About Health Quality Alberta
Health Quality Alberta is a provincial agency that brings together patients, families, and our partners from across healthcare and academia to inspire improvement in patient safety, person-centred care, and health service quality. We assess and study the healthcare system, identify effective practices, and engage with Albertans to gather information about their experiences. Our responsibilities are outlined in the Health Quality Council of Alberta Act.
DOCUMENT COPYRIGHT
The Primary Care Patient Experience Survey Report is intended to provide meaningful, actionable information to primary care providers on their patients’ experiences.
| ————— | Sample Provider | Alberta |
|---|---|---|
| Respondents | 184 | 5,004 |
| Eligible | 700 | 25,647 |
| Percent | 26.3% | 19.5% |
Note: The provider results are presented separately and are not included in the comparator results. This distinction ensures a clearer analysis by isolating the primary findings from comparative data.
Patient experience measures - positive response
** Provincial Schedule B measure rating
| Age: _______________________ | Sample Provider | Alberta |
|---|---|---|
| 16 to 24 | 1.6% | 3.8% |
| 25 to 34 | 6% | 8.9% |
| 35 to 44 | 14.8% | 17% |
| 45 to 54 | 17% | 15.6% |
| 55 to 64 | 27.5% | 22.9% |
| 65 to 74 | 22.5% | 22.5% |
| 75 or older | 10.4% | 9.4% |
| Gender identity: _____________ | Sample Provider | Alberta |
|---|---|---|
| Woman | 55.2% | 63.7% |
| Man | 44.2% | 34.4% |
| Transgender | 0% | 0.5% |
| Non-binary | 0.6% | 1% |
| I prefer to self-describe | 0% | 0.3% |
| Financial situation: __________ | Sample Provider | Alberta |
|---|---|---|
| Poor | 2.8% | 2.2% |
| Very tight | 5.1% | 4.4% |
| Tight | 21.3% | 13.3% |
| Modestly comfortable | 30.3% | 28% |
| Comfortable | 30.9% | 36.9% |
| Very comfortable | 9.6% | 15.2% |
| Length seeing provider: ____ | Sample Provider | Alberta |
|---|---|---|
| Less than 6 mths | 2.2% | 13.8% |
| At least 6 mths but less than 1 yr | 3.3% | 9.8% |
| At least 1 yr but less than 3 yrs | 3.9% | 15.6% |
| At least 3 yrs but less than 5 yrs | 1.7% | 10.3% |
| 5 yrs or more | 89% | 50.5% |
Positive response is ‘Very good’ or ‘Excellent’
Positive response is an 8, 9, or 10
Positive response is ‘Most of the time’ or ‘Always’
Positive response is ‘Very good’ or ‘Excellent’
Positive response is ‘Most of the time’ or ‘Always’
Positive response is ‘Most of the time’ or ‘Always’
Physician Practice Improvement Program (PPIP) - CPSA-PPIP FACT SHEET
You can use the template below to create an action plan for a personal development quality improvement project.
1. What results indicate there might be an opportunity? What would you like to improve based on the patient experience survey results? Write your aim statement (how much?, by when?)Clinic rating (Schedule B)
Provider rating
Health Quality Alberta is an independent organization legislated under Health Quality Alberta Act, with a mandate to survey Albertans on their experience and satisfaction with patient safety and health service quality.
Health Quality Alberta’s Primary Care Patient Experience survey (PCPE) uses a questionnaire developed by Health Quality Alberta, originally adapted from the Consumer Assessment of Healthcare Providers and Services (CAHPS®) Clinician & Group Survey version 3 (CAHPS-CG). The CAHPS-CG survey is a 31-question self-report tool that assesses the experience of care with a primary care physician. Selection of the CAHPS survey came after an extensive review of existing English-language patient experience surveys widely available in Canada.
Health Quality Alberta conducted an initial pilot test of the CAHPS-CG survey in 2016. Analysis of the pilot test showed a number of areas in which the survey had not performed as well as hoped. For example, responses from patients were overwhelmingly positive, so much so that a four-point word anchored response scale (Always/usually/sometimes/never) could not sufficiently differentiate between patient experiences. Health Quality Alberta worked with patients and clinicians to modify the CAHPS® survey to best suit the needs of Albertans and stakeholders (see below for the questionnaire).
To modify the survey for the Alberta context Health Quality Alberta partnered with the Department of Family Medicine at the University of Calgary Cumming School of Medicine to interview patients. Interviews were conducted with 66 patients at two large, urban primary care clinics operated by the Department of Family Medicine. Both clinics serve extremely diverse populations, with wide variations in education, income, and ethnicities. Patients were interviewed to ensure that question topics were relevant to them, that the question wording was easy to understand, and that the response options reflect natural responses. Stakeholders then provided feedback on the questionnaire to ensure that it met their needs. For example, patients had told us that co-location of primary care services was important to them (that is, having multiple members of their healthcare team in a single location). However, when this was discussed with stakeholders they indicated that it often was not feasible, or was out of their control, to have co-located services. Therefore, questions regarding co-location were removed. In addition, some topics of importance to stakeholders, such as required reporting measures for Primary Care Networks, were also added.
Clinic staff are provided a script to request a patient’s email address when the patient checks in for their visit (see Appendix III for the script). If a patient agrees to provide their email address, staff enter it into a web form, along with the name of the physician being seen on that date. The form feeds directly into a survey software database, which two hours later automatically sends an invitation to complete the survey. Only patients age 16 or older were included.
In any instance where the total number of respondents to a given question is less than three (N = 1 or 2), but greater than zero, the responses will be suppressed. This maintains respondent confidentiality. For a complete description of the methodological details that contributed to the design of the survey procedures and questionnaire please contact Health Quality Alberta.
For the complete survey questionnaire visit HQA_PCPE_sample
For more information about the survey visit Surveying Patients About Primary Care Experience