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National Healthcare Quality & National Healthcare Disparities Reports: Measure Specification Appendix, 2013

Patient Centeredness: Patient Experience of Care

Measures

Composite measure: Adults who had a doctor's office or clinic visit in the last 12 months 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: Adults who had a doctor's office or clinic visit in the last 6 or 12 months whose health providers sometimes or never listened carefully, explained things clearly, respected what they had to say, and spent enough time with them, by type of health coverage
Composite measure: Children who had a doctor's office or clinic visit in the last 12 months whose health providers sometimes or never listened carefully, explained things clearly, respected what they or their parents had to say, and spent enough time with them
Composite measure: Children with Medicaid who had a doctor's office or clinic visit whose health providers sometimes or never listened carefully, explained things clearly, respected what they or their parents had to say, and spent enough time with them
Adults who had a doctor's office or clinic visit whose health providers sometimes or never listened carefully to them
Adults who had a doctor's office or clinic visit whose health providers sometimes or never listened carefully to them, by type of health coverage
Children who had a doctor's office or clinic visit whose health providers sometimes or never listened carefully
Children with Medicaid who had a doctor's office or clinic visit whose health providers sometimes or never listened carefully
Adults who had a doctor's office or clinic visit whose health providers sometimes or never explained things in a way they could understand
Adults who had a doctor's office or clinic visit whose health providers sometimes or never explained things in a way they could understand, by type of health coverage
Children who had a doctor's office or clinic visit whose health providers sometimes or never explained things clearly
Children with Medicaid who had a doctor's office or clinic visit whose health providers sometimes or never explained things clearly
Adults who had a doctor's office or clinic visit whose health providers sometimes or never showed respect for what they had to say
Adults who had a doctor's office or clinic visit whose health providers sometimes or never showed respect for what they had to say, by type of health coverage
Children who had a doctor's office or clinic visit whose health providers sometimes or never showed respect for what they or their parents had to say
Children with Medicaid who had a doctor's office or clinic visit whose health providers sometimes or never showed respect for what they or their parents had to say
Adults who had a doctor's office or clinic visit whose health providers sometimes or never spent enough time with them
Adults who had a doctor's office or clinic visit whose health providers sometimes or never spent enough time with them, by type of health coverage
Children who had a doctor's office or clinic visit whose health providers sometimes or never spent enough time with them
Children with Medicaid who had a doctor's office or clinic visit whose health providers sometimes or never spent enough time with them and their parents
Rating of health care by adults who had a doctor's office or clinic visit
Rating of health care by adults who had a doctor's office or clinic visit, by type of health coverage
Rating of health care for children who had a doctor's office or clinic visit
Rating of health care by parents of children with Medicaid who had a doctor's office or clinic visit
Adults with limited English proficiency having a usual source of care that offered language assistance
Adults with limited English proficiency and a usual source of care
Adults with limited English proficiency who did not have a usual source of care
People with a usual source of care whose health care providers sometimes or never asked for the person's help to make treatment decisions
People with a usual source of care for whom health care providers explained and provided all treatment options
Adults age 18 and over who report language barrier as a reason for having difficulty understanding their doctor during their last visit within the past 2 years
 


 

Measure Title

Composite measure: Adults who had a doctor's office or clinic visit in the last 12 months 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), Center for Financing, Access, and Cost Trends (CFACT), Medical Expenditure Panel Survey (MEPS)

Table Description

Geographic Representation

National

Years Available

2002-2010

Population Subgroups

Activity limitation, age, education, gender, geographic location (residence), income, insurance, perceived health status, preferred language, race/ethnicity, U.S. born

Data Source

AHRQ, CFACT, MEPS

Denominator

People age 18 and over who visited a doctor's office or clinic to get health care in the past 12 months, excluding those with missing or invalid responses to any of the questions that make up this composite measure

Numerator

Subset of the denominator who responded "Sometimes" or "Never" to any of the four questions making up this composite measure

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Measure Title

Composite measure:Adults who had a doctor's office or clinic visit in the last 6 or 12 months whose health providers sometimes or never listened carefully, explained things clearly, respected what they had to say, and spent enough time with them, by type of health coverage

