Crosswalk

ICH CAHP Survey Crosswalk

Question Text
Where do you get your dialysis treatments?
How long have you been getting dialysis at [SAMPLE
FACILITY NAME]?

Current Q#
Q1

Revised Q#
Q1

Justification for Removal
N/A

Q2

Q2

N/A

In the last 3 months, how often did your kidney doctors
listen carefully to you?
Q3

In the last 3 months, how often did your kidney doctors
explain things in a way that was easy for you to
understand?
Q4

In the last 3 months, how often did your kidney doctors
show respect for what you had to say?
Q5

Removed

Technical Expert Panel (TEP) members noted that patients have limited contact
with nephrologists, there is uncertainty around which provider elicited the poor
rating if there are multiple providers within the same facility, and that facilities
cannot hold nephrologists accountable for poor ICH CAHPS ratings. Psychometric
analysis showed that the questions that made up the NCC composite could be
removed without affecting the way the other two composites function. Focus
groups with dialysis patients did not show concern with removing this question.
To reduce the length of the survey, this question was removed.

Removed

TEP members noted that patients have limited contact with nephrologists, there
is uncertainty around which provider elicited the poor rating if there are multiple
providers within the same facility, and that facilities cannot hold nephrologists
accountable for poor ICH CAHPS ratings. Psychometric analysis showed that the
questions that made up the NCC composite could be removed without affecting
the way the other two composites function. Focus groups with dialysis patients
did not show concern with removing this question. To reduce the length of the
survey, this question was removed.

Removed

TEP members noted that patients have limited contact with nephrologists, there
is uncertainty around which provider elicited the poor rating if there are multiple
providers within the same facility, and that facilities cannot hold nephrologists
accountable for poor ICH CAHPS ratings. Psychometric analysis showed that the
questions that made up the NCC composite could be removed without affecting
the way the other two composites function. Focus groups with dialysis patients
did not show concern with removing this question. To reduce the length of the
survey, this question was removed.

ICH CAHP Survey Crosswalk

Question Text

Current Q#

In the last 3 months, how often did your kidney doctors
spend enough time with you?
Q6

In the last 3 months, how often did you feel your
kidney doctors really cared about you as a person?

Using any number from 0 to 10, where 0 is the worst
kidney doctors possible and 10 is the best kidney
doctors possible, what number would you use to rate
the kidney doctors you have now?

Q7

Q8

Revised Q#

Justification for Removal

Removed

TEP members noted that patients have limited contact with nephrologists, there
is uncertainty around which provider elicited the poor rating if there are multiple
providers within the same facility, and that facilities cannot hold nephrologists
accountable for poor ICH CAHPS ratings. Psychometric analysis showed that the
questions that made up the NCC composite could be removed without affecting
the way the other two composites function. Focus groups with dialysis patients
did not show concern with removing this question. To reduce the length of the
survey, this question was removed.

Removed

TEP members noted that patients have limited contact with nephrologists, there
is uncertainty around which provider elicited the poor rating if there are multiple
providers within the same facility, and that facilities cannot hold nephrologists
accountable for poor ICH CAHPS ratings. Psychometric analysis showed that the
questions that made up the NCC composite could be removed without affecting
the way the other two composites function. Focus groups with dialysis patients
did not show concern with removing this question. To reduce the length of the
survey, this question was removed.

Removed

TEP members noted that patients have limited contact with nephrologists, there
is uncertainty around which provider elicited the poor rating if there are multiple
providers within the same facility, and that facilities cannot hold nephrologists
accountable for poor ICH CAHPS ratings. Psychometric analysis did not show any
impact with removing this rating question. Focus groups with dialysis patients did
not show concern with removing this question. To reduce the length of the
survey, this question was removed; however, we will monitor to see if the rating
question should be added back in over time.

ICH CAHP Survey Crosswalk

Question Text

Current Q#

Do your kidney doctors seem informed and up-to-date
about the health care you receive from other doctors? Q9
In the last 3 months, how often did the dialysis center
staff listen carefully to you?
Q10
In the last 3 months, how often did the dialysis center
staff explain things in a way that was easy for you to
understand?
Q11
In the last 3 months, how often did the dialysis center
staff show respect for what you had to say?
In the last 3 months, how often did the dialysis center
staff spend enough time with you?

