This study builds on previous research
conducted as part of the Consumer Assessment of Healthcare
Providers and Systems (CAHPS) program to explore new ways of
integrating patient comments with other performance metrics in
web-based quality reports for consumers to support their choice of
physicians. Our previous consumer choice study, referred to as
SelectMD 1.0 (approved by OMB on 3/8/10 under OMB Control Number
0935-0161), revealed important risks and opportunities of using
patient comments that require additional research in order to
develop effective guidance for report sponsors. Sponsors of
performance reports in both the public and private sectors,
including Federal agencies such as the Centers for Medicare &
Medicaid Services (CMS), have indicated strong interest in
receiving such guidance on strategies for effectively incorporating
patient comments to increase consumers' use of public reports and
to enhance their ability to interpret CAHPS and other performance
measures. This follow-on study (referred to as SelectMD 2.0) will
use an experimental design to test different methods of
incorporating patient comments along with CAHPS survey results, the
Healthcare Effectiveness Data and Information Set (HEDIS)-like
measures of effective clinical treatments, and indicators of
patient safety in web-based physician quality reports. The study
will help AHRQ understand how people choose a doctor as their
regular source of medical care and advice. The study has three
stages. In the first stage, respondents will be asked some
questions about their health care experiences and how they go about
choosing a doctor. In the second stage the respondents will log
onto an experimental website that has information about a
fictitious set of doctors from which to choose. Respondents will be
asked to use the information on the website to select a doctor who
they think would be the best for their health care needs. Although
they will not really be selecting a doctor, they will be asked to
consider the choice as carefully as if they were making it for
themselves. In the third stage, following their selection of a
doctor, respondents will answer a set of questions about how they
made their choice of doctor, how useful they found the website, and
how confident they were in the choice they made.
US Code:
42
USC 299 Name of Law: Healthcare Research and Quality Act of
1999
On behalf of this Federal agency, I certify that
the collection of information encompassed by this request complies
with 5 CFR 1320.9 and the related provisions of 5 CFR
1320.8(b)(3).
The following is a summary of the topics, regarding
the proposed collection of information, that the certification
covers:
(i) Why the information is being collected;
(ii) Use of information;
(iii) Burden estimate;
(iv) Nature of response (voluntary, required for a
benefit, or mandatory);
(v) Nature and extent of confidentiality; and
(vi) Need to display currently valid OMB control
number;
If you are unable to certify compliance with any of
these provisions, identify the item by leaving the box unchecked
and explain the reason in the Supporting Statement.