Quality Performance: CAHPS® The Consumer Assessment of Healthcare Providers and Systems (CAHPS®) program develops and supports the use of a family of standardized surveys that ask consumers and patients to report on and evaluate their experiences with health care. CAHPS surveys include ratings of personal doctors and other health care staff, as well as an overall rating of the health plan, and asks patients and consumers to report on their experiences with health care services. Members chosen must have been with the plan for the entire previous plan year and must be a minimum of 18 years old. Members first receive a written survey and can either fill it out and return it or complete it online. Members who do not respond will receive reminder notices and finally a telephone call from the survey vendor. MercyCare is scored on 7 items for CAHPS®. They are: Rating of the Health Plan, Customer Service, Getting Needed Care Composite, Rating of All Health Care, Rating of Personal Doctor, Rating of Specialist, and Getting Care Quickly Composite, Two measures were removed during the 2015 measurement year, Claims Processing Composite and How Well Doctors Communicate. Table 5 contains the CAHPS® Measures that fell above the 90th Percentile. Two measures or 29% of all measures scored were above the 90th Percentile. Table 5: 2015 CAHPS® Measures above the 90th Percentile MercyCare HMO 90th 75th 50th 2014 Measure Score Percentile Percentile Percentile Rating of Personal Doctor (8+9+10) 89.90 -1.10 88.68 86.64 84.75 Rating of All Health Care (8+9+10) 83.39 1.79 82.72 79.87 77.02 No CAHPS® measures which were scored fell between the 75th & 90th Percentile during the 2015 measurement year. Table 6 shows the CAHPS® Measures between the 50th and 75th Percentile. One measure or 14% of all measures scored fell between the 50th and 75th Percentile. Table 6: 2015 CAHPS® Measures between the 50th and 75th Percentile MercyCare HMO 90th 75th 50th 2014 Measure Score Percentile Percentile Percentile Rating of Health Plan (8+9+10) 62.36 5.46 74.92 68.03 56.10 Table 7 shows the CAHPS® Measures below the 50th Percentile. Four measures or 57% of the scored measures were below the 50th Percentile. Table 7: 2015 CAHPS® Measures below the 50th Percentile
Quality Performance: CAHPS® The Consumer Assessment of Healthcare Providers and Systems (CAHPS®) program develops and supports the use of a family of standardized surveys that ask consumers and patients to report on and evaluate their experiences with health care. CAHPS surveys include ratings of personal doctors and other health care staff, as well as an overall rating of the health plan, and asks patients and consumers to report on their experiences with health care services. Members chosen must have been with the plan for the entire previous plan year and must be a minimum of 18 years old. Members first receive a written survey and can either fill it out and return it or complete it online. Members who do not respond will receive reminder notices and finally a telephone call from the survey vendor. MercyCare is scored on 7 items for CAHPS®. They are: Rating of the Health Plan, Customer Service, Getting Needed Care Composite, Rating of All Health Care, Rating of Personal Doctor, Rating of Specialist, and Getting Care Quickly Composite, Two measures were removed during the 2015 measurement year, Claims Processing Composite and How Well Doctors Communicate. Table 5 contains the CAHPS® Measures that fell above the 90th Percentile. Two measures or 29% of all measures scored were above the 90th Percentile. Table 5: 2015 CAHPS® Measures above the 90th Percentile Measure MercyCare HMO Score 90th Percentile 75th Percentile 50th Percentile Rating of Personal Doctor (8+9+10) 89.90 -1.10 88.68 86.64 84.75 Rating of All Health Care (8+9+10) 83.39 1.79 82.72 79.87 77.02 No CAHPS® measures which were scored fell between the 75th & 90th Percentile during the 2015 measurement year. Table 6 shows the CAHPS® Measures between the 50th and 75th Percentile. One measure or 14% of all measures scored fell between the 50th and 75th Percentile. Table 6: 2015 CAHPS® Measures between the 50th and 75th Percentile Measure MercyCare HMO Score 90th Percentile 75th Percentile 50th Percentile Rating of Health Plan (8+9+10) 62.36 5.46 74.92 68.03 56.10 Table 7 shows the CAHPS® Measures below the 50th Percentile. Four measures or 57% of the scored measures were below the 50th Percentile. Table 7: 2015 CAHPS® Measures below the 50th Percentile 2014 2014
QI-Program-Evaluation-2015-for-committees.docx