4. Attachment B_Comparison of Current and Revised HHCAHPS Survey Instruments

4. Attachment B_Comparison of Current and Revised HHCAHPS Survey Instruments_06182025.pdf

CAHPS Home Health Care Survey (CMS-10275)

4. Attachment B_Comparison of Current and Revised HHCAHPS Survey Instruments

OMB: 0938-1066

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Comparison of Current and Proposed Home Health Care CAHPS® Survey Instruments

HHCAHPS Survey, current version
1.

According to our records, you got care from the home
health agency, [AGENCY NAME]. Is that right?

HHCAHPS Survey, proposed version
1.

As you answer the questions in this survey, think only
about your experience with this agency.



2.




3.

Moved text to reduce
respondent burden.

Yes
No

N/A

Item removed to reduce
respondent burden.

When you first started getting home health care from
this agency, did someone from the agency talk about
ways to help make your home safer? For example,
they may have suggested adding grab bars in the
shower or removing tripping hazards.

Minor changes to wording and
response options to improve
usability.

Yes
No
Do not remember

When you first started getting home health care from
this agency, did someone from the agency talk with
you about how to set up your home so you can move
around safely?




0F

Yes
No

When you first started getting home health care from
this agency, did someone from the agency tell you what
care and services you would get?




According to our records, you got care from the home
health agency, [AGENCY NAME]. Is that right?

Summary of Changes 1

Yes
No
Do not remember

2.






Yes
No
I don’t know
I did not need help with home safety

The changes the HHCAHPS Survey instrument described in this table are proposed for both the mail and telephone versions of the
instruments and upon approval translated into the additional languages offered for the HHCAHPS Survey.

1

HHCAHPS Survey, current version
4.

When you started getting home health care from this
agency, did someone from the agency talk with you
about all the prescription and over-the-counter
medicines you were taking?




5.

9.

Summary of Changes 1
0F

Minor changes to wording and
response options to improve
usability.

Yes
No
I don’t know
I don’t take any medicines

N/A

Item removed to reduce
respondent burden.

N/A

Item removed to reduce
respondent burden.

N/A

Item removed to reduce
respondent burden.

N/A

Item removed to reduce
respondent burden.

In the last 2 months of care, how often did home
health staff from this agency seem to be aware of all
the care or treatment you were getting at home?

Minor wording changes to
improve usability.

Yes
No
Do not remember

Yes
No

Yes
No

In the last 2 months of care, was one of your home
health providers from this agency a home health or
personal aide?



Has someone from the agency ever reviewed the
prescribed and over-the-counter medicines you
were taking? For example, they might have asked you
to show them your medicines and talked with you
about how and when to take each one.





In the last 2 months of care, was one of your home
health providers from this agency a physical,
occupational, or speech therapist?



8.

Yes
No
Do not remember

In the last 2 months of care, was one of your home
health providers from this agency a nurse?



7.

3.

When you started getting home health care from this
agency, did someone from the agency ask to see all the
prescription and over-the-counter medicines you were
taking?




6.

HHCAHPS Survey, proposed version

Yes
No

In the last 2 months of care, how often did home health
providers from this agency seem informed and up-todate about all the care or treatment you got at home?

6.

HHCAHPS Survey, current version





10.

14.

Item removed to reduce
respondent burden.

N/A

Item removed to reduce
respondent burden.

N/A

Item removed to reduce
respondent burden.

N/A

Item removed to reduce
respondent burden.

In the last 2 months of care, did home health staff
from this agency talk with you about any side effects
of your medicines?

Minor wording changes to
improve usability.

Yes
No

Yes
No
I did not take any new prescription medicines or
change any medicines

Yes
No
I did not take any new prescriptions medicines or
change any medicines

In the last 2 months of care, did home health providers
from this agency talk with you about the side effects of
these medicines?



0F

Yes
No

In the last 2 months of care, did home health providers
from this agency talk with you about when to take these
medicines?




