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National Healthcare Quality Report, 2007

Patient Centeredness

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Patient Experience of Care
Composite measure: Adults who sometimes or never received patient-centered care (whose health providers sometimes or never listened carefully, explained things clearly, respected what they had to say, and spent enough time with them)
Composite measure: Children who sometimes or never received patient-centered care (whose health providers sometimes or never listened carefully, explained things clearly, respected what their parents had to say, and spent enough time with them)
Among adults age 18 and over who reported going to a doctor's office or clinic in the last 12 months, percent distribution of how often their health providers listened carefully to them
Among children under age 18 who had a doctor's office or clinic visit reported in the last 12 months, percent distribution of how often their health providers listened carefully to their parents
Among adults age 18 and over who reported going to a doctor's office or clinic in the last 12 months, percent distribution of how often their health providers explained things clearly
Among children under age 18 who had a doctor's office or clinic visit in the last 12 months, percent distribution of how often their health providers explained things clearly
Among adults age 18 and over who reported going to a doctor's office or clinic in the last 12 months, percent distribution of how often their health providers showed respect for what they had to say
Among children under age 18 who had a doctor's office or clinic visit in the last 12 months, percent distribution of how often their health providers showed respect for what their parents had to say
Among adults age 18 and over who reported going to a doctor's office or clinic in the last 12 months, percent distribution of how often their health providers spent enough time with them
Among children under age 18 who had a doctor's office or clinic visit in the last 12 months, percent distribution of how often their health providers spent enough time with them and their parents
Hospital patients who reported sometimes or never having good communications with doctors
Hospital patients who reported sometimes or never having good communications with nurses
Hospital patients who reported sometimes or never having good communications about medications
Hospital patients age 18 and over who reported not having good communication about discharge information

Patient Experience of Care

Measure Title

Composite measure: Adults who sometimes or never received patient-centered care (whose health providers sometimes or never listened carefully, explained things clearly, respected what they had to say, and spent enough time with them).

Measure Source

Agency for Healthcare Research and Quality (AHRQ), Consumer Assessment of Health Plans (CAHPS®) .

AHRQ, Center for Financing, Access, and Cost Trends (CFACT), Medical Expenditure Panel Survey (MEPS).

National Tables

4.1a Among adults age 18 and over who had a doctor's office or clinic visit in the last 12 months, percent distribution of how often their health providers listened carefully, explained things clearly, showed respect for what they had to say, and spent enough time with them, United States, 2004.

4.1b Among adults age 18 and over who had a doctor's office or clinic visit in the last 12 months, percent distribution of how often their health providers listened carefully, explained things clearly, showed respect for what they had to say, and spent enough time with them, United States, 2002.

National Data Source

AHRQ, CFACT, MEPS.

National Denominator

Adults age 18 and over who visited a doctor's office or clinic to get health care in the past 12 months with valid, nonmissing answer to all four questions that comprise the composite measure.

National Numerator

Subset of the denominator population in three categories according to their answer to the four questions: "Always," "Usually," "Sometimes," or "Never."

State Tables

4.1c Among adults age 18 and over who had a doctor's office or clinic visit in the last 6 months, percent whose health providers always listened carefully, explained things clearly, showed respect for what they had to say, and spent enough time with them, Medicaid, by State, 2004 and 2006.

4.1d Among adults age 18 and over who had a doctor's office or clinic visit in the last 12 months, percent whose health providers always listened carefully, explained things clearly, showed respect for what they had to say, and spent enough time with them, Medicare managed care, by State, 2003 and 2006.

State Data Source

AHRQ, Center for Quality Improvement and Patient Safety (CQUIPS), National CAHPS® Benchmarking Database (NCBD).

State Denominator

Adults with Medicaid benefits who visited a doctor's office or clinic in the past 6 months.

State Numerator

Subset of the denominator population in three categories according to their answer to the four questions: "Always," "Usually," "Sometimes," or "Never."

Comments

The national table reports data from the MEPS Child Health section. Go to the MEPS entry in the Data Sources Appendix for more information.

See entries for each of the four components of the composite measure for further details about the individual survey questions.

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Patient Experience of Care

Measure Title

Composite measure: Children who sometimes or never received patient-centered care (whose health providers sometimes or never listened carefully, explained things clearly, respected what their parents had to say, and spent enough time with them).

