things in a way that was easy to understand? Response Options
  • Never
  • Sometimes
  • Usually
  • Always
Q15/Q20 In the last 12/6 months, how often did this provider listen carefully to you?
Q17/Q22 In the last 12/6 months, how often did this provider give you easy to understand information about these health questions or concerns?
Q18/Q23 In the last 12/6 months, how often did this provider seem to know the important information about your medical history?
Q19/Q24 In the last 12/6 months, how often did this provider show respect for what you had to say?
Q20/Q25 In the last 12/6 months, how often did this provider spend enough time with you?
Helpful, Courteous, and Respectful Office Staff
Q24/Q42 In the last 12/6 months, how often were clerks and receptionists at this providerís office as helpful as you thought they should be? Response Options
  • Never
  • Sometimes
  • Usually
  • Always
Q25/Q43 In the last 12/6 months, how often did clerks and receptionists at this providerís office treat you with courtesy and respect?
Follow-up on Test Results
Q22/Q27 In the last 12/6 months, when this provider ordered a blood test, x-ray, or other test for you, how often did someone from this providerís office to give you those results? Response Options
  • Never
  • Sometimes
  • Usually
  • Always
Patientsí Rating of the Provider
Q23/Q32 Using any number from 0 to 10, where 0 is the worst provider possible and 10 is the best provider possible, what number would you use to rate this provider? Response Options
  • 0-10
Providers Pay Attention to Your Mental or Emotional Health (PCMH)
Q39 In the last 12/6 months, did anyone in this providerís office ask you if there was a period of time when you felt sad, empty, or depressed? Response Options
  • Yes
  • No
Q40 In the last 12/6 months, did you and anyone in this providerís office talk about things in your life that worry you or cause you stress?
Q41 In the last 12/6 months, did you and anyone in this providerís office talk about a personal problem, family problem, alcohol use, drug use, or a mental or emotional illness?
Providers Support You in Taking Care of Your Own Health (PCMH)
Q35 In the last 12/6 months, did anyone in this providerís office talk with you about specific goals for your health? Response Options
  • Yes
  • No
Q36 In the last 12/6 months, did anyone in this providerís office ask you if there are things that make it hard for you to take care of your health?
Providers Discuss Medication Decisions (PCMH)
Q29 When you talked about starting or stopping a prescription medicine, how much did this provider talk about the reasons you might want to take a medicine? Response Options
  • Not at all
  • A little
  • Some
  • A lot
Q30 When you talked about starting or stopping a prescription medicine, how much did this provider talk about the reasons you might not want to take a medicine?
Q31 When you talked about starting or stopping a prescription medicine, did this provider ask you what you thought was best for you? Response Options
  • Yes
  • No
Other Individual PCMH Items
Access to Care
Q7 In the last 12/6 months, how many days did you usually have to wait for an appointment when you needed care right away? Response Options
  • Same day
  • 1 day
  • 2 to 3 days
  • 4 to 7 days
  • More than 7 days
Q12 In the last 12/6 months, how often were you able to get the care you needed from this providerís office during evenings, weekends, or holidays? Response Options
  • Never
  • Sometimes
  • Usually
  • Always
Attention to Care From Other Providers
Q34 In the last 12/6 months, how often did the provider named in Question 1 seem informed and up-to-date about the care you got from specialists? Response Options
  • Never
  • Sometimes
  • Usually
  • Always
Q38 In the last 12/6 months, did you and anyone in this providerís office talk at each visit about all the prescription medicines you were taking? Response Options
  • Yes
  • No
Information About Care and Appointments
Q10 Did this providerís office give you information about what to do if you needed care during evenings, weekends, or holidays? Response Options
  • Yes
  • No
Q17 Some offices remind patients between visits about tests, treatment or appointments. In the last 12/6 months, did you get any reminders from this providerís office between visits?

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Table B-2. Child Survey 2.0 Combined
Getting Timely Appointments, Care, and Information
Q13 In the last 12/6 months, when you phoned this providerís office to get an appointment for care your child needed right away, how often did you get an appointment as soon as your child needed? Response Options
  • Never
  • Sometimes
  • Usually
  • Always
Q15/Q16 In the last 12/6 months, when you made an appointment for a check-up or routine care for your child with this provider, how often did you get an appointment as soon as your child needed?
Q17/Q21 In the last 12/6 months, when you phoned this providerís office during regular office hours, how often did you get an answer to your medical question that same day?