Summary of Changes 1

Never
Sometimes
Usually
Always

N/A

In the last 2 months of care, did home health providers
from this agency talk with you about the purpose for
taking your new or changed prescription medicines?




13.






In the last 2 months of care, did you take any new
prescription medicine or change any of the medicines
you were taking?



12.

Never
Sometimes
Usually
Always
I only had one provider in the last 2 months of care

In the last 2 months of care, did you and a home health
provider from this agency talk about pain?



11.

HHCAHPS Survey, proposed version

Yes
No

4.




Yes
No

HHCAHPS Survey, current version

15.

16.

18.

19.

8.

9.

Never

10.

Minor wording changes to
improve usability.

Minor wording changes to
improve usability.

Never
Sometimes
Usually
Always

In the last 2 months of care, how often did home
health staff from this agency treat you with courtesy
and respect?


Minor wording changes to
improve usability.

Never
Sometimes
Usually
Always

In the last 2 months of care, how often did home
health staff from this agency listen carefully to you?





Minor wording changes to
improve usability.

Never
Sometimes
Usually
Always

In the last 2 months of care, how often did home
health staff from this agency explain things in a way
that was easy to understand?





0F

Never
Sometimes
Usually
Always

In the last 2 months of care, how often did home
health staff from this agency treat you with care – for
example, when moving you around or changing a
bandage?





Never
Sometimes
Usually
Always

In the last 2 months of care, how often did home health
providers from this agency treat you with courtesy and
respect?


7.

Summary of Changes 1

I don’t know
I don’t take any medicines

In the last 2 months of care, how often did home
health staff from this agency keep you informed about
when they would arrive at your home?





Never
Sometimes
Usually
Always

In the last 2 months of care, how often did home health
providers from this agency listen carefully to you?





5.

Never
Sometimes
Usually
Always

In the last 2 months of care, how often did home health
providers from this agency explain things in a way that
was easy to understand?








Never
Sometimes
Usually
Always

In the last 2 months of care, how often did home health
providers from this agency treat you as gently as
possible?





17.

I did not take any new prescriptions medicines or
change any medicines

In the last 2 months of care, how often did home health
providers from this agency keep you informed about
when they would arrive at your home?





HHCAHPS Survey, proposed version

Never

Minor wording changes to
improve usability.

HHCAHPS Survey, current version




HHCAHPS Survey, proposed version

Sometimes
Usually
Always

N/A




11.

N/A

12.

N/A

13.

We want to know your rating of your care from this
agency’s home health providers. Using any number
from 0 to 10, where 0 is the worst home health care
possible and 10 is the best home health care possible,
what number would you use to rate your care from this
agency’s home health providers?



0 Worst home health care possible
1

14.

Yes
No
I don’t know
I did not want or need this

In the last 2 months of care, how often have the
services you received from this agency helped you
take care of your health?





20.

Never
Sometimes
Usually
Always

In the last 2 months of care, did home health staff
from this agency provide your family or friends with
information or instructions about your care as much
as you wanted?





Never
Sometimes
Usually
Always

We want to know your rating of your care from this
agency’s home health staff. Using any number from 0
to 10, where 0 is the worst home health care possible
and 10 is the best home health care possible, what
number would you use to rate your care from this
agency’s home health staff?



0F

Sometimes
Usually
Always

In the last 2 months of care, how often did you feel
that home health staff from the agency cared about
you as a person?





Summary of Changes 1

0 Worst home health care possible
1

New item identified as
important by HHAs and
consumers based on
stakeholder feedback. The
mode experiment data
showed it psychometrically fit
into an existing HHCAHPS
multi-item measure.

New item identified as
important by HHAs and
consumers based on
stakeholder feedback. The
mode experiment data
showed it psychometrically fit
into an existing HHCAHPS
multi-item measure
New item identified as
important by HHAs and
consumers based on
stakeholder feedback. The
mode experiment data
showed it psychometrically fit
into an existing HHCAHPS
multi-item measure
Minor wording changes to
improve usability.