Measure Source

Agency for Healthcare Research and Quality (AHRQ), Center for Quality Improvement and Patient Safety (CQuIPS), National CAHPS® (Consumer Assessment of Healthcare Providers) Benchmarking Database

Table Description

Geographic Representation

State

Years Available

2010-2011

Population Subgroups

Insurance (Medicaid, Medicare managed care, Medicare fee-for-service, commercial plans)

Data Source

AHRQ, CQuIPS, CAHPS

Denominator

Adults age 18 and over with Medicaid, Medicare managed care, Medicare fee-for-service, or commercial insurance, as appropriate, who visited a doctor's office or clinic to get health care in the past 6 or 12 months with valid responses, excluding those with missing or invalid responses, to any of the questions that make up this composite measure

Numerator

Subset of the denominator who responded "Sometimes" or "Never" to all of the four questions making up this composite measure

Comments

This is a composite measure; see entries for each of the four components of the composite measure for further details about the individual survey questions.

The weights are adjusted for nonresponse based on the number of questions (out of four) with a valid response.

CAHPS surveys ask consumers and patients to report on and evaluate their experiences with health care. These surveys cover topics that are important to consumers and focus on aspects of quality that consumers are best qualified to assess, such as the communication skills of providers and ease of access to health care services.

Top of Page


 

Measure Title

Composite measure: Children who had a doctor's office or clinic visit in the last 12 months whose health providers sometimes or never listened carefully, explained things clearly, respected what they or their parents had to say, and spent enough time with them

Measure Source

Agency for Healthcare Research and Quality (AHRQ), Center for Financing, Access, and Cost Trends (CFACT), Medical Expenditure Panel Survey (MEPS)

Table Description

Geographic Representation

National

Years Available

2002-2010

Population Subgroups

Age, children with special health care needs, gender, geographic location (residence), health insurance, income, perceived health status, preferred language, race/ethnicity, U.S. born

Data Source

AHRQ, CFACT, MEPS

Denominator

Children under age 18 who visited a doctor's office or clinic to get health care in the past 12 months, excluding those with missing or invalid responses to any of the questions that make up this composite measure

Numerator

Subset of the denominator whose parents or guardians responded "Sometimes" or "Never" to any of the four questions making up this composite measure

Comments

Estimates are weighted and adjusted for nonresponse based on the number of questions (out of four) with a valid response.

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Measure Title

Composite measure:Children with Medicaid who had a doctor's office or clinic visit whose health providers sometimes or never listened carefully, explained things clearly, respected what they or their parents had to say, and spent enough time with them

Measure Source

Agency for Healthcare Research and Quality (AHRQ), Center for Quality Improvement and Patient Safety (CQuIPS), National CAHPS® (Consumer Assessment of Healthcare Providers and Systems) Benchmarking Database

Table Description

Geographic Representation

State

Years Available

State: 2010-2011

Population Subgroups

Insurance (Medicaid)

Data Source

AHRQ, CQuIPS, CAHPS

Denominator

Children under age 18 who are covered by Medicaid and who visited a doctor's office or clinic to get health care in the past 6 months, excluding those with missing or invalid responses to any of the questions that make up this composite measure

Numerator

Subset of the denominator whose parents or guardians responded "Sometimes" or "Never" to all of the four questions making up this composite measure

Comments

CAHPS surveys ask consumers and patients to report on and evaluate their experiences with health care. These surveys cover topics that are important to consumers and focus on aspects of quality that consumers are best qualified to assess, such as the communication skills of providers and ease of access to health care services.

Top of Page


 

Measure Title

Adults who had a doctor's office or clinic visit whose health providers sometimes or never listened carefully to them

Measure Source

Agency for Healthcare Research and Quality (AHRQ), Center for Financing, Access, and Cost Trends (CFACT), Medical Expenditure Panel Survey (MEPS)

Table Description

Geographic Representation

National

Years Available

2002-2010

Population Subgroups

Activity limitation, age, education, gender, geographic location (residence), income, insurance, perceived health status, preferred language, race/ethnicity, U.S. born

Data Source

AHRQ, CFACT, MEPS

Denominator

Adults who visited a doctor's office or clinic to get health care in the past 12 months and had a valid response to the question, "In the last 12 months how often did doctors or other health providers listen carefully to you?"

