Use of CAHPS Surveys in Assessing the Patient- Centeredness of Cancer Care: NCI-AHRQ-CMS Collaborations Neeraj K. Arora, Ph.D. National Cancer Institute,

Slides:

Advertisements

Similar presentations

Primer: CMS Star Ratings for Medicare Advantage Plans

Advertisements

Patient Navigation Breast Health Patient Navigator Program.

Improving Dementia Care and Reducing Unnecessary Use of Antipsychotic Medications in Nursing Homes Alice Bonner, PhD, RN Division of Nursing Homes Center.

Diabetes Hotspots Mapping Using GIS tools to Target Quality Gaps CQI “Right Care” Initiative Nicole Lurie, M.D., MSPH & Allen Fremont, MD, PhD September.

Developing Research Infrastructure: the Puerto Rico Health Services Research Institute Experience Roberto E. Torres-Zeno, Ph.D. Principal Investigator.

ESRD-CAHPS Instrument Development Patricia Gallagher, PhD Center for Survey Research University of Massachusetts Boston CAHPS Harvard Team.

Lise Rybowski The Severyn Group Yale CAHPS Team AHRQ Annual Meeting September 10, 2012.

1 A Parsimonious Patient-Reported Measure of Care Coordination Ron D. Hays, Ph.D. UCLA Department of Medicine September 27, 2013 Los Angeles, CA

Maine SIM Evaluation: Presentation to Steering Committee December 10, 2014.

RTI International RTI International is a trade name of Research Triangle Institute. MAPCP PCMH-CAHPS Surveys September 10, 2014 Presented by.

NCI Center for Global Health Jo Anne Zujewski, M.D. September 11, 2014 Dar es Salaam, Tanzania.

Cancer Disparities Research Partnership Program Process & Outcome Evaluation Amanda Greene, PhD, MPH, RN Paul Young, MBA, MPH Natalie Stultz, MS NOVA Research.

Medicare Quality Improvement and Provider Technical Assistance: An Overview of the Next Five Years December 8, 2014 Mary Fermazin, MD, MPA, Chief Medical.

Mercy Care Advantage HMO SNP

1 Special Innovation Project: SIP-CA-02 “Cardiac Health Disparities and Collaboration with the Regional Extension Centers to Support Blood Pressure Measurement.

Update on CAHPS ® Surveys AHRQ ANNUAL MEETING Lunch and Learn Session #46 SEPTEMBER 20, 2011 Judith Sangl, ScD AHRQ CAHPS Project Officer.

CAHPS Overview Clinician & Group Surveys: Practical Options for Implementation and Use AHRQ ANNUAL MEETING SEPTEMBER 18, 2011 Christine Crofton, PhD CAHPS.

Karen Scott Collins, MD, MPH July Public Benefit Corporation Governing:  11 Acute Care Facilities  Four Long Term Care Facilities  Six Diagnostic.

Presented by Vicki M. Young, PhD October 19,

The CHIPRA Pediatric Quality Measures Program: Health Information Technology and Patient Safety Edwin Lomotan, MD, FAAP Office of Extramural Research,

Affiliated with Children’s Medical Services Affiliated with Children’s Medical Services Introduction to the Medical Home Part 2 How does a Practice adopt.

1 Addressing Racial & Ethnic Disparities in Health Care AHRQ 2007 Annual Conference September 28, 2007.

Health Care Reform and the Future of Health Care in Rural America Presentation to the American Public Health Association Presented by Keith J. Mueller,

1 Targeted Strategies to Improve Physician and Patient Access to Cancer Clinical Research An Overview of Coalition Programs and Services Ruth Lambersky.

CAHPS® Survey to Evaluate the Patient’s Experience with the Medical Home Ron D. Hays, Ph.D. UCLA Department of Medicine RAND Health Program November 18,

Care Transitions in Georgia: Partnering with your community to move readmissions Jennifer Hodge RN MSBA Aim Lead, Integrating Care for Populations Communities.

West Virginia Medical Home Initiative Through the Health Improvement Institute AAFP Southeast Family Medicine Forum Briefing and Overview August, 2008.

QSEN Primer Or, “QSEN in a Nutshell” 1.  1999—Institute of Medicine published “To Err is Human”  Determined errors have an effect on both patient satisfaction.

Joe Selby, MD MPH EBRI December 15, 2011 What Might Patient (Employee)- Centered Research Look Like?

1 AHRQ Annual Conference Progress of a Learning Network: Working to Reduce Disparities by Improving Access to Care Bethesda, Maryland September 14, 2009.

Connecting South Carolina: The Gibbs/Hollings Cancer Center An NCCCP/NCI Designated Center Connection Anita L. Harrison, MPH Associate Director, Administration.

