Contacts: ScottSmith,MDHCommunications [email protected],651‐201‐5806 ErinGhere,MNCMCommunications [email protected],612‐454‐4827 2015PatientExperienceofCareSurveyResultsOverview GeneralInformation ThePatientExperienceofCareSurveyresultsarecompiledbyMNCommunity MeasurementfortheMinnesotaDepartmentofHealth’sStatewideQualityReportingand MeasurementSystem. TheinauguralreleaseofPatientExperienceofCaresurveyresultsoccurredin2013.Itis conductedeveryotheryear. Minnesotahasthenation’slargeststatewidesurveyaboutpatients’experienceofcare.At leastfourotherstatesconductwidespreadpatientexperiencesurveys;however, Minnesota’shasthelargestnumberofpatientsinvolved. Survey TheCAHPSClinician&Group®12‐MonthSurvey2.0(CG‐CAHPS®)isusedtoevaluatethepatient experienceofcareinMinnesotaandsurroundingareas.Thesurveyincludesquestionsabout patients’experienceswiththeirhealthcareprovidersduringthepast12months. The2013surveyutilizedtheCG‐CAHPS®VisitSurvey,whichfocusedonthepatient’sexperience duringtheirmostrecentvisittotheclinic.The12‐MonthSurveyusedin2015focusesonthe patient’sexperiencesacrossalloftheirvisitstotheclinicduringthepastyear.Inmovingtothe12‐ MonthSurvey,questionsintheProviderCommunicationandOfficeStaffdomainsshiftedfroma three‐pointtoafour‐pointscale(i.e.,“Always,”“Usually,”“Sometimes”and“Never”).Asaresult, thosetwodomainsarenotcomparablebetween2013and2015. DataCollection Toensureunbiasedresults,clinicswererequiredtouseanexternalsurveyvendortoadministerto theCG‐CAHPS®12‐MonthSurvey.VendorshadtobeapprovedbytheCentersforMedicare& MedicaidServices. Clinicsgeneratedandsubmittedlistsofalleligiblevisitstotheexternalsurveyvendors.Thecriteria foraneligiblevisitincluded: OccurredbetweenSeptember1andNovember30,2014 Visitwasanin‐person,face‐to‐faceencounterbetweenapatientandaphysician,advanced practicenurseand/orphysicianassistant Patientwas18yearsorolderandspokeEnglishatthetimeofthevisit Toavoidduplicatingpatientswithmultiplevisitsduringthetimeperiod,surveyvendorsselected themostrecentvisitforeachpatientandcreatedarandomsampleofpatientsforeachclinic.The numberofpatientsineachrandomsamplewasbasedonthesizeoftheclinic.Thenumberof ReleasedAugust26,2015 providersintheclinicwasusedasaproxyforsize.Clinicswithfewerthan450patientswere removedfromthesurvey. Patientsinthesamplereceivedasurveybyeithermailorphone. Mail–Tworoundsofdistribution Phone–Sixattemptsondifferentdaysandatdifferenttimes Oncesurveyingwascomplete,resultsweresubmittedtoMNCMbythesurveyvendorsviathe MNCMDataPortal.MNCMconductedaseriesofqualitycheckspriortothedatabeinganalyzed.As partoftheanalysis,theresultswerecase‐mixadjustedforpatientage,self‐reportedhealthstatus andeducationlevel.InadditiontobeingpubliclyreportedonMNHealthScores.org,thefinalresults areaddedtothenationalCAHPSDatabase,whichisusedtofacilitatecomparisonsofpatient experienceacrossstatesandpatientgroups. Participation Surveysweresenttomorethan650,000patientswhohadatleastoneeligiblevisitbetween September1andNovember30,2014. 200,500patientscompletedandreturnedsurveys,resultingina33percentresponserate Theresponseratewasconsistentbetween2013and2015 Approximately73percentofclinicsinMinnesotaandneighboringcommunitiesparticipatedinthe survey:847clinicsacross173medicalgroups.Thisisa130clinicincrease(18percent)in participationfromthe2013survey.Thevastmajority(97percent)ofparticipatingclinicsare locatedinMinnesota.TheremainingclinicsareinIowa,NorthDakotaandWisconsinandchoseto voluntarilysubmitpatientexperiencedata. Ofthat,765clinicsacross168medicalgroupshadenoughresponsestobepubliclyreportedforat leastonedomain.Thisisanadditional130clinics(19percent)thanwerepubliclyreportedin 2013. Results Theresultsarescoredacrossfourdomains:AccesstoCare,ProviderCommunication,Courteous& HelpfulOfficeStaffandRateYourProvider. Thirty‐nineclinicsweresignificantlyhigherthanaverageinallfourdomains. Ninearemulti‐specialtyclinicsand30areprimarycareclinics. 23arelocatedintheMetroareaand16arelocatedinGreaterMinnesotaoroutside Minnesota. Ofthe24medicalgroupsthatthese39clinicsarepartof,ninearelargemedicalgroupswith 100ormoreproviders. Fourofthefivehighestratedclinicsintheprovidercommunicationdomainwerealsothehighest ratedintheprovidertopratingcategory,indicatingastrongcorrelationbetweenprovider communicationandoverallpatientexperience. ReleasedAugust26,2015 Detailedresultsonthefourdomainsare: Access:Gettingcarewhenneeded 60percentofpatientssaidtheyhadtop‐levelaccesstocare Sameresultasthe2013surveyresults Individualclinicshadresultsrangingfrom30to90percent ProviderCommunication:Beinglistenedtoandreceivinginformationandinstructionspatients understand 83percentofpatientsgaveatop‐levelratingwhenaskedaboutcommunicationfromtheir providers Duetochangesinthesurvey,thisscoreisnotcomparableto2013 Individualclinicshadresultsrangingfrom54to94percent OfficeStaff:Experiencingcourteousandhelpfulofficestaff 81percentofpatientsgavetheofficestaffattheirclinicstopmarks Duetochangesinthesurvey,thisscoreisnotcomparableto2013 Individualclinicshadresultsrangingfrom47to94percent RateYourProvider:Beingsatisfiedwiththeirprovider 79percentofpatientsgavetheirprovideratopratingof9or10ona10‐pointscale Onepercentagepointincreasefrom2013,whichisstatisticallysignificant Individualclinicshadresultsrangingfrom49to97percent ReleasedAugust26,2015
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