Numerator

Subset of the denominator who answered "Sometimes" or "Never" to the above question

Comments

Nonrespondents and respondents indicating "Don't Know" were excluded.

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Measure Title

Adults who had a doctor's office or clinic visit whose health providers sometimes or never listened carefully to them, by type of health coverage

Measure Source

Agency for Healthcare Research and Quality (AHRQ), Center for Quality Improvement and Patient Safety (CQuIPS), National CAHPS® (Consumer Assessment of Healthcare Providers) Benchmarking Database

Table Description

Geographic Representation

State

Years Available

2010-2011

Population Subgroups

Insurance (Medicaid, Medicare managed care, Medicare fee-for-service, commercial plans)

Data Source

AHRQ, CQuIPS, CAHPS

Denominator

Adults covered by Medicare or Medicaid, or commercial plans, as appropriate, who visited a doctor's office or clinic to get health care in the past 6 or 12 months and answered the question, "In the last 12 (or 6) months how often did doctors or other health providers listen carefully to you?" Nonrespondents and respondents indicating "Don't Know" were excluded.

Numerator

Subset of the denominator who answered "Sometimes" or "Never" to the above question

Comments

CAHPS surveys ask consumers and patients to report on and evaluate their experiences with health care. These surveys cover topics that are important to consumers and focus on aspects of quality that consumers are best qualified to assess, such as the communication skills of providers and ease of access to health care services.

Top of Page


 

Measure Title

Children who had a doctor's office or clinic visit whose health providers sometimes or never listened carefully

Measure Source

Agency for Healthcare Research and Quality (AHRQ), Center for Financing, Access, and Cost Trends (CFACT), Medical Expenditure Panel Survey (MEPS)

Table Description

Geographic Representation

National

Years Available

2002-2010

Population Subgroups

Age, children with special health care needs, gender, geographic location (residence), health insurance, income, perceived health status, preferred language, race/ethnicity, U.S. born

Data Source

AHRQ, CFACT, MEPS

Denominator

Children under age 18 who visited a doctor's office or clinic to get health care in the past 12 months whose parents or guardians provided a valid response to the question, "In the last 12 months how often did doctors or other health providers listen carefully to you?" Nonrespondents and respondents indicating "Don't Know" were excluded.

Numerator

Subset of the denominator who, according to their parents or guardians, responded "Sometimes" or "Never" to the above question

Top of Page


 

Measure Title

Children with Medicaid who had a doctor's office or clinic visit whose health providers sometimes or never listened carefully

Measure Source

Agency for Healthcare Research and Quality (AHRQ), Center for Quality Improvement and Patient Safety (CQuIPS), National CAHPS® (Consumer Assessment of Healthcare Providers)

Table Description

Geographic Representation

State

Years Available

State: 2010-2011

Population Subgroups

Insurance (Medicaid)

Data Source

AHRQ, CQuIPS, CAHPS

Denominator

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

Numerator

Subset of the denominator whose parents or guardians responded "Sometimes" or "Never" to the question, "In the last 6 months, how often did doctors or other health providers listen carefully to you?"

Comments

CAHPS surveys ask consumers and patients to report on and evaluate their experiences with health care. These surveys cover topics that are important to consumers and focus on aspects of quality that consumers are best qualified to assess, such as the communication skills of providers and ease of access to health care services.

Top of Page


 

Measure Title

Adults who had a doctor's office or clinic visit whose health providers sometimes or never explained things in a way they could understand

Measure Source

Agency for Healthcare Research and Quality (AHRQ), Center for Financing, Access, and Cost Trends (CFACT), Medical Expenditure Panel Survey (MEPS)

Table Description

Geographic Representation

National

Years Available

2002-2010

Population Subgroups

Activity limitation, age, education, gender, geographic location (residence), income, insurance, perceived health status, preferred language, race/ethnicity, U.S. born

Data Source

AHRQ, CFACT, MEPS

Denominator

Adults age 18 and over who visited a doctor's office or clinic to get health care in the past 12 months and provided a valid response to the question, "In the last 12 months how often did doctors or other health providers explain things in a way you could understand?"

Numerator

Subset of the denominator who responded "Sometimes" or "Never" to the above question

Comments

Nonrespondents and respondents indicating "Don't Know" were excluded.