Measure Source

Agency for Healthcare Research and Quality (AHRQ), Consumer Assessment of Health Plans (CAHPS®) .

AHRQ, Center for Financing, Access, and Cost Trends (CFACT), Medical Expenditure Panel Survey (MEPS).

National Tables

4.2a Among children under age 18 who had a doctor's office or clinic visit in the last 12 months, percent distribution of how often their health providers listened carefully, explained things clearly, showed respect for what they had to say, and spent enough time with them, United States, 2004.

4.2b Among children under age 18 who had a doctor's office or clinic visit in the last 12 months, percent distribution of how often their health providers listened carefully, explained things clearly, showed respect for what they had to say, and spent enough time with them, United States, 2002.

National Data Source

AHRQ, CFACT, MEPS.

National Denominator

Children under age 18 who visited a doctor's office or clinic to get health care in the past 12 months with valid, nonmissing answers to all four questions that comprise the composite measure.

National Numerator

Subset of the denominator population in three categories according to their answer to the four questions: "Always," "Usually," "Sometimes," or "Never."

State Tables

4.2c Among children under age 18 who had a doctor's office or clinic visit in the last 6 months, percent whose health providers always listened carefully, explained things clearly, showed respect for what their parents had to say, and spent enough time with them, Medicaid, by State, 2004 and 2006.

State Data Source

AHRQ, Center for Quality Improvement and Patient Safety (CQUIPS), National CAHPS® Benchmarking Database (NCBD).

State Denominator

Children with Medicaid benefits who visited a doctor's office or clinic in the past 6 months.

State Numerator

Subset of the denominator population in three categories according to their answer to the four questions: "Always," "Usually," "Sometimes," or "Never."

Comments

The national table reports data from the MEPS Child Health section. Go to the MEPS entry in the Data Sources Appendix for more information.

See entries for each of the four components of the composite measure for further details about the individual survey questions.

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Patient Experience of Care

Measure Title

Among adults age 18 and over who reported going to a doctor's office or clinic in the last 12 months, percent distribution of how often their health providers listened carefully to them.

Measure Source

Agency for Healthcare Research and Quality (AHRQ), Center for Financing, Access, and Cost Trends (CFACT).

National Tables

4.3a Among adults age 18 and over who reported going to a doctor's office or clinic in the last 12 months, percent distribution of how often their health providers listened carefully to them, United States, 2004.

4.3b Among adults age 18 and over who reported going to a doctor's office or clinic in the last 12 months, percent distribution of how often their health providers listened carefully to them, United States, 2002.

National Data Source

AHRQ, CFACT, Medical Expenditure Panel Survey (MEPS).

National Denominator

Adults who visited a doctor's office or clinic to get health care in the past 12 months and answered the question: "In the last 12 months how often did doctors or other health providers listen carefully to you?" Nonresponses and "Don't know" responses were excluded.

National Numerator

Subset of the denominator population in three categories according to their answer to the above question: "Always," "Usually," "Sometimes," or "Never."

State Tables

4.3c Among adults age 18 and over who reported going to a doctor's office or clinic in the last 6 months, percent whose health providers always listened carefully to them, Medicaid, by State, 2004 and 2006.

4.3d Among adults age 18 and over who reported going to a doctor's office or clinic in the last 12 months, percent whose health providers always listened carefully to them, Medicare managed care, by State, 2003 and 2006.

State Data Source

AHRQ, Center for Quality Improvement and Patient Safety (CQUIPS), National CAHPS® Benchmarking Database (NCBD).

State Denominator

Adults who visited a doctor's office or clinic to get health care in the past 6 months.

State Numerator

Subset of the denominator population who responded "Always" to the question: "In the last 6 months, how often did doctors or other health providers listen carefully to you?"

Comments

National tables report data from the MEPS Self-Administered Questionnaire (SAQ). Go to the MEPS entry in the Data Sources Appendix for more information on the SAQ.

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Patient Experience of Care

Measure Title

Among children under age 18 who had a doctor's office or clinic visit reported in the last 12 months, percent distribution of how often their health providers listened carefully to their parents.

Measure Source

Agency for Healthcare Research and Quality (AHRQ), Center for Financing, Access, and Cost Trends (CFACT).