Survey Updates and Quality Improvement Resources Julie A. Brown, RAND Corporation AHRQ 2012 Annual Conference Bethesda, MD September 9, 2012.

ACS MapPlace – Health Profile and Community Resources Mapping Project Carolina Casares, MD MPH Kenneth Portier, PhD.

Bella Vista Medical Center Medical Home. Care Team  3 Physicians, 3 Advanced Practitioners  Case Manager  Care Team Coordinator  Chaplain  Clinical.

Introduction to Case Management. Why Case Management ?  The context of care is changing; we now have an ageing population and an increase in chronic.

Part Time “ Detailee ” for the National Cancer Institute (NCI) under the Intergovernmental Personnel Act (IPA) Ron Hays

Special Needs Plans Models of Care SNP Educational Conference Baltimore, MD January 13, 2014 Susan Radke, MCAG Division of Policy, Analysis, and Planning.

Standard 6 Measure and Improve Performance NCQA Recognition for Patient-Centered Medical Home 2011 Standards © Qualidigm.

Center for Innovation and Research A Partnership between Michigan State University and Sparrow Health System Mission To collaboratively transform the delivery.

Overview of CAHPS ® and the National CAHPS ® Database Assessing Patients’ Experiences with Care: Using CAHPS ® as a Standardized Quality Metric Dale Shaller,

Secondary Translation: Completing the process to Improving Health Daniel E. Ford, MD, MPH Vice Dean Johns Hopkins School of Medicine Introduction to Clinical.

CAHPS® Medicare Survey/SEER Project November 25, 2008 Ron D. Hays UCLA Department of Medicine RAND Health Program, Santa Monica 1.

Blueprint Integrated Pilot Programs Building an Integrated System of Health Craig Jones, MD Blueprint Executive Director 10/30/20151.

J. James Rohack, MD, FACC President, AMA Director, Scott & White Center for Healthcare Policy Professor of Medicine and Humanities, TAMHSC Information.

1 Should We Care about What Patients Say About Coordination of Care? Ron D. Hays, Ph.D. UCLA Department of Medicine RAND.

Standardized Antibiotic Use in Long-Term Care Settings (SAUL Study) Steven Garfinkel American Institutes for Research AHRQ Annual Conference, Bethesda,

The Patient-Centered Medical Home: A Work in Progress Alliance for Health Reform Briefing Washington D.C. September 22, 2008 Diane R. Rittenhouse, MD,

The Wisconsin Network for Health Research (WiNHR): Overview. An Infrastructure for Conducting Multi-Site Clinical Research across the State of Wisconsin.

Comprehensive Transition Planning During the Hospital Stay RARE Mental Health Collaborative Learning Day February 19, 2014 Dr. Paul Goering VP Mental Health.

Assessing Patient Satisfaction Ron D. Hays UCLA Division of General Internal Medicine and Health Services Research RAND Health Program AUA Foundation Summer.

CAHPS PATIENT EXPERIENCE SURVEYS AHRQ ANNUAL MEETING SEPTEMBER 2012 Christine Crofton, PhD CAHPS Project Officer.

CAHPS® Consumer Assessment of Healthcare Providers and Systems Ernest Moy Center for Quality Improvement & Patient Safety.

Evaluation Plan Steven Clauser, PhD Chief, Outcomes Research Branch Applied Research Program Division of Cancer Control and Population Sciences NCCCP Launch.

Creating an Integrated Framework for Reducing Disparities in Health Care Quality Francis D. Chesley, Jr., MD Director Office of Extramural Research, Education.

The Science of Public Reporting September 10, 2012 AHRQ 2012 Annual Conference Lunch & Learn Session Celeste Torio, PhD, MPH Staff Service Fellow AHRQ.

Assessing Patient-Centered Medical Homes from the Patient’s Perspective: Developing the CAHPS ® PCMH Survey Patricia (Trish) Gallagher, PhD Center for.

1 Medicare Demonstrations Support for Health IT Linda Magno Medicare Demonstrations Program Group Office of Research, Development, and Information.

Developing Our Service Package(s) Florida Neighborhood Networks Shirley, Sandra, Gabriel, Maria and Anna.

CAHPS®: Information from the Consumer Perspective Liz Goldstein, Ph.D. Centers for Medicare & Medicaid Services.

Design of Patient-Centered Care Health IT Patient Advisor involvement in ePHR Design and Outcomes Research Patricia Sodomka, FACHE Senior Vice President,

Community Living Exchange Collaborative: A National Technical Assistance Program Midwestern Regional Housing Forum An Introduction Michael Morris: Director,

The Center for Population Health Sciences Lesley Curtis, PhD Brad Hammill, DrPH.