Top of Page


 

Measure Title

Adults who had a doctor's office or clinic visit whose health providers sometimes or never explained things in a way they could understand, by type of health coverage

Measure Source

Agency for Healthcare Research and Quality (AHRQ), Center for Quality Improvement and Patient Safety (CQuIPS), National CAHPS® (Consumer Assessment of Healthcare Providers) Benchmarking Database

Table Description

Geographic Representation

State

Years Available

2010-2011

Population Subgroups

Insurance (Medicaid, Medicare managed care, Medicare fee-for-service, commercial plans)

Data Source

State: AHRQ, CQuIPS, CAHPS

Denominator

For Medicaid, adults with Medicaid benefits who visited a doctor's office or clinic in the last 6 months.

For Medicare managed care, Medicare fee-for-service and commercial plans, adults with Medicare benefits who visited a doctor's office or clinic in the last 12 months.

Numerator

For Medicaid, subset of the denominator population who answered "Sometimes" or "Never" to the question, "In the last 6 months, how often did doctors or other health providers explain things in a way you could understand?"

For Medicare managed care, Medicare fee-for-service, and commercial plans, subset of the denominator population who answered "Sometimes" or "Never" to the question, "In the last 12 months, how often did doctors or other health providers explain things in a way you could understand?"

Comments

CAHPS surveys ask consumers and patients to report on and evaluate their experiences with health care. These surveys cover topics that are important to consumers and focus on aspects of quality that consumers are best qualified to assess, such as the communication skills of providers and ease of access to health care services.

Top of Page


 

Measure Title

Children who had a doctor's office or clinic visit whose health providers sometimes or never explained things clearly

Measure Source

Agency for Healthcare Research and Quality (AHRQ), Center for Financing, Access, and Cost Trends (CFACT), Medical Expenditure Panel Survey (MEPS)

Table Description

Geographic Representation

National

Years Available

2002-2010

Population Subgroups

Age, children with special health care needs, gender, geographic location (residence), health insurance, income, perceived health status, preferred language, race/ethnicity, U.S.-born

Data Source

National AHRQ, CFACT, MEPS

Denominator

Children under age 18 who had a doctor's office or clinic visit in the last 12 months whose parents or guardians provided a valid response to the question, "In the last 12 months how often did [the persons] doctors or other health providers explain things in a way you could understand?"

Numerator

Subset of the denominator whose parent or guardian responded "Sometimes" or "Never" to the above question

Comments

Nonrespondents and respondents indicating "Don't Know" were excluded.

Top of Page


 

Measure Title

Children with Medicaid who had a doctor's office or clinic visit whose health providers sometimes or never explained things clearly

Measure Source

Agency for Healthcare Research and Quality (AHRQ), Center for Quality Improvement and Patient Safety (CQuIPS), National CAHPS® (Consumer Assessment of Healthcare Providers) Benchmarking Database

Table Description

Geographic Representation

State

Years Available

2010-2011

Population Subgroups

Insurance (Medicaid)

Data Source

AHRQ, CQuIPS, CAHPS

Denominator

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

Numerator

Subset of the denominator whose parents or guardians responded "Sometimes" or "Never" 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

CAHPS surveys ask consumers and patients to report on and evaluate their experiences with health care. These surveys cover topics that are important to consumers and focus on aspects of quality that consumers are best qualified to assess, such as the communication skills of providers and ease of access to health care services.

Top of Page


 

Measure Title

Adults who had a doctor's office or clinic visit whose health providers sometimes or never 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), Medical Expenditure Panel Survey (MEPS)

Table Description

Geographic Representation

National

Years Available

2002-2010

Population Subgroups

Activity limitation, age, education, gender, geographic location (residence), income, insurance, perceived health status, preferred language, race/ethnicity, U.S. born

Data Source

National AHRQ, CFACT, MEPS

Denominator

Adults age 18 and over who reported going to a doctor's office or clinic in the last 12 months and who provided a valid response to the question, "In the last 12 months how often did doctors or other health providers show respect for what you had to say?"

Numerator

Subset of the denominator who responded "Sometimes" or "Never" to the above question

Comments

Nonrespondents and respondents indicating "Don't Know" were excluded.

