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2021 MIPS IA_PSPA_11: Participation in CAHPS or other supplemental questionnaire

Activity ID


Activity Weighting


Subcategory Name

Patient Safety and Practice Assessment

Activity Description

Participation in the Consumer Assessment of Healthcare Providers and Systems Survey or other supplemental questionnaire items (e.g., Cultural Competence or Health Information Technology supplemental item sets).


Gather standard, objective data on patient experience and satisfaction, ultimately using them to make care more patient-centered.

Suggested Documentation

Evidence of participation in the Consumer Assessment of Healthcare Providers and Systems (CAHPS) or other supplemental questionnaire. Include at least one of the following elements:

1) CAHPS – CAHPS participation report; OR
2) Other patient supplemental questionnaire items – Other supplemental patient experience questionnaire items (must be administered by a third-party administrator/vendor).

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