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May 2 -- AHRQ invites public comment on its Request for Information (RFI) about a potential Consumer Assessment of Healthcare Providers and Systems (CAHPS®) survey to assess patient care experiences in inpatient mental healthcare settings. Specifically, this RFI seeks comment regarding methodologically sound survey and data collection approaches of care experiences of those receiving inpatient mental healthcare. In addition, this RFI seeks comments about any unique considerations or concerns associated with collection of such patient care experience information. There currently is no CAHPS instrument designed to measure care from the patient perspective in this setting. This request for information will help inform the development of a scientifically sound survey to measure the experience of patients receiving inpatient mental healthcare. Comments on this notice must be received by July 1, 2022.

AHRQ is seeking public comment about data collection approaches and strategies to optimize the meaningfulness of patient experience information from patients receiving inpatient mental healthcare to inform the development of a CAHPS survey. AHRQ's CAHPS Program advances scientific understanding of patient healthcare experiences using surveys developed for different healthcare settings. The CAHPS surveys cover topics that are important to patients and that they are best able to assess, such as communication with providers and access to health care services. This information can address the information needs of survey sponsors, users, patients, consumers, and other stakeholders.

Specific questions of interest to AHRQ include, but are not limited to, the following:

1. What are the highest priority aspects of patient experiences with inpatient mental healthcare that should be included in measures and surveys?

a. Why are these aspect(s) of patient experience a high priority for inclusion within assessment tools?

b. What other topic area(s) should new measures and/or surveys assessing patient experiences with inpatient mental healthcare address?

2. What are the benefits of collecting information about the experience of patients in inpatient mental health settings from (a) patients and/or (b) patients' family members/caregivers?

a. What are the benefits and/or limitations of asking patients to respond to a patient experience of care survey?

b. What are the benefits and/or limitations of asking family members/caregivers to respond to surveys about patient experience on behalf of patients?

c. What are the benefits and/or limitations of asking family members/caregivers to respond to surveys about their personal experience with their family member?

3. What, if any, challenges are there to collecting information about the experience of patients in inpatient mental health settings?

4. What would facilitate the collection of information about the experience of patients in inpatient mental health settings?

5. For which respondent group(s) should measures and/or surveys be developed? For example, should measure and/or surveys be developed for adults, children, or both?

a. In which language(s) should measures and/or surveys about the experience of patients in inpatient mental health settings be administered?

b. Which patient conditions (e.g., personality disorders; depression; schizophrenia; substance use disorder; co-occurring disorders (e.g., mental health and substance use disorders; etc.)) should these measures and/or surveys focus on in documenting the experience of patients in inpatient mental health settings?

c. In what kinds of inpatient facilities, including public and private psychiatric hospitals, nonfederal general hospitals with separate psychiatric units, the U.S. Department of Veterans Affairs medical centers, and day treatment or partial hospitalization mental health facilities should these measures and/or surveys be administered?

6. What measures and surveys that assess the experience of patients in inpatient mental health settings are currently being used?

a. Which respondent group(s) (e.g., patients in inpatient settings; family members; providers; etc.) are asked to complete these measures and surveys?

b. In which language(s) are these current measures and surveys administered?

c. Which patient conditions (e.g., personality disorders; depression; schizophrenia; substance use disorder; co-occurring disorders; etc.) are the focus of current measures and surveys about the experience of patients in inpatient mental health settings?

d. What kinds of inpatient facilities including public and private psychiatric hospitals, nonfederal general hospitals with separate psychiatric units, the U.S. Department of Veterans Affairs medical centers, and day treatment or partial hospitalization mental health facilities are using these current measures or surveys?

e. What patient experiences relative to the use of restraint and seclusion in inpatient facilities are captured using these current measures or surveys?

f. Do any current measures or surveys collect information about the degree of adherence to patient rights in inpatient facilities?

g. How are these currently used measures and surveys administered (e.g., paper-and-pencil; web-based; etc.) to these respondents group(s)?

h. How are the results/findings of these measures and surveys of patient experience in inpatient mental healthcare used and in which setting(s)?

i. What is working well/what are the strengths of these measures and surveys currently in use?

j. What content areas are missing from these measures and surveys currently in use?

k. What content areas are low priority or not useful in these currently used measures and surveys, and why?

l. What, if any, challenges are there in administering these measures and surveys in current use?

m. How are the results/findings of these current measures and surveys used to evaluate and/or improve care quality in inpatient mental healthcare settings?

Respondents are welcome to address as many or as few of these questions as they choose and/or to address additional areas of interest not listed.
 
FRN: https://www.federalregister.gov/d/2022-09320

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