Top of Page


 

Measure Title

Adults who had a doctor's office or clinic visit whose health providers sometimes or never showed respect for what they had to say, by type of health coverage

Measure Source

Agency for Healthcare Research and Quality (AHRQ), Center for Quality Improvement and Patient Safety (CQuIPS), National CAHPS® (Consumer Assessment of Healthcare Providers) Benchmarking Database

Table Description

Geographic Representation

State

Years Available

2010-2011

Population Subgroups

Insurance (Medicaid, Medicare managed care, Medicare fee-for-service, commercial plans)

Data Source

AHRQ, CQuIPS, CAHPS

Denominator

For Medicaid, adults with Medicaid benefits who visited a doctor's office or clinic in the last 6 months.

For Medicare managed care, Medicare fee-for-service, and commercial plans, adults with Medicare benefits who visited a doctor's office or clinic in the last 12 months.

Numerator

For Medicaid, subset of the denominator population with the response "Sometimes" or "Never" to the question, "In the last 6 months, how often did doctors or other health providers show respect for what you had to say?"

For Medicare managed care, Medicare fee for service, and commercial plans, subset of the denominator with the response "Sometimes" or "Never" to the question, "In the last 12 months, how often did doctors or other health providers show respect for what you had to say?"

Comments

CAHPS surveys ask consumers and patients to report on and evaluate their experiences with health care. These surveys cover topics that are important to consumers and focus on aspects of quality that consumers are best qualified to assess, such as the communication skills of providers and ease of access to health care services.

Top of Page


 

Measure Title

Children who had a doctor's office or clinic visit whose health providers sometimes or never showed respect for what they or their parents had to say

Measure Source

Agency for Healthcare Research and Quality (AHRQ), Center for Financing, Access, and Cost Trends (CFACT), Medical Expenditure Panel Survey (MEPS)

Table Description

Geographic Representation

National

Years Available

2002-2010

Population Subgroups

Age, children with special health care needs, gender, geographic location (residence), health insurance, income, perceived health status, preferred language, race/ethnicity, U.S. born

Data Source

AHRQ, CFACT, MEPS

Denominator

Children under age 18 who had a doctor's office or clinic visit in the last 12 months and whose parent or guardian provided a valid response to the question, "In the last 12 months how often did doctors or other health providers show respect for what you had to say?"

Numerator

Subset of the denominator whose parent or guardian responded "Sometimes" or "Never" to the above question

Comments

Nonrespondents and respondents indicating "Don't Know" were excluded.

Top of Page


 

Measure Title

Children with Medicaid who had a doctor's office or clinic visit whose health providers sometimes or never showed respect for what they or their parents had to say

Measure Source

Agency for Healthcare Research and Quality (AHRQ), Center for Quality Improvement and Patient Safety (CQuIPS), National CAHPS® (Consumer Assessment of Healthcare Providers) Benchmarking Database

Table Description

Geographic Representation

State

Years Available

2010-2011

Population Subgroups

Insurance (Medicaid)

Data Source

State

AHRQ, CQuIPS, CAHPS

Denominator

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

Numerator

Subset of the denominator whose parents or guardians responded "Sometimes" or "Never" 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

CAHPS surveys ask consumers and patients to report on and evaluate their experiences with health care. These surveys cover topics that are important to consumers and focus on aspects of quality that consumers are best qualified to assess, such as the communication skills of providers and ease of access to health care services.

Top of Page


 

Measure Title

Adults who had a doctor's office or clinic visit whose health providers sometimes or never spent enough time with them

Measure Source

Agency for Healthcare Research and Quality (AHRQ), Center for Financing, Access, and Cost Trends (CFACT), Medical Expenditure Panel Survey (MEPS)

Table Description

Geographic Representation

National

Years Available

2002-2010

Population Subgroups

Activity limitation, age, education, gender, geographic location (residence), income, insurance, perceived health status, preferred language, race/ethnicity, U.S. born

Data Source

National AHRQ, CFACT, MEPS

Denominator

Adults age 18 and over who reported going to a doctor's office or clinic in the last 12 months and who provided a valid response to the question, "In the last 12 months how often did doctors or other health providers spend enough time with you?"

Numerator

Subset of the denominator who responded "Sometimes" or "Never" to the above question

Comments

Nonrespondents and "Don't Know" responses were excluded.