Removed

Justification for Removal

TEP members noted that patients have limited contact with nephrologists, there
is uncertainty around which provider elicited the poor rating if there are multiple
providers within the same facility, and that facilities cannot hold nephrologists
accountable for poor ICH CAHPS ratings. Psychometric analysis showed that the
questions that made up the NCC composite could be removed without affecting
the way the other two composites function. Focus groups with dialysis patients
did not show concern with removing this question. To reduce the length of the
survey, this question was removed.

Q3

N/A

Q4

N/A

Q12

Q5

N/A

Q13

Q6

N/A

In the last 3 months, how often did you feel the dialysis
center staff really cared about you as a person?
Q14
In the last 3 months, how often did dialysis center staff
make you as comfortable as possible during dialysis?
Q15
In the last 3 months, did dialysis center staff keep
information about you and your health as private as
possible from other patients?
In the last 3 months, did you feel comfortable asking
the dialysis center staff everything you wanted about
dialysis care?

Revised Q#

Q16
Q17

Removed
Q7

Removed
Q8

The CAHPS Consortium suggested the removal of this question and TEP members
did not have concerns with this. Psychometric analysis showed that the QDCCO
composite was not significantly impacted by its removal. To reduce the length of
the survey, this question was removed.
N/A
Psychometric analysis indicated that the QDCCO composite continues to function
well with this removed. TEP, CAHPS Consortium, and Focus Group sample
patients agreed with the removal. To reduce the length of the survey, this
question was removed.
N/A

ICH CAHP Survey Crosswalk

Question Text

Current Q#

In the last 3 months, has anyone on the dialysis center
staff asked you about how your kidney disease affects
other parts of your life?
Q18
The dialysis center staff can connect you to the dialysis
machine through a graft, fistula, or catheter. Do you
know how to take care of your graft, fistula, or
catheter?
Q19
In the last 3 months, which one did they use most often
to connect you to the dialysis machine?
Q20

In the last 3 months, how often did dialysis center staff
insert your needles with as little pain as possible?
Q21
In the last 3 months, how often did dialysis center staff
check you as closely as you wanted while you were on
the dialysis machine?
Q22
In the last 3 months, did any problems occur during
your dialysis?
Q23
In the last 3 months, how often was the dialysis center
staff able to manage problems during your dialysis?
Q24
In the last 3 months, how often did dialysis center staff
behave in a professional manner?
Q25

In the last 3 months, did dialysis center staff talk to you
about what you should eat and drink?
Q26
In the last 3 months, how often did dialysis center staff
explain blood test results in a way that was easy to
understand?
Q27

Revised Q#

Removed

Justification for Removal
This is a stand-alone item not used in a composite or used for analyses.
Removing this item had no analytic impact. TEP had no concerns with removing
this item. To reduce the length of the survey, this question was removed.

Q9

N/A

Q10

N/A

Removed

Psychometric analysis indicated that the QDCCO composite continues to function
well with this removed. TEP, CAHPS Consortium, and Focus Group sample
patients agreed with the removal. To reduce the length of the survey, this
question was removed.

Q11

N/A

Q12

N/A

Q13

N/A

Q14

N/A

Removed
Q15

Psychometric analysis indicated that the QDCCO composite continues to function
well with this removed. TEP, CAHPS Consortium, and Focus Group sample
patients agreed with the removal. To reduce the length of the survey, this
question was removed.
N/A

ICH CAHP Survey Crosswalk

Question Text

Current Q#

As a patient you have certain rights. For example, you
have the right to be treated with respect and the right
to privacy. Did this dialysis center ever give you any
written information about your rights as a patient?
Q28
Did dialysis center staff at this center ever review your
rights as a patient with you?
Q29
Has dialysis center staff ever told you what to do if you
experience a health problem at home?
Q30
Has any dialysis center staff ever told you how to get
off the machine if there is an emergency at the center? Q31
Using any number from 0 to 10, where 0 is the worst
dialysis center staff possible and 10 is the best dialysis
center staff possible, what number would you use to
rate your dialysis center staff?
Q32
In the last 3 months, when you arrived on time, how
often did you get put on the dialysis machine within 15
minutes of your appointment or shift time?
Q33
In the last 3 months, how often was the dialysis center
as clean as it could be?
Q34
Using any number from 0 to 10, where 0 is the worst
dialysis center possible and 10 is the best dialysis center
possible, what number would you use to rate this
dialysis center?
Q35
You can treat kidney disease with dialysis at a center, a
kidney transplant, or with dialysis at home. In the last
12 months, did your kidney doctors or dialysis center
staff talk to you as much as you wanted about which
treatment is right for you?
Q36
Are you eligible for a kidney transplant?
Q37
In the last 12 months, has a doctor or dialysis center
staff explained to you why you are not eligible for a
kidney transplant?
Q38

