CAHPS® and HCAHPS® surveys for healthcare quality improvement

Measure, benchmark, and improve patient experience with standardized CAHPS surveys.

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Is your healthcare, dental, or insurance organization delivering the care your patients actually experience as excellent? How do you know? And how do you turn that feedback into measurable improvement?

The Consumer Assessment of Healthcare Providers and Systems (CAHPS®) program is a standardized way to capture and compare patient experience across plans, providers, and facilities. Created by the Agency for Healthcare Research and Quality (AHRQ) and used by the Centers for Medicare & Medicaid Services (CMS) for public reporting, CAHPS surveys help benchmark satisfaction and quality nationwide.

The Hospital CAHPS (HCAHPS®) survey uses the same framework for inpatient care, providing hospitals with consistent measures for communication, responsiveness, and overall experience. Comparing your HCAHPS results with national data shows exactly where to focus improvement efforts.

This guide breaks CAHPS down into clear, practical steps. You’ll learn what each survey measures, how HCAHPS fits into the regulatory picture, and how to turn patient feedback into faster, more focused improvement.

CAHPS® (Consumer Assessment of Healthcare Providers and Systems) surveys are a standardized tool to measure patient experience across outpatient and inpatient settings. Developed and overseen by AHRQ’s CAHPS Consortium, these surveys ask patients or enrollees to evaluate their experiences with health plans, clinicians, and healthcare facilities using measures they identify as meaningful, such as communication, access, and care coordination.

Each CAHPS® survey uses standardized, validated questions that ask patients to rate specific aspects of their experience: communication with providers, access to care, coordination, and other domains that matter most to them.

Depending on the instrument, CAHPS can be fielded by health plans, provider organizations, or facilities and used by federal and state agencies for public reporting, oversight, and quality improvement. For example, CMS implements HCAHPS (the hospital instrument) for public reporting and value-based purchasing; other CAHPS surveys inform plan quality programs and databases managed by AHRQ.

A consistent, validated way to hear the patient’s voice lets you compare performance over time and against peers—and link improvements to outcomes that shoppers and regulators can see. SurveyMonkey makes the operational side—design, sending, and analysis—straightforward, so your team can focus on decisions.

HCAHPS is the national, standardized survey of adult inpatient hospital experience. Scores are used for public reporting on Medicare’s Care Compare and are incorporated into payment programs, so accuracy and timeliness matter. CMS maintains the survey, technical specs, and approved vendor list; AHRQ points hospital users to the CMS hub.

To stay current on official program details, start at the CMS HCAHPS page for design, modes, vendor information, and updates. For modernization details—including the Updated HCAHPS Survey effective for discharges January 1, 2025 forward—see HCAHPS Online.

Treat HCAHPS as your standardized benchmark, then rely on SurveyMonkey to run real-time pulse checks (e.g., post-discharge or unit-level) to test fixes before the next reporting cycle. This strategy ensures your patients’ voices are heard and utilized to make better decisions in the long run.

Below are five expert-certified CAHPS® templates you can preview and adapt. Use them to practice setup, test workflows, or complement your formal CAHPS program with additional, non-program feedback. Each template includes pre-built CAHPS® survey questions that follow AHRQ’s design standards, so you can field credible patient-experience measures without rewriting items from scratch.

TemplateAudience and settingUse caseWhat you’ll see in the preview
CAHPS® Health Plan Survey 5.0 (Adult)Adult plan enrollees (commercial, Medicaid, Medicare)Running a plan-level pulse or dry run; exploring enrollee experience across coverage and supportCore domains such as getting needed care, customer service, and plan ratings; ready-to-use question wording that benchmarks against regional and national providers
CAHPS® Clinician & Group Survey 3.0 (Adult)Adult patients in ambulatory or primary care settingsEvaluating provider communication and service quality over a 12-month periodItems covering access, coordination, and courtesy; designed for longitudinal or annual measurement
CAHPS® Clinician & Group Survey with PCMH items 3.0 (Adult)Adult patients in Patient-Centered Medical Home (PCMH) practicesAssessing how team-based care, coordination, and access align with PCMH model elementsExpanded CAHPS domains with added items on shared decision-making, follow-up, and continuity of care
CAHPS® Hospital (HCAHPS®) Survey (Adult) (updated January 2019)Inpatient hospital staysMeasuring communication, responsiveness, and overall hospital experienceStandardized items approved by CMS and AHRQ; built-in benchmarks for comparing results across hospitals in your region or nationwide
CAHPS® Child Hospital SurveyPediatric inpatient care settingsMeasuring communication, safety, and comfort for hospitalized children and their familiesStandardized items for pediatric experiences, including interactions with nurses and physicians and environment of care; filter results by demographics to uncover group differences
CAHPS® Clinician & Group Survey 3.0 (Child)Parents, guardians, or caregivers of pediatric patientsEvaluating quality and communication in pediatric care; comparing across age groups or time periodsItems on provider communication, follow-up, and consistency of care from the parent or guardian perspective

Our intuitive setup, backed by CAHPS research standards, helps you collect and compare high-quality feedback quickly. Use one of our CAHPS online templates to survey your patients or clients, and then benchmark your practice or plan.

