The CG-CAHPS Survey item and composites are often reported using a top box scoring method. The top box score refers to the percentage of patients whose responses indicated that they "always" received the desired care or service for a given measure.

The top box numerator for the Overall Rating of Provider is the number of respondents who answered 9 or 10 for the item, with 10 indicating "Best provider possible".

The measure's denominator is the number of survey respondents. The target populations for the surveys are patients who have had at least one visit to the selected provider in the target 6-month time-frame. This time-frame is also known as the look back period. The sampling frame is a person-level list and not a visit-level list.

Among eligible respondents, for a given item, respondents with a missing response is excluded. Among eligible respondents, for a composite measures, respondents who did not answer at least one item in the composite are excluded from the composite measure's denominator.

Statistical risk model

Clinician: Group/Practice

Instrument-Based data

National Quality Forum 2022 Key Rural Measures: An Update List of Measures to Advance Rural Health Priorities, Draft 1, page 1-26

Download from: www.qualityforum.org/Publications/2022/08/2022KeyRural_Measures__An_Updated_List_of_Measures_to_Advance_Rural_Health_Priorities.aspx

Measure description: mdinteractive.com/mipsqualitymeasure/2023-mips-quality-measure-321

Technical Specifications: p4qm.org/measures/0005