Comparative Effectiveness Research (CER) and Patient- Centered Outcomes Research (PCOR) Presentation Developed for the Academy of Managed Care Pharmacy.

/ ©2015 NAVIGANT CONSULTING, INC. ALL RIGHTS RESERVED 1 TERRANCE GOVENDER MD CLINICAL DOCUMENTATION INTEGRITY.

Tobacco/Lung Cancer Working Group Participating Institutions: Case Western Reserve University; University of Washington; University of Iowa; University.

Assessing Quality Improvement in Special Needs Plans Marsha Davenport, MD, MPH CAPT USPHS Chief Medical Officer Medicare Drug and Health Plan Contract.

Introduction NCONN Core Competency Area 4: Advocacy

Megan Eguchi, MPh Sana karam, md, phd

Part Time “Detailee” for the National Cancer Institute (NCI) under the Intergovernmental Personnel Act (IPA) Ron Hays

National Healthcare Quality Report: Overview of Findings

Presentation transcript:

Use of CAHPS Surveys in Assessing the Patient- Centeredness of Cancer Care: NCI-AHRQ-CMS Collaborations Neeraj K. Arora, Ph.D. National Cancer Institute, Bethesda, MD Presented at AHRQ’s Annual Conference, Bethesda, MD, September 10, 2012

Why Patient-Centeredness?

Diagnosis Cancer!! When dxed with cancer, patients are faced with two important questions… – What is going to happen to me? (fear) – Will I get care from a health care system that will help me through this crisis? (support)

Patient-Centered Care Patient needs for ongoing support: Informational support: Understand information Decision-making support: Make informed decisions Emotional support: Adjust to/cope with illness Appraisal support: Deal with uncertainty Instrumental support: Navigate the health care system and coordinate care Self-management support: Take care of health outside the healthcare interaction

NCI Research Priority NCI supports research focused on facilitating the measurement, monitoring, and improvement of patient-centered cancer care with an aim to minimize the cancer burden An area of emphasis: communication between patients/family and members of health care delivery teams

NCI Collaborations Cancer CAHPS Survey: Collaboration with AHRQ ( ) – Developed and pilot tested a cancer version of the CAHPS survey to measure patient experiences with care while receiving surgery, chemotherapy, or radiation – Contract led by Dr. Steven Garfinkel at the American Institutes for Research and Dr. Kathleen Yost at the Mayo Clinic SEER-CAHPS Data Linkage Project: Collaboration with CMS (2009-present)

National Cancer Institute (NCI) & SEER registries Centers for Medicare & Medicaid Services (CMS) With technical assistance from: RTI International Information Management Services, Inc. (IMS) RAND Corporation (Dr. Ron Hays), Harvard Medical School (Dr. Alan Zaslavsky) SEER-CAHPS Sponsors 7

SEER-CAHPS Data Sources SEER-CAHPS dataset includes the following: – Patient experiences data from CAHPS surveys fielded annually by CMS in all Medicare fee-for- service and Medicare Advantage plans from – Clinical data from NCI’s SEER registries for CAHPS respondents who had cancer while living in a SEER region (SEER covers ~28% of U.S. population) – Medicare claims data for CAHPS FFS respondents who had cancer and those without cancer who lived in a SEER region at the time of the survey

SEER-CAHPS Linkage: Knowledge Synthesis Total Sample 3,383,661 Cancer Cases 166,379 Non-Cancer Cases 3,217,282

SEER-CAHPS Linkage: Knowledge Synthesis Total Sample 3,383,661 Cancer Cases 166,379 Non-Cancer Cases 3,217,282 In SEER Region 630,231 Not in SEER 2,587,051

SEER-CAHPS Linkage: Knowledge Synthesis Total Sample 3,383,661 Cancer Cases 166,379 Non-Cancer Cases 3,217,282 MA 113,209 FFS 53,170 In SEER Region 630,231 Not in SEER 2,587,051 MA 416,777 FFS 213,454 MA 1,577,471 FFS 1,009,580

Potential Research Questions Do perceptions of care differ among patients with versus without cancer? To what extent do cancer patients’ care experiences vary by racial and ethnic groups? –Do these disparities vary by FFS or Managed Care? How are patient experiences with care associated with utilization of care for beneficiaries in FFS plans?

Progress to Date Linkage between SEER-CAHPS-Medicare claims completed –Claims extracted for FFS beneficiaries for CAHPS survey data being cleaned Technical report on the data linkage activities and data codebook developed –Overview manuscript describing the SEER-CAHPS dataset drafted Work on initial empirical manuscripts begun