Supplemental Items for the CAHPS Clinician & Group Survey

This page lists the topics and supplemental items available for use with the CAHPS Clinician & Group Survey 3.0.

Please note: The CAHPS team is currently reviewing all supplemental items for the Clinician & Group Survey 3.0 to ensure that the items are relevant, consistent across surveys, not duplicative with core items, and in line with current CAHPS standards and approaches. Items will be added to this list as they are finalized.

Download supplemental items for the 2.0 version of the CAHPS Clinician & Group Survey.

For guidance on using supplemental items, refer to Preparing a Questionnaire Using the CAHPS Clinician & Group Survey (PDF - 323.11 KB)

Version: Adult

Topic: Access

• AC1. Number of days wait for urgent care appointment
• AC2. Number of days wait for routine care appointment
• AC3. Patient needed care during evenings, weekends, or holidays
• AC4. Patient got needed care from provider’s office during evenings, weekends, or holidays
• AC5. Patient contacted provider’s office after hours
• AC6. Patient got answer to medical question as soon as needed when contacted provider’s office after hours
• AC7. Patient needed care from provider’s office after regular office hours
• AC8. Patient got needed care from provider’s office after regular office hours
• AC9. Patient saw provider within 15 minutes of appointment time
• AC10. Patient was informed about length of wait time at provider’s office after checking in for appointment

Review the full item wording, response options, and instruction. (Supplemental Access Items for the Adult Survey: English: Word - 31.2 KB)

Topic: Patient-Centered Medical Home

Read about the Patient-Centered Medical Home Item Set.

• PCMH1. Patient got information about what to do if care is needed on evenings, weekends, or holidays
• PCMH2. Patient saw a specialist for a particular health problem
• PCMH3. Provider seemed informed and up-to-date about care from specialists
• PCMH4. Someone from provider’s office talked with patient about specific health goals
• PCMH5. Someone from provider’s office asked if there were things that made it hard for patient to take care of health
• PCMH6. Someone from provider’s office talked about worrying/stressful aspects of patient’s life

Review the full item wording, response options, and instruction. (Supplemental Patient-Centered Medical Home Items for the Adult Survey: English: Word - 29.84 KB)

Version: Child 

Topic: Access

• AC1. Number of days wait for urgent care appointment
• AC2. Number of days wait for routine care appointment
• AC3. Child needed care during evenings, weekends, or holidays
• AC4. Child got needed care from provider’s office during evenings, weekends, or holidays
• AC5. Respondent contacted provider’s office after hours
• AC6. Respondent got answer to medical question as soon as needed when contacted provider’s office after hours
• AC7. Child needed care from provider’s office after regular office hours
• AC8. Child got needed care from provider’s office after regular office hours
• AC9. Child saw provider within 15 minutes of appointment time
• AC10. Respondent was informed about length of wait time at provider’s office after checking in for appointment

Review the full item wording, response options, and instruction. (Supplemental Access Items for the Child Survey: English: Word - 31 KB)

Topic: Patient-Centered Medical Home

Read about the Patient-Centered Medical Home Item Set.

• PCMH1. Respondent got information about what to do if child needed care on evenings, weekends, or holidays
• PCMH2. Child saw a specialist for a particular health problem
• PCMH3. Provider seemed informed and up-to-date about care from specialists
• PCMH4. Respondent and provider talked about age-appropriate behaviors
• PCMH5. Respondent and provider talked about child’s physical development
• PCMH6. Respondent and provider talked about child’s moods and emotions
• PCMH7. Respondent and provider talked about injury prevention
• PCMH8. Respondent and provider talked about child’s eating habits
• PCMH9. Respondent and provider talked about child’s physical activity
• PCMH10. Respondent and provider talked about how child gets along with others

Review the full item wording, response options, and instruction. (Supplemental Patient-Centered Medical Home Items for the Child Survey: English: Word  - 30.72 KB)