HHCAHPS Survey, current version









21.

22.

16.

Minor wording changes to
improve usability.

Minor wording changes to
improve usability.

Yes
No

N/A

Item removed to reduce
respondent burden.

N/A

Item removed to reduce
respondent burden.

Would you recommend this agency to your family or
friends if they needed home health care?

No changes to question
wording.

Same day
1 to 5 days
6 to 14 days
More than 14 days
I did not contact this agency

Yes
No

Would you recommend this agency to your family or
friends if they needed home health care?


0F

Yes
No

When you contacted this agency’s office, did you get
the help or advice you needed?



Yes
No
I did not contact this agency

Summary of Changes 1

2
3
4
5
6
7
8
9
10 Best home health care possible

Have you contacted this agency’s office for help or
advice?



In the last 2 months of care, did you have any problems
with the care you got through this agency?



25.

15.

When you contacted this agency’s office, how long did it
take for you to get the help or advice you needed?






24.











Yes
No

In the last 2 months of care, when you contacted this
agency’s office did you get the help or advice you
needed?




23.

2
3
4
5
6
7
8
9
10 Best home health care possible

In the last 2 months of care, did you contact this
agency’s office to get help or advice?



HHCAHPS Survey, proposed version

Definitely no

17.



Definitely no

HHCAHPS Survey, current version



26.

27.

29.





30.

20.

8th grade or less
Some high school, but did not
graduate
High school graduate or GED
Some college or 2-year degree
4-year college graduate
More than 4-year college degree






American Indian or Alaska

22.

No changes to question
wording.

No changes to question
wording.

No changes to question
wording.

No changes to question
wording.

8th grade or less
Some high school, but did not
graduate
High school graduate or GED
Some college or 2-year degree
4-year college graduate
More than 4-year college degree

N/A

Question was merged with
Q22.

What is your race or ethnicity? Please mark one or
more.

Additional response
categories added.

Yes
No

What is your race? Please select one or more.


Yes
No

What is the highest grade or level of school that you
have completed?



0F

Excellent
Very good
Good
Fair
Poor

Do you live alone?



21.

Excellent
Very good
Good
Fair
Poor

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

Are you Hispanic or Latino/a?



31.

19.

Summary of Changes 1

Probably no
Probably yes
Definitely yes

In general, how would you rate your overall health?






Yes
No

What is the highest grade or level of school that you
have completed?



18.

Excellent
Very good
Good
Fair
Poor

Do you live alone?







Excellent
Very good
Good
Fair
Poor

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

28.

Probably no
Probably yes
Definitely yes

In general, how would you rate your overall health?






HHCAHPS Survey, proposed version

HHCAHPS Survey, current version





32.

33.

23.

24.

Read the questions to me
Wrote down the answers I gave
Answered the questions for me
Translated the questions into my language
Helped in some other way (open end)
No one helped me complete this survey

25.

English
Spanish
Some other language (open end)

Did someone help you complete this survey?



Yes
No

How did that person help you?







Summary of Changes 1
0F

American Indian or Alaska Native
Asian
Black or African American
Hispanic or Latino
Middle Eastern or North African
Native Hawaiian or Pacific Islander
White

What language do you mainly speak at home?




Yes
No

How did that person help you?















English
Spanish
Some other language (open end)

Did someone help you complete this survey?



34.

Native
Asian
Black or African American
Native Hawaiian or other Pacific Islander
White

What language do you mainly speak at home?




HHCAHPS Survey, proposed version

Read the questions to me
Wrote down the answers I gave
Answered the questions for me
Translated the questions into my language
Helped in some other way (open end)
No one helped me complete this survey

No changes to question
wording.

No changes to question
wording.

No changes to question
wording.


File Typeapplication/pdf
File TitleTable of Updates
AuthorCMS
File Modified2025-10-29
File Created2025-10-29

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