Q19/Q23 In the last 12/6 months, when you phoned this providerís office after regular office hours, how often did you get an answer to your medical question as soon as you needed?
Q20/Q25 Wait time includes time spent in the waiting room and exam room. In the last 12/6 months, how often did your child see this provider within 15 minutes of his or her appointment time?
How Well Providers Communicate With Patients
Q21/Q26 In the last 12/6 months, how often did this provider explain things about your childís health in a way that was easy to understand? Response Options
  • Never
  • Sometimes
  • Usually
  • Always
Q22/Q27 In the last 12/6 months, how often did this provider listen carefully to you?
Q24/Q29 In the last 12/6 months, how often did this provider give you easy to understand information about these health questions or concerns?
Q25/Q30 In the last 12/6 months, how often did this provider seem to know the important information about your childís medical history?
Q26/Q31 In the last 12/6 months, how often did this provider show respect for what you had to say?
Q27/Q32 In the last 12/6 months, how often did this provider spend enough time with your child?
Helpful, Courteous, and Respectful Office Staff
Q42/Q53 In the last 12/6 months, how often were clerks and receptionists at this providerís office as helpful as you thought they should be? Response Options
  • Never
  • Sometimes
  • Usually
  • Always
Q43/Q54 In the last 12/6 months, how often did clerks and receptionists at this providerís office treat you with courtesy and respect?
Providerís Attention to Your Childís Growth and Development
Q31/Q38 In the last 12/6 months, did you and anyone in this providerís office talk about your childís learning ability? Response Options
  • Yes
  • No
Q32/Q39 In the last 12/6 months, did you and anyone in this providerís office talk about the kinds of behaviors that are normal for your child at this age?
Q33/Q40 In the last 12/6 months, did you and anyone in this providerís office talk about how your childís body is growing?
Q34/Q41 In the last 12/6 months, did you and anyone in this providerís office talk about your childís moods and emotions?
Q37/Q44 In the last 12/6 months, did you and anyone in this providerís office talk about how much time your child spends on a computer and in front of a TV?
Q40/Q47 In the last 12/6 months, did you and anyone in this providerís office talk about how your child gets along with others?
Providerís Advice on Keeping Your Child Safe and Healthy
Q35/Q42 In the last 12/6 months, did you and anyone in this providerís office talk about things you can do to keep your child from getting injured? Response Options
  • Yes
  • No
Q36/Q43 In the last 12/6 months, did anyone in this providerís office give you information about how to keep your child from getting injured?
Q38/Q45 In the last 12/6 months, did you and anyone in this providerís office talk about how much or what kind of food your child eats?
Q39/Q46 In the last 12/6 months, did you and anyone in this providerís office talk about how much or what kind of exercise your child gets?
Q41/Q48 In the last 12/6 months, did you and anyone in this providerís office talk about whether there are any problems in your household that might affect your child?
Follow-up on Test Results
Q29/Q34 In the last 12/6 months, when this provider ordered a blood test, x-ray, or other test for your child, how often did someone from this providerís office follow up to give you those results? Response Options
  • Never
  • Sometimes
  • Usually
  • Always
Patientsí Rating of the Provider
Q30/Q35 Using any number from 0 to 10, where 0 is the worst provider possible and 10 is the best provider possible, what number would you use to rate this provider? Response Options
  • 0-10
Providers Support You in Taking Care of Your Own Health (PCMH)
Q49 In the last 12/6 months, did anyone in this providerís office talk with you about specific goals for your childís health? Response Options
  • Yes
  • No
Q50 In the last 12/6 months, did anyone in this providerís office ask you if there are things that make it hard for you to take care of your childís heath?
Other Individual PCMH Items
Access Care
Q14 In the last 12/6 months, how many days did you usually have to wait for an appointment when your child needed care right away? Response Options
  • Same day
  • 1 day
  • 2 to 3 days
  • 4 to 7 days
  • More than 7 days
Q19 In the last 12/6 months, how often were you able to get the care your child needed from this providerís office during evenings, weekends, or holidays? Response Options
  • Never
  • Sometimes
  • Usually
  • Always
Attention to Care From Other Providers
Q37 In the last 12/6 months, how often did the provider named in Question 1 seem informed and up-to-date about the care your child got from specialists? Response Options
  • Never
  • Sometimes
  • Usually
  • Always
Q52 In the last 12/6 months, did you and anyone in this providerís office talk at each visit about all the prescription medicines your child was taking? Response Options
  • Yes
  • No
Information About Care and Appointments
Q17 Did this providerís office give you information about what to do if your child needed care during evenings, weekends, or holidays? Response Options
  • Yes
  • No
Q24 Some offices remind patients between visits about tests, treatment, or appointments. In the last 12/6 months, did you get any reminders about your childís care from this providerís office between visits?

