Notice2023-05988
Potential Consumer Assessment of Healthcare Providers and Systems (CAHPS®) Survey on Prenatal and Childbirth Care Experiences in Ambulatory and Inpatient Settings: Request for Information
Primary source
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Published
March 23, 2023
Issuing agencies
Health and Human Services DepartmentAgency for Healthcare Research and Quality
Abstract
The Agency for Healthcare Research and Quality (AHRQ) invites public comment in response to this Request for Information (RFI) about a potential Consumer Assessment of Healthcare Providers and Systems (CAHPS[supreg]) survey to assess patients' prenatal care and childbirth care experiences in ambulatory and inpatient care settings. Currently, no CAHPS instrument is available that is specifically designed to measure prenatal and childbirth care from the patient's perspective in these settings. Accordingly, this RFI seeks comments regarding methodologically sound approaches to assessing prenatal and childbirth care experiences in healthcare settings about topics such as communication with providers, respect, access to services, and patients' perceptions of bias in receiving care. This RFI also seeks comments about any (1) existing patient experience surveys or survey items that might be incorporated into public domain CAHPS ambulatory and inpatient prenatal and childbirth experience surveys; and, (2) special considerations or concerns associated with the collection of such information. This RFI will help inform the development of scientifically sound surveys to potentially measure the experience of patients receiving prenatal and childbirth care.
Full Text
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<title>Federal Register, Volume 88 Issue 56 (Thursday, March 23, 2023)</title>
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[Federal Register Volume 88, Number 56 (Thursday, March 23, 2023)]
[Notices]
[Pages 17575-17576]
From the Federal Register Online via the Government Publishing Office [<a href="http://www.gpo.gov">www.gpo.gov</a>]
[FR Doc No: 2023-05988]
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DEPARTMENT OF HEALTH AND HUMAN SERVICES
Agency for Healthcare Research and Quality
Potential Consumer Assessment of Healthcare Providers and Systems
(CAHPS[supreg]) Survey on Prenatal and Childbirth Care Experiences in
Ambulatory and Inpatient Settings: Request for Information
AGENCY: Agency for Healthcare Research and Quality, HHS.
ACTION: Notice of Request for Information regarding a potential
Consumer Assessment of Healthcare Providers and Systems (CAHPS[supreg])
survey to assess patients' prenatal and childbirth care experiences in
ambulatory and inpatient settings.
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SUMMARY: The Agency for Healthcare Research and Quality (AHRQ) invites
public comment in response to this Request for Information (RFI) about
a potential Consumer Assessment of Healthcare Providers and Systems
(CAHPS[supreg]) survey to assess patients' prenatal care and childbirth
care experiences in ambulatory and inpatient care settings. Currently,
no CAHPS instrument is available that is specifically designed to
measure prenatal and childbirth care from the patient's perspective in
these settings. Accordingly, this RFI seeks comments regarding
methodologically sound approaches to assessing prenatal and childbirth
care experiences in healthcare settings about topics such as
communication with providers, respect, access to services, and
patients' perceptions of bias in receiving care.
This RFI also seeks comments about any (1) existing patient
experience surveys or survey items that might be incorporated into
public domain CAHPS ambulatory and inpatient prenatal and childbirth
experience surveys; and, (2) special considerations or concerns
associated with the collection of such information. This RFI will help
inform the development of scientifically sound surveys to potentially
measure the experience of patients receiving prenatal and childbirth
care.
DATES: Comments on this notice must be received by May 5, 2023.
ADDRESSES: Interested parties may submit comments electronically to
<a href="/cdn-cgi/l/email-protection#b8fbf9f0e8eb89f8cfddcbccd9cc96dbd7d5"><span class="__cf_email__" data-cfemail="ca898b829a99fb8abdafb9beabbee4a9a5a7">[email protected]</span></a> with the subject line ``Prenatal and Childbirth Care
Experience Survey RFI.''
FOR FURTHER INFORMATION CONTACT: Questions may be addressed to Caren
Ginsberg, Director, CAHPS and SOPS Programs, Center for Quality
Improvement and Patient Safety, <a href="/cdn-cgi/l/email-protection#53303221363d7d343a3d203136213413323b21227d3b3b207d343c25"><span class="__cf_email__" data-cfemail="e98a889b8c87c78e80879a8b8c9b8ea988819b98c781819ac78e869f">[email protected]</span></a>.
