The CAHPS Nursing Home Survey: Family Member Instrument is a mail survey instrument to gather information on the experiences of family members of long stay (greater than 100 days) residents currently in nursing homes. The Centers for Medicare & Medicaid Services requested development of this questionnaire, which is intended to complement the CAHPS Nursing Home Survey: Long-Stay Resident Instrument and the Discharged resident Instrument. The Family Member Instrument asks respondents to report on their own experiences (not the resident’s) with the nursing home and their perceptions of the quality of care provided to a family member living in a nursing home. The survey instrument provides nursing home level scores on 4 topics valued by patients and families: (1) Meeting Basic Needs: Help with Eating, Drinking, and Toileting; (2) Nurses/Aides´ Kindness/ Respect Towards Resident; (3)Nursing Home Provides Information/Encourages Respondent Involvement; and (4) Nursing Home Staffing, Care of Belongings, and Cleanliness. In addition, the survey provides nursing home scores on 3 global items including an overall Rating of Care.
- Electronic Clinical Quality Measure (eCQM)Level Of AnalysisCare SettingNumerator
The following topics are measured for nursing homes from a family members persepctive:
Composite 1: Meeting Basic Needs – sum of applicable family member scores on 3 survey items (see codebook for points assigned to each response category) related to basic activities of daily living needs (help with eating, drinking, and toileting)
Composite 2: Nurses and Aides’ Kindness and Respect towards Resident - sum of applicable family member scores on 5 survey items
Composite 3: How Well the Nursing Home Provides Information and Encourages Family Involvement - sum of applicable family member scores on 6 survey items
Composite 4: Nursing Home Staffing, Care of Belongings, and Cleanliness - sum of applicable family member scores on 7 survey items
Global Items:
Global Rating of care item: sum of family member scores on 0 to 10 scale
Global item whether ever unhappy with nursing home care: sum of family member scores on item (see codebook for points assigned to each response category)
Global item whether respondent would recommend nursing home: sum of family member scores on item (see codebook for points assigned to each response category).DenominatorThe denominator is the total number of surveys for respondents that meet CAHPS completion standard and any applicable screener (discussed in details below).
ExclusionsWe exclude family member respondents (1) who are under age 18, (2) who did not visit the nursing home resident at least twice in 6 months, (3)whose resident was discharged, and (4)those with a resident who had been in the nursing home for less than or equal to 100 days. In addition, screener questions may reduce the denominator size – those questions with screeners are noted in 2a.8 above.
Testing Data Sources
- Measure StructureNon Condition SpecificTarget PopulationNational Quality Strategy PrioritiesPerson- and Family-Centered Care
- Risk Adjustment
- Current or planned use(s)Current Use(s)
- Most Recent Endorsement ActivityMeasure Retired and Endorsement Removed Person and Family-Centered Care Endorsement Maintenance ProjectInitial EndorsementEndorsement StatusLast UpdatedRemoval Date
- Steward Organization EmailSteward Organization Copyright
CAHPS® is a registered trademark of the Agency for Healthcare Research and Quality, U.S. Department of Health and Human Services. This CAHPS® questionnaire should be used without modification to the core set of questions. Supplemental questions may be added after the core set of questions and before the demographic question section. Please consult Guidelines for Modifying and Naming CAHPS Surveys at https://www.cahps.ahrq.gov/content/products/PROD_ModifySurveys.asp