Download Domain: ACCESS Patient Survey CAHPS

Supplemental Table 1. PACT Implementation Progress Index (Pi2) Data Sources, Domains, and Items
Domain: ACCESS
Patient Survey
Asked only of those who phoned
their providers office
Asked only if they made an
appointment,
CAHPS-PCMH questions
In the last 12 months…
When you phoned this provider’s office to get an appointment for care
you needed right away, how often did you get an appointment as soon
as you needed?
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?
Asked only those who reported
needing this type of care,
How often were you able to get the care you needed from this provider’s
office during evenings, weekends, or holidays?
Asked only if they phoned their
providers office,
When you phoned this provider’s office during regular office hours, how
often did you get an answer to your medical question that same day?
Asked only if they phoned after
hours,
When you phoned this provider’s office after regular office hours, how
often did you get an answer to your medical question as soon as you
needed?
Wait time includes time spent in
the waiting room and exam
room,
How often did you see this provider within 15 minutes of your
appointment time?
Values
1 = Never
2 = Sometimes
3 = Usually
4 = Always
1 = Never
2 = Sometimes
3 = Usually
4 = Always
1 = Never
2 = Sometimes
3 = Usually
4 = Always
1 = Never
2 = Sometimes
3 = Usually
4 = Always
1 = Never
2 = Sometimes
3 = Usually
4 = Always
1 = Never
2 = Sometimes
3 = Usually
4 = Always
1
Domain: ACCESS
Administrative Data
Clinic Access
Corporate Data Warehouse (CDW)
facility-level means
Use of non-face-toface modalities
Electronic access
Same day access
7-day access
Telephone clinics
Group visits
Secure messaging, % use
Values
Proportion of total primary care
encounters, 0-1
Proportion of total primary care
encounters, 0-1
Proportion of total primary care
encounters, 0-1
Proportion of patients who either
sent or received a message in the
past year, 0-1
Domain: CONTINUITY
Patient Survey
Sustained relationship
CAHPS-PCMH questions
How long have you been going to this provider?
Values
1 = Less than 6 months
2 = At least 6 months but less
than 1 year
3 = At least 1 year but less than 3
years
4 = At least 3 years but less than
5 years
5 = 5 years or more
Administrative Data
Continuity
Values
Continuity
Discontinuity
Proportion of visits to assigned Primary Care
provider
Number of assigned Primary Care providers
Proportion, 0-1
Count
2
Domain: CARE COORDINATION
Patient Survey
Reminders between visits
CAHPS-PCMH questions
In the last 12 months…
Some offices remind patients between visits about tests, treatment or
appointments, did you get any reminders from this provider’s office
between visits?
When this provider ordered a blood test, x-ray, or other test for you,
how often did someone from this provider’s office follow up to give you
those results? (Asked if they had something ordered, n=64,317)
Coordination of Care
Information
How often did the provider named … seem informed and up-to-date
about the care you got from specialists? (Asked if they saw a specialist,
n=48,103)
Did you and anyone in this provider’s office talk at each visit about all
the prescription medicines you were taking?
Did this provider’s office give you information about what to do if you
needed care during evenings, weekends, or holidays?
Administrative Data
Values
1 = Yes
2 = No
1 = Never
2 = Sometimes
3 = Usually
4 = Always
1 = Never
2 = Sometimes
3 = Usually
4 = Always
1 = Yes
2 = No
1 = Yes
2 = No
Values
% of high risk patients enrolled in Care Coordination Home
Telemonitoring (home tele‐monitoring for chronic conditions)
Proportion, 0‐1
% contacted within 2 days post‐hospital follow‐up
Proportion, 0‐1
3
Domain: COMPREHENSIVENESS
Patient Survey
CAHPS-PCMH questions
In the last 12 months…
Values
Did anyone in this provider’s office ask you if there was a period of time
when you felt sad, empty or depressed?
1 = Yes
2 = No
Did you and anyone in this provider’s office talk about things in your life
that worry you or cause you stress?
1 = Yes
2 = No
Did you and anyone in this provider’s office talk about a personal
problem, alcohol use, drug use or a mental or emotional illness?
1 = Yes
2 = No
Domain: SELF MANAGEMENT SUPPORT
Patient Survey
CAHPS-PCMH questions
In the last 12 months…
Values
Did anyone in this provider`s office talk with you about specific goals for
your health?
1 = Yes
2 = No
Did anyone in this provider`s office ask you if there are things that make
it hard for you to take care of your health?
1 = Yes
2 = No
4
Domain: PATIENT-CENTERED CARE AND COMMUNICATION
Patient Survey
CAHPS-PCMH questions
In the last 12 months…
How often did this provider explain things in a way that was easy to
understand?
How often did this provider listen carefully to you?
How often did this provider give you easy to understand information
about these health questions or concerns? (asked if they had a health
concern, n = 61,020)
How often did this provider seem to know the important information
about your medical history?
How often did this provider show respect for what you had to say?
How often did this provider spend enough time with you?
Values
1 = Never
2 = Sometimes
3 = Usually
4 = Always
1 = Never
2 = Sometimes
3 = Usually
4 = Always
1 = Never
2 = Sometimes
3 = Usually
4 = Always
1 = Never
2 = Sometimes
3 = Usually
4 = Always
1 = Never
2 = Sometimes
3 = Usually
4 = Always
1 = Never
2 = Sometimes
3 = Usually
4 = Always
5
Domain: SHARED DECISION MAKING
Patient Survey
CAHPS-PCMH questions
In the last 12 months…
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?
Medication Decisions,
asked if they were starting or
stopping a medication,
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?
When you talked about starting or stopping a prescription medicine, did
this provider ask you what you thought was best for you?
Values
1 = Not at all
2 = A little
3 = Some
4 = A lot
1 = Not at all
2 = A little
3 = Some
4 = A lot
1 = Yes
2 = No
6
Domain: TEAM-BASED CARE
Domain
Delegation of care
management tasks to RN care
manager
Membership in PACT teamlet
Time spent in team huddles
Perception of staffing levels
Provider Survey Question
Delegation of activities (% responding ‘a great deal’):
a. Gathering patient preventive services utilization history (e.g., immunization
history)
b. Screening patients for diseases (e.g., doing a depression screen)
c. Responding to prescription refill requests
d. Receiving messages from patients (other than requests for prescriptions)
e. Resolving messages from patients (other than requests for prescriptions)
f. Evaluating patients and making treatment decisions
g. Assessing patient lifestyle factors (e.g., diet, smoking cessation)
h. Encouraging lifestyle modifications (e.g., diet, smoking cessation)
i. Educating patients about disease-specific self-care activities (e.g., foot care
in diabetes)
j. Educating patients about medications
k. Completing forms for patients (e.g., disability documentation)
l. Responding to requests for Home Health Care orders
m. Tracking patient diagnostic data (e.g., labs, radiology studies)
n. Responding to patient diagnostic and treatment data (e.g., labs, radiology
studies)
o. Following-up on referrals (e.g., to specialists)
Values
1 = Not at all
2 = Slightly
3 = Somewhat
4 = A great deal
% assigned to a teamlet, 0-100%
% spending >=0.5 hours daily huddles, 0-100%
Proportion, 0-1
% staffed to recommended ratio, 0-100%
7