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Adapting CAHPS for an American Indian population
Beverly Weidmer-Ocampo1, Patrick Johansson, Debbie Dalpoas
1RAND Corporation, USA.
Journal of Health Care for the Poor and Underserved
|August 4, 2009
Summary
A new survey was developed for the Choctaw Nation Health Services (CNHS) to assess patient healthcare experiences. This culturally appropriate tool supports quality improvement by comparing care across clinics.
Area of Science:
- Health Services Research
- Patient Experience Measurement
- Survey Development
Background:
- Healthcare quality improvement initiatives require validated patient experience measures.
- Existing surveys may not adequately capture the unique needs of specific patient populations.
- The Choctaw Nation Health Services (CNHS) sought a tool to evaluate and compare patient care across its clinics.
Purpose of the Study:
- To develop a culturally appropriate, reliable, and valid survey for CNHS.
- To enable comparison of patient healthcare experiences across CNHS clinics.
- To support quality improvement efforts within CNHS.
Main Methods:
- Adapted the Consumer Assessment of Healthcare Providers and Systems (CAHPS) Clinician and Group Survey.
- Conducted cognitive interviews with patients and staff for relevance.
- Performed a field-test to evaluate survey reliability and validity.
Main Results:
- Cognitive testing ensured survey relevance to CNHS patient needs.
- Field testing achieved a 58% response rate from 696 surveys.
- Statistical analyses supported the internal consistency and distinctness of survey scales.
Conclusions:
- The CAHPS American Indian Survey is effective for assessing patient perceptions of care at CNHS.
- The survey provides valuable data for clinic-level comparisons and quality improvement.
- A strong partnership with CNHS ensured the survey's scientific rigor and local relevance.
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