National Tables

4.4a Among children under age 18 who had a doctor's office or clinic visit in the last 12 months, percent distribution of how often their health providers listened carefully to their parents, United States, 2004.

4.4b Among children under age 18 who had a doctor's office or clinic visit in the last 12 months, percent distribution of how often their health providers listened carefully to their parents, United States, 2002.

National Data Source

AHRQ, CFACT, Medical Expenditure Panel Survey (MEPS).

National Denominator

Children under age 18 who visited a doctor's office or clinic to get health care in the past 12 months with a valid answer to the question: "In the last 12 months how often did doctors or other health providers listen carefully to you?" Nonresponses and "Don't know" responses were excluded.

National Numerator

Subset of the denominator population in three categories according to their answer to the above question: "Always," "Usually," "Sometimes," or "Never."

State Tables

4.4c Among children under age 18 who had a doctor's office or clinic visit in the last 6 months, percent distribution of how often their health providers listened carefully to their parents, Medicaid, by State, 2004 and 2006.

State Data Source

AHRQ, Center for Quality Improvement and Patient Safety (CQUIPS), National CAHPS® Benchmarking Database (NCBD).

State Denominator

Children with Medicaid benefits who visited a doctor's office or clinic in the past 6 months.

State Numerator

Subset of the denominator population with a response of "Always" to the question: "In the last 6 months, how often did doctors or other health providers listen carefully to you?"

Comments

The national table reports data from the MEPS Child Health section. Go to the MEPS entry in the Data Sources Appendix for more information.

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Patient Experience of Care

Measure Title

Among adults age 18 and over who reported going to a doctor's office or clinic in the last 12 months, percent distribution of how often their health providers explained things clearly.

Measure Source

Agency for Healthcare Research and Quality (AHRQ), Center for Financing, Access, and Cost Trends (CFACT).

National Tables

4.5a Among adults age 18 and over who reported going to a doctor's office or clinic in the last 12 months, percent distribution of how often their health providers explained things clearly to them, United States, 2004.

4.5b Among adults age 18 and over who reported going to a doctor's office or clinic in the last 12 months, percent distribution of how often their health providers explained things clearly to them, United States, 2002.

National Data Source

AHRQ, CFACT, Medical Expenditure Panel Survey (MEPS).

National Denominator

Adults age 18 and over who visited a doctor's office or clinic to get health care in the past 12 months and answered the question: "In the last 12 months how often did doctors or other health providers explain things in a way you could understand?" Nonresponses and "Don't know" responses were excluded.

National Numerator

Subset of the denominator population who answered "Always" to the question: "In the last 12 months how often did doctors or other health providers explain things in a way you could understand?"

State Tables

4.5c Among adults age 18 and over who reported going to a doctor's office or clinic in the last 6 months, percent whose health providers always explained things clearly, Medicaid, by State, 2004 and 2006.

4.5d Among adults age 18 and over who reported going to a doctor's office or clinic in the last 12 months, percent whose health providers always explained things clearly, Medicare managed care, by State, 2003 and 2006.

State Data Source

AHRQ, Center for Quality Improvement and Patient Safety (CQUIPS), National CAHPS® Benchmarking Database (NCBD).

State Denominator

Number of adults visiting a doctor's office or clinic in the past 6 months.

State Numerator

Subset of the denominator population who answered "Always" to the question: "In the last 6 months, how often did doctors or other health providers explain things in a way you could understand?"

Comments

National tables report data from the MEPS Self-Administered Questionnaire (SAQ). Go to the MEPS entry in the Data Sources Appendix for more information.

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Patient Experience of Care

Measure Title

Among children under age 18 who had a doctor's office or clinic visit in the last 12 months, percent distribution of how often their health providers explained things clearly.

Measure Source

Agency for Healthcare Research and Quality (AHRQ), Center for Financing, Access, and Cost Trends (CFACT).

National Tables

4.6a Among children under age 18 who had a doctor's office or clinic visit in the last 12 months, percent distribution of how often their health providers explained things clearly to their parents, United States, 2004.

4.6b Among children under age 18 who had a doctor's office or clinic visit in the last 12 months, percent distribution of how often their health providers explained things clearly to their parents, United States, 2002.