Top of Page


 

Measure Title

Adults who had a doctor's office or clinic visit whose health providers sometimes or never spent enough time with them, by type of health coverage

Measure Source

Agency for Healthcare Research and Quality (AHRQ), Center for Quality Improvement and Patient Safety (CQuIPS), National CAHPS® (Consumer Assessment of Healthcare Providers) Benchmarking Database

Table Description

Geographic Representation

State

Years Available

2010-2011

Population Subgroups

Insurance (Medicaid, Medicare managed care, Medicare fee-for-service, commercial plans)

Data Source

AHRQ, CQuIPS, CAHPS

Denominator

For Medicaid, adults with Medicaid benefits who visited a doctor's office or clinic in the last 6 months.

For Medicare managed care, Medicare fee–for-service, and commercial plans, adults with Medicare benefits who visited a doctor's office or clinic in the last 12 months.

Numerator

For Medicaid, subset of the denominator who responded "Sometimes" or "Never" to the question, "In the last 6 months, how often did doctors or other health providers spend enough time with you?"

For Medicare managed care, Medicare fee for service, and commercial plans, subset of the denominator who responded "Sometimes" or "Never" to the question, "In the last 12 months, how often did doctors or other health providers spend enough time with you?"

Comments

CAHPS surveys ask consumers and patients to report on and evaluate their experiences with health care. These surveys cover topics that are important to consumers and focus on aspects of quality that consumers are best qualified to assess, such as the communication skills of providers and ease of access to health care services.

Top of Page


 

Measure Title

Children who had a doctor's office or clinic visit whose health providers sometimes or never spent enough time with them

Measure Source

Agency for Healthcare Research and Quality (AHRQ), Center for Financing, Access, and Cost Trends (CFACT), Medical Expenditure Panel Survey (MEPS)

Table Description

Geographic Representation

National

Years Available

2002-2010

Population Subgroups

Age, children with special health care needs, gender, geographic location (residence), health insurance, income, perceived health status, preferred language, race/ethnicity, U.S. born

Data Source

National AHRQ, CFACT, MEPS

Denominator

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

Numerator

Subset of the denominator who responded "Sometimes" or "Never" to the above question

Top of Page


 

Measure Title

Children with Medicaid who had a doctor's office or clinic visit whose health providers sometimes or never spent enough time with them and their parents

Measure Source

Agency for Healthcare Research and Quality (AHRQ), Center for Quality Improvement and Patient Safety (CQuIPS), National CAHPS® (Consumer Assessment of Healthcare Providers) Benchmarking Database

Table Description

Geographic Representation

State

Years Available

2010-2011

Population Subgroups

Insurance (Medicaid)

Data Source

State: AHRQ, CQuIPS, CAHPS

Denominator

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

Numerator

Subset of the denominator whose parents or guardians responded "Sometimes" or "Never" to the question, "In the last 6 months, how often did doctors or other health providers spend enough time with you?"

Comments

CAHPS surveys ask consumers and patients to report on and evaluate their experiences with health care. These surveys cover topics that are important to consumers and focus on aspects of quality that consumers are best qualified to assess, such as the communication skills of providers and ease of access to health care services.

Top of Page


 

Measure Title

Rating of health care by adults who had a doctor's office or clinic visit

Measure Source

Agency for Healthcare Research and Quality (AHRQ), Center for Financing, Access, and Cost Trends (CFACT), Medical Expenditure Panel Survey (MEPS)

Table Description

Geographic Representation

National

Years Available

2002-2010

Population Subgroups

Activity limitation, age, education, gender, geographic location (residence), income, insurance, perceived health status, preferred language, race/ethnicity, U.S. born

Data Source

National AHRQ, CFACT, MEPS

Denominator

Adults age 18 and over who reported going to a doctor's office or clinic in the last 12 months and who provided a valid response to the question, "We want to know your rating of all your health care in the last 12 months from all doctor's and other health providers. Use any number from 0 to 10 where 0 is the worst health care possible and 10 is the best health care possible. How would you rate all your health care?"

Numerator

Subset of the denominator who rated their health care as less than 7 on a scale from 0 to 10

Comments

Nonrespondents and "Don't Know" responses were excluded.

