Beverly A. Weidmer|Cindy Brach|Mary Ellen Slaughter|Ron D. Hays
Development of Items to Assess Patients’ Health Literacy Experiences at Hospitals for the Consumer Assessment of Healthcare Providers and Systems (CAHPS) Hospital Survey
RAND Corporation|Agency for Healthcare Research and Quality|RAND Corporation
background complexity health information frequently exceeds patients skills understand use improvement hospital communication potential improve quality care objective develop set items supplement consumer assessment healthcare providers systems cahps hospital survey hcahps assess well hospitals communicate health information inpatients methods conducted environmental scan obtained input stakeholders identify domains survey items cognitively tested item set english spanish administered items random sample adult hospital patients using mail telephone data collection estimate itemscale correlations hypothesized multiitem composites internal consistency reliability composites correlations among composites regressed global rating hospital would recommend hospital items hcahps existing core new composites evaluate unique contribution bottomline measures results total 1013 surveys obtained 55 response rate exceptions correlations items scales consistent hypothesized item clusters three composites identified 1 communication tests 2 communication care self medicines 3 communication forms conclusions study provides support measurement properties hcahps item set addressing health literacy serve measure whether healthcare providers hospital setting communicated effectively patients tool quality improvement