Supplemental Items for the CAHPS Clinician & Group Adult Survey 3.0: Patient-Centered Medical Home
Population version: Adult
Download these items: English ( Word, 29.84 KB)
Read about the Patient-Centered Medical Home Item Set.
Users of the CAHPS Clinician & Group Survey are free to incorporate supplemental items in order to meet the needs of their organizations, local markets, and/or audiences. Some items cover events that occur with low frequency in the general population. You should include them only if your sample design is likely to yield a sufficient number of responses to those questions for statistical analysis and reporting.
| Questions |
Placement and Other Instructions |
PCMH1. Did this provider’s office give you information about what to do if you needed care during evenings, weekends, or holidays?
1 __ Yes
2 __ No |
After core question 8 |
PCMH2. Specialists are doctors like surgeons, heart doctors, allergy doctors, skin doctors, and other doctors who specialize in one area of health care. In the last 6 months, did you see a specialist for a particular health problem?
1 __ Yes
2 __ No→ If No, go to PCMH14 |
After core question 18 |
PCMH3. In the last 6 months, how often did the provider named in Question 1 seem informed and up-to-date about the care you got from specialists?
1 __ Never
2 __ Sometimes
3 __ Usually
4 __ Always |
After PCMH2
Note: Use with PCMH2
|
| PCMH4. Please answer these questions about the provider named in Question 1 of this survey.
In the last 6 months, did someone from this provider’s office talk with you about specific goals for your health?
1 __ Yes
2 __ No
|
After PCMH3 |
PCMH5. In the last 6 months, did someone from 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 |
After PCMH4 |
PCMH6. In the last 6 months, did you and someone from this provider’s office talk about things in your life that worry you or cause you stress?
1 __ Yes
2 __ No |
After PCMH5 |
