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Bridging From the Picker Hospital Survey to the CAHPS® Hospital Survey

Bibliographic Data

ID9099424
AuthorsDenise D Quigley (0000-0002-3815-908X, RAND Corporation, corresponding author), Marc N Elliott (0000-0002-7147-5535, RAND Corporation, corresponding author), Ron D Hays (0000-0001-6697-907X, RAND Corporation, corresponding author), David J Klein (0000-0001-5022-5839, RAND Corporation, corresponding author), Donna O Farley (RAND Corporation)
Year2008
Volume46
Issue7
Pages654-661
Publication date2008-07-01
Peer ReviewedYes
Open AccessNo
TypeARTICLE
VenueMedical Care (JOURNAL)
Journal identifiersISSN: 0025-7079 • E-ISSN: 1537-1948
PublisherOvid Technologies (Wolters Kluwer Health) (PUBLISHER)
DOI10.1097/mlr.0b013e31817892d5
PMID18580383
OpenAlexW1973639903
LanguageEN
Citations received3
References cited7

OBJECTIVE: Illustrate an accessible method of bridging data from earlier surveys to the CAHPS Hospital Survey to support hospitals' internal quality improvement efforts. DATA SOURCES/STUDY SETTING: Survey of patients with more than 300,000 annual hospitalizations in a large urban hospital. STUDY DESIGN AND DATA: Six pairs of parallel items from the CAHPS and Picker Hospital Surveys were administered to the same 734 patients. We assessed item comparability and applied bridging adjustments to convert old items to predicted scores on the new CAHPS items. PRINCIPLE FINDINGS: Differences in wording, response options, and cut points for "problem scores" yielded large differences in problem score rates between the Picker and CAHPS Hospital Surveys, requiring bridging formulas. Tetrachoric correlations for 5 of 6 pairs indicated high correspondence (r = 0.71-0.97, P < 0.001) in the underlying constructs assessed by the 2 surveys, validating the use of bridging. Bridged scores contain less information per observation than directly measured new scores, but with sufficient sample sizes they can be used to detect trends across the transition. CONCLUSIONS: Hospitals can use the methodology described here to trend their scores from a previous survey to the CAHPS Hospital Survey with sufficient precision to support ongoing quality improvement efforts. Hospitals should administer an instrument containing pairs of old and new items to enough patients to yield at least 625 completes to measure bridging parameters precisely. Where correspondence is high, old items can and should be replaced by CAHPS items. Important old items with weaker associations with new items may be retained

Bridging (networking) · Comparability · Data quality · EQ-5D · Operations management · Patient satisfaction · Computer Science · Health Policy Implementation Science · Mathematics · Medicine · Nursing · Patient Satisfaction in Healthcare · Primary Care and Health Outcomes

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Unique citing works3
Citations per year0,3
Citation span2016 - 2025 (10)
Citation velocityrecent
Highly citedNo
Citation typesNeutral: 3

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