Top of Page


 

Measure Title

Rating of health care by adults who had a doctor's office or clinic visit, by type of health coverage

Measure Source

Agency for Healthcare Research and Quality (AHRQ), Center for Quality Improvement and Patient Safety (CQuIPS), National CAHPS® (Consumer Assessment of Healthcare Providers) Benchmarking Database

Table Description

Geographic Representation

State

Years Available

2010-2011

Population Subgroups

Insurance (Medicaid, Medicare managed care, Medicare fee-for-service, commercial plans)

Data Source

State: AHRQ, CQuIPS, CAHPS

Denominator

Adults age 18 and over covered by Medicaid, Medicare managed care, Medicare fee for service, or commercial plans, as appropriate, who reported going to a doctor's office or clinic in the last 6 or 12 months and who provided a valid response to the question, "We want to know your rating of all your health care in the last 12 [6] months from all doctor's and other health providers. Use any number from 0 to 10 where 0 is the worst health care possible and 10 is the best health care possible. How would you rate all your health care?"

Numerator

Subset of the denominator who rated their health care as 0 or 1 (where 10 is the best grade)

Comments

Nonrespondents and "Don't Know" responses were excluded. CAHPS surveys ask consumers and patients to report on and evaluate their experiences with health care. These surveys cover topics that are important to consumers and focus on aspects of quality that consumers are best qualified to assess, such as the communication skills of providers and ease of access to health care services.

Top of Page


 

Measure Title

Rating of health care for children who had a doctor's office or clinic visit

Measure Source

Agency for Healthcare Research and Quality (AHRQ), Center for Financing, Access, and Cost Trends (CFACT), Medical Expenditure Panel Survey (MEPS)

Table Description

Geographic Representation

National

Years Available

2002-2010

Population Subgroups

Age, children with special health care needs, gender, geographic location (residence), health insurance, income, perceived health status, preferred language, race/ethnicity, U.S. born

Data Source

AHRQ, CFACT, MEPS

Denominator

Children under age 18 who had a doctor's office or clinic visit in the last 12 months and whose parents or guardians provided a valid response to the question, "We want to know your rating of all your health care in the last 12 months from all doctor's and other health providers. Use any number from 0 to 10 where 0 is the worst health care possible and 10 is the best health care possible. How would you rate all your health care?"

Numerator

Subset of the denominator whose parents or guardians rated their health care as less than 7 on a scale from 0 to 10

Comments

Nonrespondents and "Don't Know" responses were excluded.

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Measure Title

Rating of health care by parents of children with Medicaid who had a doctor's office or clinic visit

Measure Source

Agency for Healthcare Research and Quality (AHRQ), Center for Quality Improvement and Patient Safety (CQuIPS), National CAHPS® (Consumer Assessment of Healthcare Providers) Benchmarking Database

Table Description

Geographic Representation

State

Years Available

2010-2011

Population Subgroups

Insurance (Medicaid)

Data Source

AHRQ, CQuIPS, CAHPS

Denominator

Children under age 18 covered by Medicaid who had a doctor's office or clinic visit in the last 6 months and whose parents or guardians provided a valid response to the question, "We want to know your rating of all your health care in the last 12 months from all doctor's and other health providers. Use any number from 0 to 10 where 0 is the worst health care possible and 10 is the best health care possible. How would you rate all your health care?"

Numerator

Subset of the denominator who rated their health care as 0 or 1 (where 10 is the best grade)

Comments

Nonrespondents and "Don't Know" responses were excluded.

CAHPS surveys ask consumers and patients to report on and evaluate their experiences with health care. These surveys cover topics that are important to consumers and focus on aspects of quality that consumers are best qualified to assess, such as the communication skills of providers and ease of access to health care services.

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Measure Title

Adults with limited English proficiency having a usual source of care that offered language assistance

Measure Source

Agency for Healthcare Research and Quality (AHRQ), Center for Financing, Access, and Cost Trends (CFACT), Medical Expenditure Panel Survey (MEPS)

Table Description

Geographic Representation

National

Years Available

2002-2010

Population Subgroups

Activity limitation, age, education, gender, geographic location (residence), income, insurance, perceived health status, preferred language, race/ethnicity, U.S. born

Data Source

AHRQ, CFACT, MEPS

Denominator

Adult U.S. civilian noninstitutionalized population with limited English proficiency and a usual source of care