National Data Source

AHRQ, CFACT, Medical Expenditure Panel Survey (MEPS).

National Denominator

Children under age 18 who had a doctor's office or clinic visit in the last 12 months with a valid answer to the question: "In the last 12 months how often did [the person's] doctors or other health providers explain things in a way you could understand?" Nonresponses and "Don't know" responses were excluded.

National Numerator

Subset of the denominator population in three categories according to the answer to the above question: "Always," "Usually," "Sometimes," or "Never."

State Tables

4.6c Among children under age 18 who had a doctor's office or clinic visit in the last 6 months, percent whose health providers always explained things clearly to their parents, Medicaid, by State, 2004 and 2006.

4.6d Among children under age 18 who had a doctor's office or clinic visit in the last 6 months, percent whose health providers always explained things clearly to them (child), Medicaid, by State, 2004 and 2006.

State Data Source

AHRQ, Center for Quality Improvement and Patient Safety (CQUIPS), National CAHPS® Benchmarking Database (NCBD).

State Denominator

Children with Medicaid benefits who visited a doctor's office or clinic in the past 6 months.

State Numerator

Subset of the denominator population with the response "Always" to the question: "In the last 6 months, how often did doctors or other health providers explain things in a way you could understand?"

Comments

The national table reports data from the MEPS Child Health section. Go to the MEPS entry in the Data Sources Appendix for more information.

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Patient Experience of Care

Measure Title

Among adults age 18 and over who reported going to a doctor's office or clinic in the last 12 months, percent distribution of how often their health providers showed respect for what they had to say.

Measure Source

Agency for Healthcare Research and Quality (AHRQ), Center for Financing, Access, and Cost Trends (CFACT).

National Tables

4.7a Among adults age 18 and over who reported going to a doctor's office or clinic in the last 12 months, percent distribution of how often their health providers showed respect for what they had to say, United States, 2004.

4.7b Among adults age 18 and over who reported going to a doctor's office or clinic in the last 12 months, percent distribution of how often their health providers showed respect for what they had to say, United States, 2002.

National Data Source

AHRQ, CFACT, Medical Expenditure Panel Survey (MEPS).

National Denominator

Adults age 18 and over who reported going to a doctor's office or clinic in the last 12 months and answered the question; "In the last 12 months how often did doctors or other health providers show respect for what you had to say?" Nonresponses and "Don't know" responses were excluded.

National Numerator

Subset of the denominator population in three categories according to their answer to the above question: "Always," "Usually," "Sometimes," or "Never."

State Tables

4.7c Among adults age 18 and over who reported going to a doctor's office or clinic in the last 6 months, percent whose health providers always showed respect for what they had to say, Medicaid, by State, 2004 and 2006.

4.7d Among adults age 18 and over who reported going to a doctor's office or clinic in the last 12 months, percent whose health providers always showed respect for what they had to say, Medicare managed care, by State, 2003 and 2006.

State Data Source

AHRQ, Center for Quality Improvement and Patient Safety (CQUIPS), National CAHPS® Benchmarking Database (NCBD).

State Denominator

Number of adults who visited a doctor's office or clinic in the last 6 months.

State Numerator

Subset of the denominator population with the response "Always" to the question: "In the last 6 months, how often did doctors or other health providers show respect for what you had to say?"

Comments

National tables report data from the MEPS Self-Administered Questionnaire (SAQ). Go to the MEPS entry in the Data Sources Appendix for more information on the SAQ.

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Patient Experience of Care

Measure Title

Among children under age 18 who had a doctor's office or clinic visit in the last 12 months, percent distribution of how often their health providers showed respect for what their parents had to say.

Measure Source

Agency for Healthcare Research and Quality (AHRQ), Center for Financing, Access, and Cost Trends (CFACT).

National Tables

4.8a Among children under age 18 who had a doctor's office or clinic visit in the last 12 months, percent distribution of how often their health providers showed respect for what their parents had to say, United States, 2004.

4.8b Among children under age 18 who had a doctor's office or clinic visit in the last 12 months, percent distribution of how often their health providers showed respect for what their parents had to say, United States, 2002.

National Data Source

AHRQ, CFACT, Medical Expenditure Panel Survey (MEPS).

