American College Of Surgeons - Inspiring Quality: Highest Standards, Better Outcomes

NQF Endorsement of the CAHPS Surgical Care Survey

The National Quality Forum (NQF) endorsed the Consumer Assessment of Healthcare Providers and Systems (CAHPS®) Surgical Care Survey as a quality measure in May 2012. The NQF endorses quality measures through scientific and evidence-based review and a multistakeholder consensus development process with the aim of improving quality of care. Measures that are endorsed must meet NQF’s criteria, which include a rigorous review of the measure’s ability to make significant gains in health care quality, scientific acceptability, usability, feasibility, and reliability.

The following six composites and one single-item measure of the CAHPS Surgical Care Survey are used to assess a particular domain of surgical care quality from the patient’s perspective.

  • Measure 1: Information to help you prepare for surgery (2 items)
  • Measure 2: How well surgeon communicates with patients before surgery (4 items)
  • Measure 3: Surgeon’s attentiveness on day of surgery (2 items)
  • Measure 4: Information to help you recover from surgery (4 items)
  • Measure 5: How well surgeon communicates with patients after surgery (4 items)
  • Measure 6: Helpful, courteous, and respectful staff at surgeon’s office (2 items)
  • Measure 7: Rating of surgeon (1 item)

The CAHPS Surgical Care Survey is administered to adult patients (age 18 and older) having had a major surgery as defined by CPT codes (90-day globals) within 3 to 6 months prior to the start of the survey.

The measure is endorsed for clinician-level measurement for individual clinicians and group practices in the following settings: ambulatory surgery center, office, clinic, and hospital outpatient.

View the full measure specifications and access the NQF measure description.