Numerator

Subset of the denominator who received language assistance at their usual source of care

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Measure Title

Adults with limited English proficiency and a usual source of care

Measure Source

Agency for Healthcare Research and Quality (AHRQ), Center for Financing, Access, and Cost Trends (CFACT), Medical Expenditure Panel Survey (MEPS)

Table Description

Geographic Representation

National

Years Available

2002-2010

Population Subgroups

Activity limitation, age, education, gender, geographic location (residence), income, insurance, perceived health status, preferred language, race/ethnicity, U.S. born

Data Source

National AHRQ, CFACT, MEPS

Denominator

Adult U.S. civilian noninstitutionalized population

Numerator

Subset of the denominator who had a usual source of care

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Measure Title

Adults with limited English proficiency who did not have a usual source of care

Measure Source

Agency for Healthcare Research and Quality (AHRQ), Center for Financing, Access, and Cost Trends (CFACT), Medical Expenditure Panel Survey (MEPS)

Table Description

Geographic Representation

National

Years Available

2002-2010

Population Subgroups

Activity limitation, age, education, gender, geographic location (residence), income, insurance, perceived health status, preferred language, race/ethnicity, U.S. born

Data Source

AHRQ, CFACT, MEPS

Denominator

Adult U.S. civilian noninstitutionalized population

Numerator

Subset of the denominator who did not have a usual source of care

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Measure Title

People with a usual source of care whose health care providers sometimes or never asked for the persons help to make treatment decisions

Table Description

Geographic Representation

National

Years Available

2002-2010

Population Subgroups

Activity limitation, age, education, gender, geographic location (residence), income, insurance, perceived health status, preferred language, race/ethnicity, U.S. born

Data Source

AHRQ, CFACT, MEPS

Measure Source

Agency for Healthcare Research and Quality (AHRQ), Center for Financing, Access, and Cost Trends (CFACT), Medical Expenditure Panel Survey (MEPS)

Denominator

Adult U.S. civilian noninstitutionalized population with a usual source of care

Numerator

Subset of the denominator who indicated that their usual source of care "Sometimes" or "Never" discussed decisions with them

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Measure Title

People with a usual source of care for whom health care providers explained and provided all treatment options

Measure Source

Agency for Healthcare Research and Quality (AHRQ), Center for Financing, Access, and Cost Trends (CFACT), Medical Expenditure Panel Survey (MEPS)

Table Description

Geographic Representation

National

Years Available

2002-2010

Population Subgroups

Activity limitation, age, education, gender, geographic location (residence), income, insurance, perceived health status, preferred language, race/ethnicity, U.S. born

Data Source

National AHRQ, CFACT, MEPS

Denominator

Adult U.S. civilian noninstitutionalized population with a usual source of care

Numerator

Subset of the denominator who reported that their health care providers explained and provided them with all treatment options

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Measure Title

Adults age 18 and over who report language barrier as a reason for having difficulty understanding their doctor during their last visit within the past 2 years

Measure Source

University of California, Los Angeles (UCLA), Center for Health Policy Research (CHPR), California Health Interview Survey (CHIS)

Table Description

Geographic Representation

California

Years Available

2007, 2009, 2011-2012

Population Subgroups

Geographic location (residence), education, income, insurance, preferred language, English proficiency, race/ethnicity, sexual orientation, U. S. born

Data Sources

University of California, Los Angeles (UCLA), Center for Health Policy Research (CHPR), California Health Interview Survey (CHIS)

Denominator

California civilian noninstitutionalized population who have seen a doctor in the past 2 years, were not interviewed in English, or speak a language other than English at home

Numerator

Subset of the denominator who report difficulty in understanding doctor within the past 2 years

Comments

This measure is based on responses to the CHIS adult measure AJ8, "Was this because you and the doctor spoke different languages?"

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Page last reviewed July 2014
Page originally created July 2014
Internet Citation: National Healthcare Quality & National Healthcare Disparities Reports: Measure Specification Appendix, 2013. Content last reviewed July 2014. Agency for Healthcare Research and Quality, Rockville, MD. https://www.ahrq.gov/research/findings/nhqrdr/nhqrdr13/measurespec/pt_centeredness-expcare.html

 

The information on this page is archived and provided for reference purposes only.

 

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