SUPPLEMENTARY INFORMATION: AHRQ is seeking public comment about survey
characteristics and data collection approaches and strategies to
optimize the meaningfulness of patient experience information from
patients receiving prenatal and childbirth healthcare, that is, care
received in a hospital or birthing center, during labor, delivery, and
their stay in the hospital or birthing center. AHRQ's CAHPS Program
advances scientific understanding of patient healthcare experiences
using surveys developed for different healthcare settings. The CAHPS
surveys cover topics that are important to patients and which patients
are best able to assess, such as communication with providers, shared
decision making, and access to health care services. CAHPS surveys
measure care experiences; that is, what happened or how often something
happened, in a health care encounter. CAHPS surveys do not collect
information about availability of specific services; limitations to
receiving specific services or procedures; or patient satisfaction
(e.g., patients' expectations for, or how they felt about, their care).
Information collected by CAHPS surveys can motivate and focus quality
improvement efforts and/or choice of providers by survey sponsors,
health care organizations, clinicians, patients, consumers, and other
stakeholders.
Specific questions of interest to AHRQ include, but are not limited
to:
1. What are the highest priority aspect(s) of patient experiences
with prenatal healthcare that should be asked about in a survey?
a. Why are these aspect(s) of patient experience a high priority
for inclusion in a survey of prenatal healthcare?
b. What other topic area(s) should be included in a new survey
assessing prenatal healthcare?
2. What are the highest priority aspect(s) of patient experiences
with childbirth healthcare that should be asked about in a survey?
a. Why are these aspect(s) of patient experience a high priority
for inclusion in a survey of childbirth healthcare?
b. What other topic area(s) should be included in a new survey
assessing patient experiences with childbirth health care?
3. For which prenatal care settings should measures and/or surveys
be developed? For example, should measures and/or surveys be developed
for group practices? Hospitals? Birthing centers? Ambulatory care
practices? Other settings?
4. For which childbirth care settings should measures and/or
surveys be developed? For example, should measures and/or surveys be
developed for hospitals? Birthing centers? Ambulatory care practices?
Other settings?
5. What, if any, challenge(s) are there to collecting information
about patient experiences with prenatal and childbirth healthcare?
6. What actions or approaches would facilitate the collection of
information about the experience of patients with prenatal and
childbirth healthcare?
(a) What data collection approach(es) would be most likely to
promote participation by respondents to a survey of prenatal and
childbirth healthcare (e.g., web-based; paper-and-pencil; etc.)?
(b) Are there any way(s) that data collection approach(es) would
differ based on whether patients received healthcare in inpatient care
settings compared to ambulatory care settings?
7. Which survey measure(s) that assess prenatal and/or childbirth
care experiences are currently being used? Please note that these
surveys or items might be found in the patient satisfaction domain.
Feel free to include them in response to this RFI.
(a) Which respondent groups (e.g., patients in inpatient settings;
family members; providers; etc.) are asked to complete these survey(s)?
(b) How are these currently used survey(s) administered (for
example, paper-and-pencil; web-based; etc.) to patients?
(c) What information is collected in these survey(s) that assess
prenatal care and/or childbirth experiences? How
[[Page 17576]]
well do these surveys perform? What are the strengths of the survey(s)
currently in use?
(d) What content area(s) are missing from these survey(s) that are
currently in use?
(e) Which content area(s) are low priority or not useful in these
currently used survey(s)? Why are they not useful?
(f) How are the results and findings of these current survey(s)
used to evaluate and/or improve care quality in inpatient and
ambulatory healthcare settings? Are the results and findings of these
current survey(s) used for other purposes?
(g) Are there any item(s) that address perceived bias in care that
have been used to assess prenatal and/or childbirth care experiences of
patients? How have these item(s) measured or operationalized
``perceived bias in care?'' What, if any, limitations do these item(s)
have in measuring ``perceived bias in care?''
Respondents to this RFI are welcome to address as many or as few of
these questions as they choose and/or to address additional areas of
interest not listed.
This RFI is for planning purposes only and should not be construed
as a policy, solicitation for applications, or as an obligation on the
part of the Government to provide support for any ideas in response to
it. AHRQ will use the information submitted in response to this RFI at
its discretion, and will not provide comments to any respondent's
submission. However, responses to this RFI may be reflected in future
initiatives, solicitation(s), notices of funding opportunities, or
policies. Respondents are advised that the Government is under no
obligation to acknowledge receipt of the information received or
provide feedback to respondents with respect to any information
submitted. No proprietary, classified, confidential or sensitive
information should be included in your response. The contents of all
submissions will be made available to the public upon request.
Submitted materials must be publicly available or able to be made
public.
Dated: March 20, 2023.
Marquita Cullom,
Associate Director.
[FR Doc. 2023-05988 Filed 3-22-23; 8:45 am]
BILLING CODE 4160-90-P
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