If you’re not sure which survey fits your setting, use this quick reference as a guide. Every instrument below was developed or approved by the CAHPS Consortium under AHRQ leadership and, where noted, administered by CMS. Each survey includes its own set of standardized CAHPS® survey questions tailored to the care setting it measures.

  • CAHPS® Health Plan Survey (Adult): Designed for health plan enrollees across commercial, Medicaid, and Medicare programs. It measures how easy it is for members to get needed care, reach customer service, and navigate their benefits.
  • CAHPS® Clinician & Group Survey (Adult): Intended for outpatient and primary care settings. It captures patient experiences with provider communication, access, and courtesy over a 12-month period.
  • CAHPS® Clinician & Group Survey with PCMH items (Adult): Adds questions about team-based care, follow-up, and coordination aligned with the Patient-Centered Medical Home (PCMH) model.
  • CAHPS® Hospital (HCAHPS®) Survey (Adult): Used for adult inpatient stays. It measures communication, responsiveness, and overall hospital experience. Results are publicly reported on CMS Care Compare and can influence both reputation and reimbursement.
  • CAHPS® Child Hospital Survey: Focused on pediatric inpatient experiences. It gathers feedback from children and their families about provider communication, comfort, and environment of care, and supports benchmarking among children’s hospitals.
  • CAHPS® Clinician & Group Survey (Child): Designed for pediatric outpatient settings. It collects input from parents or caregivers about communication, access, and follow-up in child-focused care.
  • Hospice CAHPS: Used by hospice programs to collect caregiver feedback. It captures perceptions of compassion, communication, and support during end-of-life care.
  • OAS CAHPS / ASC CAHPS: Designed for outpatient and ambulatory surgery centers. It measures pre- and post-procedure communication, comfort, and the overall facility experience.

Regular patient feedback, combined with the feedback collected from other providers in your region, gives you a powerful way to benchmark care quality and customer service over time. Field surveys in ways that encourage participation and build trust to ensure the data you collect is both reliable and comparable.

  • Use plain, patient-friendly invite language that explains the purpose of the survey, confirms voluntary participation, and briefly describes privacy protections. AHRQ’s design and administration guidance covers sampling, survey modes, and tracking methods to help you maintain consistent results.
  • When sending surveys, follow the instrument-specific sampling windows and include a few reminders to minimize nonresponse bias. For plan audiences, check the Medicaid/CHIP CAHPS Fact Sheet for current versions, reporting requirements, and submission timelines.
  • If you’ll handle PHI, review the SurveyMonkey HIPAA materials and Trust Center resources. Enterprise plans can be HIPAA-enabled with a BAA; the help article explains how HIPAA applies to your workflow. Link internal standard operating procedures (SOPs) to your collector and export settings so every team follows the same playbook.

HCAHPS® results are published for consumers on Medicare Care Compare and incorporated into Medicare payment programs. For plan instruments, AHRQ maintains CAHPS databases that accept submissions and generate comparative reports. Use these benchmarks to set clear targets and identify gaps your local teams can close through quality improvement efforts.

Here is a simple framework for improving CAHPS® results:

  1. Collect: Run the appropriate CAHPS instrument and, if needed, a short pulse survey for faster feedback.
  2. Analyze: Segment by service line, language, or visit type to find meaningful patterns.
  3. Prioritize: Identify a small set of focus areas (communication, discharge, access) and track those closely. AHRQ’s program pages outline the principles behind these domains.
  4. Train and standardize: Turn findings into consistent scripts, checklists, and quick huddles.
  5. Measure again: Use monthly pulse surveys to verify change while waiting for the next official cycle.

SurveyMonkey makes improvement easier. Use automated reminders, role-based data access, and built-in filters and trend charts to see changes quickly and keep QI teams moving faster between survey cycles.

Still sorting out the details? These quick answers clear up common questions about CAHPS, HCAHPS, and where to find official survey information.

  • How do I know if a CAHPS® survey is official?
  • CAHPS® vs. HCAHPS®: Are they the same?
  • Who approves an official CAHPS® survey?
  • Where can I see HCAHPS® scores?

SurveyMonkey is designed to help you collect protected health information securely while keeping workflows simple and compliant. Organizations regulated by HIPAA can use SurveyMonkey to gather health and well-being data under a Business Associate Agreement (BAA).

With enterprise features, you can limit access by role, restrict exports with governance controls, and avoid capturing unnecessary identifiers in free-text fields—so you protect privacy and maintain compliance without extra complexity.

You can find templates, privacy help-center articles, and a contact path for enterprise reviews in the SurveyMonkey Trust Center and product pages.

CAHPS® and HCAHPS® surveys turn patient feedback into clear, comparable insights you can use to raise quality and satisfaction. With SurveyMonkey, you can start fast, stay compliant, and keep every response secure.

Preview a CAHPS® template to explore ready-made question sets, set up your collectors and roles, and start capturing reliable patient experience data right away.

Get started free to launch your survey today, or visit the SurveyMonkey Trust Center for HIPAA-enabled enterprise options that make quality improvement and compliance effortless.

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