Revised Q#

Justification for Removal

Q16

N/A

Q17

N/A

Q18

N/A

Q19

N/A

Q20

N/A

Q21

N/A

Q22

N/A

Q23

N/A

Q24
Q25

N/A
N/A

Q26

N/A

ICH CAHP Survey Crosswalk

Question Text

Peritoneal dialysis is dialysis given through the belly and
is usually done at home. In the last 12 months, did
either your kidney doctors or dialysis center staff talk to
you about peritoneal dialysis?
In the last 12 months, were you as involved as much as
you wanted in choosing the treatment for kidney
disease that is right for you?
In the last 12 months, were you ever unhappy with the
care you received at the dialysis center or from your
kidney doctors?
In the last 12 months, did you ever talk to someone on
the dialysis center staff about this?
In the last 12 months, how often were you satisfied
with the way they handled these problems?
Medicare and your State have special agencies that
check the quality of care at this dialysis center. In the
last 12 months, did you make a complaint to any of
these agencies?

Current Q#

Revised Q#

Justification for Removal

Q39

Q27

N/A

Q40

Q28

N/A

Q41

Q29

N/A

Q42

Q30

N/A

Q43

Q31

N/A

Q44

Removed

This is a stand-alone item not used in a composite or used for analyses.
Removing this item had no analytic impact. TEP had no concerns with removing
this item. To reduce the length of the survey, this question was removed.

In general, how would you rate your overall health?
In general, how would you rate your overall mental or
emotional health?

Q45

Q32

N/A

Q46

Q33

Are you being treated for high blood pressure?

Q47

Removed

Are you being treated for diabetes or high blood sugar? Q48

Removed

N/A
This question is not used in analyses so there is no impact by removing it. The
TEP had no concerns with removal. To reduce the length of the survey, this
question was removed.
This question is not used in analyses so there is no impact by removing it. The
TEP had no concerns with removal. To reduce the length of the survey, this
question was removed.

Removed

This question is only used in patient-mix adjustment analyses and has minimal
impact to scores when removed. TEP had no concerns with removal. To reduce
the length of the survey, this question was removed.

Are you being treated for heart disease or heart
problems?

Q49

ICH CAHP Survey Crosswalk

Question Text

Current Q#

Are you deaf or do you have serious difficulty hearing? Q50
Are you blind or do you have serious difficulty seeing,
even when wearing glasses?

Q51

Revised Q#

Justification for Removal

Removed

This question is only used in patient-mix adjustment analyses and has minimal
impact to scores when removed. TEP had no concerns with removal. To reduce
the length of the survey, this question was removed.

Removed

This question is only used in patient-mix adjustment analyses and has minimal
impact to scores when removed. TEP had no concerns with removal. To reduce
the length of the survey, this question was removed.

Because of a physical, mental, or emotional condition,
do you have serious difficulty concentrating,
remembering, or making decisions?

Q52

Removed

Do you have serious difficulty walking or climbing
stairs?

Q53

Removed

This question is not used in analyses so there is no impact by removing it. The
TEP had no concerns with removal. To reduce the length of the survey, this
question was removed.
This question is not used in analyses so there is no impact by removing it. The
TEP had no concerns with removal. To reduce the length of the survey, this
question was removed.

Removed

This question is only used in patient-mix adjustment analyses and has minimal
impact to scores when removed. TEP had no concerns with removal. To reduce
the length of the survey, this question was removed.

Removed

This question is not used in analyses so there is no impact by removing it. The
TEP had no concerns with removal. To reduce the length of the survey, this
question was removed.

Do you have difficulty dressing or bathing?
Because of a physical, mental, or emotional condition,
do you have difficulty doing errands alone, such as
visiting a doctor’s office or shopping?
What is the highest grade or level of school that you
have completed?
What language do you mainly speak at home?
Are you of Spanish, Hispanic, or Latino origin or
descent?
What is your race?

Q54

Q55
Q56
Q57

Q34
Q35

N/A
N/A

Q58
Q59

Removed
Q36

Combined with race question in new OMB race/ethnicity question.
N/A

Did someone help you complete this survey? (mail only) Q60

Q37

Who helped you complete this survey? (mail only)
How did that person help you? (mail only)

Removed
Q38

N/A
This question was not necessary to determine whether a mail survey was
completed by a proxy. To reduce the length of the survey, this question was
removed.
N/A

Q61
Q62