National Denominator

Children under age 18 who had a doctor's office or clinic visit in the last 12 months and with a valid answer to the question: "In the last 12 months how often did doctors or other health providers show respect for what you had to say?" Nonresponses and "Don't know" responses were excluded.

National Numerator

Subset of the denominator population in three categories according to the answer to the above question: "Always," "Usually," "Sometimes," or "Never."

State Tables

4.8c Among children under age 18 who had a doctor's office or clinic visit in the last 6 months, percent whose health providers always showed respect for what their parents had to say, Medicaid, by State, 2004 and 2006.

State Data Source

AHRQ, Center for Quality Improvement and Patient Safety (CQUIPS), National CAHPS® Benchmarking Database (NCBD).

State Denominator

Children with Medicaid benefits who visited a doctor's office or clinic in the past 6 months.

State Numerator

Subset of the denominator population with the response "Always" to the question: "In the last 6 months, how often did doctors or other health providers show respect for what you had to say?"

Comments

The national table reports data from the MEPS Child Health section. Go to the MEPS entry in the Data Sources Appendix for more information.

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Patient Experience of Care

Measure Title

Among adults age 18 and over who reported going to a doctor's office or clinic in the last 12 months, percent distribution of how often their health providers spent enough time with them.

Measure Source

Agency for Healthcare Research and Quality (AHRQ), Center for Financing, Access, and Cost Trends (CFACT).

National Tables

4.9a Among adults age 18 and over who reported going to a doctor's office or clinic in the last 12 months, percent distribution of how often their health providers spent enough time with them, United States, 2004.

4.9b Among adults age 18 and over who reported going to a doctor's office or clinic in the last 12 months, percent distribution of how often their health providers spent enough time with them, United States, 2002.

National Data Source

AHRQ, CFACT, Medical Expenditure Panel Survey (MEPS).

National Denominator

Adults age 18 and over who reported going to a doctor's office or clinic in the last 12 months and answered the question: "In the last 12 months how often did doctors or other health providers spend enough time with you?" Nonresponses and "Don't know" responses were excluded.

National Numerator

Subset of the denominator population in three categories according to their answer to the above question: "Always," "Usually," "Sometimes," or "Never."

State Tables

4.9c Among adults age 18 and over who reported going to a doctor's office or clinic in the last 6 months, percent whose health providers always spent enough time with them, Medicaid, by State, 2004 and 2006.

4.9d Among adults age 18 and over who reported going to a doctor's office or clinic in the last 12 months, percent whose health providers always spent enough time with them, Medicare managed care, by State, 2003 and 2006.

State Data Source

AHRQ, Center for Quality Improvement and Patient Safety (CQUIPS), National CAHPS® Benchmarking Database (NCBD).

State Denominator

Adults who reported going to a doctor's office or clinic in the last 6 months.

State Numerator

Subset of the denominator population who reported "Always" to the question: "In the last 6 months, how often did doctors or other health providers spend enough time with you?"

Comments

National tables report data from the MEPS Self-Administered Questionnaire (SAQ). Go to the MEPS entry in the Data Sources Appendix for more information on the SAQ.

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Patient Experience of Care

Measure Title

Among children under age 18 who had a doctor's office or clinic visit in the last 12 months, percent distribution of how often their health providers spent enough time with them and their parents.

Measure Source

Agency for Healthcare Research and Quality (AHRQ), Center for Financing, Access, and Cost Trends (CFACT).

National Tables

4.10a Among children under age 18 who had a doctor's office or clinic visit in the last 12 months, percent distribution of how often their health providers spent enough time with them and their parents, United States, 2004.

4.10b Among children under age 18 who had a doctor's office or clinic visit in the last 12 months, percent distribution of how often their health providers spent enough time with them and their parents, United States, 2002.

National Data Source

AHRQ, CFACT, Medical Expenditure Panel Survey (MEPS).

National Denominator

Children under age 18 who visited a doctor's office or clinic to get health care in the past 12 months and with a valid answer to the question: "In the last 12 months how often did doctors or other health providers spend enough time with you?"

National Numerator

Subset of the denominator population in three categories according to their answer to the above question: "Always," "Usually," "Sometimes," or "Never."