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Table B-3. Adult Visit Survey 2.0
Getting Timely Appointments, Care, and Information
Q6 In the last 12/6 months, when you phoned this providerís office to get an appointment for care you needed right away, how often did you get an appointment as soon as you needed? Response Options
  • Never
  • Sometimes
  • Usually
  • Always
Q8 In the last 12/6 months, when you made an appointment for a check-up or routine care with this provider, how often did you get an appointment as soon as you needed?
Q10 In the last 12/6 months, when you phoned this providerís office during regular office hours, how often did you get an answer to your medical question that same day?
Q12 In the last 12/6 months, when you phoned this providerís office after regular office hours, how often did you get an answer to your medical question as soon as you needed?
Q13 Wait time includes time spent in the waiting room and exam room. In the last 12/6 months, how often did you see this provider within 15 minutes of your appointment time?
How Well Providers Communicate With Patients
Q16 During your most recent visit, did this provider explain things in a way that was easy to understand? Response Options
  • Yes, definitely
  • Yes, somewhat
  • No
Q17 During your most recent visit, did this provider listen carefully to you?
Q19 During your most recent visit, did this provider give you easy to understand information about these health questions or concerns?
Q20 During your most recent visit, did this provider seem to know the important information about your medical history?
Q21 During your most recent visit, did this provider show respect for what you had to say?
Q22 During your most recent visit, did this provider spend enough time with you?
Helpful, Courteous, and Respectful Office Staff
Q27 During your most recent visit, were clerks and receptionists at this providerís office as helpful as you thought they should be? Response Options
  • Yes, definitely
  • Yes, somewhat
  • No
Q28 During your most recent visit, did clerks and receptionists at this providerís office treat you with courtesy and respect?
Follow-up on Test Results
Q24 Did someone from this providerís office follow up to give you those results? Response Options
  • Yes
  • No
Patientsí Rating of the Provider
Q25 Using any number from 0 to 10, where 0 is the worst provider possible and 10 is the best provider possible, what number would you use to rate this provider? Response Options
  • 0-10
Willingness to Recommend
Q26 Would you recommend this providerís office to your family and friends? Response Options
  • Yes, definitely
  • Yes, somewhat
  • No

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Table B-4. Adult Survey 3.0
Getting Timely Appointments, Care and Information
Q6 In the last 6 months, when you contacted this providerís office to get an appointment for care you needed right away, how often did you get an appointment as soon as you needed? Response Options
  • Never
  • Sometimes
  • Usually
  • Always
Q8 In the last 6 months, when you made an appointment for a check-up or routine care with this provider, how often did you get an appointment as soon as you needed?
Q10 In the last 6 months, when you made an appointment for a check-up or routine care with this provider, how often did you get an appointment as soon as you needed?
How Well Providers Communicate With Patients
Q11 In the last 6 months, how often did this provider explain things in a way that was easy to understand? Response Options
  • Never
  • Sometimes
  • Usually
  • Always
Q12 In the last 6 months, how often did this provider listen carefully to you?
Q14 In the last 6 months, how often did this provider show respect for what you had to say?
Q15 In the last 6 months, how often did this provider spend enough time with you?
Providers' Use of Information to Coordinate Patient Care
Q13 In the last 6 months, how often did this provider seem to know the important information about your medical history? Response Options
  • Never
  • Sometimes
  • Usually
  • Always
Q17 In the last 6 months, when this provider ordered a blood test, x-ray, or other test for you, how often did someone from this providerís office follow up to give you those results?
Q20 In the last 6 months, how often did you and someone from this providerís office talk about all the prescription medicines you were taking?
Helpful, Courteous, and Respectful Office Staff
Q21 In the last 6 months, how often were clerks and receptionists at this providerís office as helpful as you thought they should be? Response Options
  • Never
  • Sometimes
  • Usually
  • Always
Q22 In the last 6 months, how often did clerks and receptionists at this providerís office treat you with courtesy and respect?
Patientsí Rating of the Provider
Q18 Using any number from 0 to 10, where 0 is the worst provider possible and 10 is the best provider possible, what number would you use to rate this provider? Response Options
  • 0-10