State Tables

4.10c Among children under age 18 who had a doctor's office or clinic visit in the last 6 months, percent whose health providers always spent enough time with them and their parents, Medicaid, by State, 2004 and 2006.

State Data Source

AHRQ, Center for Quality Improvement and Patient Safety (CQUIPS), National CAHPS® Benchmarking Database (NCBD).

State Denominator

Children with Medicaid benefits who visited a doctor's office or clinic in the past 6 months.

State Numerator

Subset of the denominator population who reported "Always" to the question: "In the last 6 months, how often did doctors or other health providers spend enough time with you?"

Comments

The national table reports data from the MEPS Child Health section. Go to the MEPS entry in the Data Sources Appendix for more information.

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Patient Experience of Care

Measure Title

Hospital patients who reported sometimes or never having good communications with doctors.

Measure Source

Agency for Healthcare Research and Quality (AHRQ), National CAHPS® Benchmarking Database (NCBD).

Tables

4.12 Hospital patients age 18 and over who reported sometimes or never having good communications with doctors, United States, 2005 and 2006.

Data Source

AHRQ, Center for Quality Improvement and Patient Safety (CQUIPS), NCBD.

Denominator

Hospital patients age 18 and over discharged alive who had at least an overnight stay and no psychiatry-related diagnoses.

Numerator

Subset of denominator who responded "Sometimes" or "Never" to any of three survey questions: "During this hospital stay, how often did doctors treat you with courtesy and respect?" "During this hospital stay, how often did doctors listen carefully to you?" and "During this hospital stay, how often did doctors explain things in a way you could understand?"

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Patient Experience of Care

Measure Title

Hospital patients who reported sometimes or never having good communications with nurses.

Measure Source

Agency for Healthcare Research and Quality (AHRQ), National CAHPS® Benchmarking Database (NCBD).

Tables

4.13 Hospital patients age 18 and over who reported sometimes or never having good communications with nurses, United States, 2005 and 2006.

Data Source

AHRQ, Center for Quality Improvement and Patient Safety (CQUIPS), NCBD.

Denominator

Hospital patients age 18 and over discharged alive who had at least an overnight stay and no psychiatry-related diagnoses.

Numerator

Subset of denominator who responded "Sometimes" or "Never" to any of three survey questions: "During this hospital stay, how often did nurses treat you with courtesy and respect?" "During this hospital stay, how often did nurses listen carefully to you?" and "During this hospital stay, how often did nurses explain things in a way you could understand?"

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Patient Experience of Care

Measure Title

Hospital patients who reported sometimes or never having good communications about medications.

Measure Source

Agency for Healthcare Research and Quality (AHRQ), National CAHPS® Benchmarking Database (NCBD).

Tables

4.14 Hospital patients age 18 and over who reported sometimes or never having good communications about medications, United States, 2005 and 2006.

Data Source

AHRQ, Center for Quality Improvement and Patient Safety (CQUIPS), NCBD.

Denominator

Hospital patients age 18 and over discharged alive who had at least an overnight stay and no psychiatry-related diagnoses and who responded "Yes" to the question: "During this hospital stay, were you given any medicine that you had not taken before?"

Numerator

Subset of denominator who responded "Sometimes" or "Never" to either of two survey questions: "Before giving you any new medicine, how often did hospital staff tell you what the medicine was for?" and "Before giving you any new medicine, how often did hospital staff describe possible side effects in a way you could understand?"

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Patient Experience of Care

Measure Title

Hospital patients age 18 and over who reported not having good communication about discharge information.

Measure Source

Agency for Healthcare Research and Quality (AHRQ), National CAHPS® Benchmarking Database (NCBD).

Tables

4.15 Hospital patients age 18 and over who reported not having good communication about discharge information, United States, 2006.

Data Source

AHRQ, Center for Quality Improvement and Patient Safety (CQUIPS), NCBD.

Denominator

Hospital patients age 18 and over discharged alive who had at least an overnight stay and no psychiatry-related diagnoses and who responded to the questions: "During this hospital stay, did doctors, nurses or other hospital staff talk with you about whether you would have the help you needed when you left the hospital?" and "During this hospital stay, did you get information in writing about what symptoms or health problems to look out for after you left the hospital?"

Numerator

Subset of denominator who answered "No" to either question.

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