Experience of Care and Health Outcomes Survey, CAHPS Version 3.0 (ECHO)
Overview
- Purpose
- Assess experience with behavioral health care and services
- Respondent
- Person with a Disability
- Administration Method
- Interview
- Administration Mode
- In-person
- Developer
- CAHPS
- Item Count
- 63
- Population
- Mental Health Challenges
Instrument Citation(s)
ECHO Managed Care Organization (MCO) Survey and Instructions
Download ECHO Managed Care Organization (MCO) Survey and Instructions. Content last reviewed March 2016. Agency for Healthcare Research and Quality, Rockville, MD.
http://www.ahrq.gov/cahps/surveys-guidance/echo/instructions/mcosurveylist.html
ECHO Managed Behavioral Health Care Organization (MBHO) Survey and Instructions
Download ECHO Managed Behavioral Health Care Organization (MBHO) Survey and Instructions. Content last reviewed June 2016. Agency for Healthcare Research and Quality, Rockville, MD.
http://www.ahrq.gov/cahps/surveys-guidance/echo/instructions/mbhosurveylist.html
Contents of the ECHO Survey and Reporting Kit 2004.
https://www.ahrq.gov/sites/default/files/wysiwyg/cahps/surveys-guidance/echo/about/21_contents_echo_kit.pdf 
Get ECHO Surveys and Instructions. Content last reviewed March 2016. Agency for Healthcare Research and Quality, Rockville, MD. http://www.ahrq.gov/cahps/surveys-guidance/echo/instructions/index.html
Instrument Domains
| Domain | Number of Items |
|---|---|
| Equity | 1 |
| Equitable access and resource allocation | 1 |
| Availability | 0 |
| Transparency and consistency | 0 |
| Holistic Health and Functioning | 10 |
| Individual health and functioning | 10 |
| Health promotion and prevention | 0 |
| Human and Legal Rights | 7 |
| Freedom from abuse and neglect | 1 |
| Informed decision-making | 4 |
| Optimizing the preservation of legal and human rights | 1 |
| Privacy | 1 |
| Supporting individuals in exercising their human and legal rights | 0 |
| Person-Centered Planning and Coordination | 1 |
| Assessment | 1 |
| Coordination | 0 |
| Person-centered planning | 0 |
| Service Delivery and Effectiveness | 3 |
| Delivery | 1 |
| Person's needs met and goals realized | 2 |
| Workforce | 6 |
| Culturally competent | 1 |
| Person-centered approach to services | 5 |
| Adequately compensated with benefits | 0 |
| Demonstrated competencies when appropriate | 0 |
| Safety of and respect for the worker | 0 |
| Staff Turnover | 0 |
| Sufficient workforce numbers dispersion and availability | 0 |
| Workforce engagement and participation | 0 |
| Caregiver Support | 0 |
| Access to resources | 0 |
| Family caregiver/natural support involvement | 0 |
| Family caregiver/natural support wellbeing | 0 |
| Training and skill-building | 0 |
| Choice and Control | 0 |
| Choice of services and supports | 0 |
| Personal choices and goals | 0 |
| Personal freedoms and dignity of risk | 0 |
| Self-direction | 0 |
| Community Inclusion | 0 |
| Employment | 0 |
| Meaningful activity | 0 |
| Resources and settings to facilitate inclusion | 0 |
| Social connectedness and relationships | 0 |
| Transportation | 0 |
| Consumer Leadership in System Development | 0 |
| Evidence of meaningful caregiver involvement | 0 |
| Evidence of meaningful consumer involvement | 0 |
| System supports meaningful consumer involvement | 0 |
| Fluctuation of Need | 0 |
| Level of Caregiver Well-Being | 0 |
| System Performance and Accountability | 0 |
| Data management and use | 0 |
| Evidence-based practice | 0 |
| Financing and service delivery structures | 0 |
Psychometric Citation
Beebe, T.J., Harrison, P.A., McRae, J.A., & Asche, S.E. (2003). Evaluating Behavioral Health Services in
Minnesota’s Medicaid Population Using the Experience of Care and Health Outcomes (ECHO)
Survey. Journal of Health Care for the Poor and Underserved, 14(4), 608-621.- Type of Publication
- Peer review
- Instrument Language
- English
- Sample: Age (Mean and Range)
18-34 (46%);
35-54 (45%);
55+ (9%)- Sample: Age Group
18-64 Years
- Sample: Countries/State
Minnesota
- Sample: Disability Type
Not Reported
- Sample: Gender (%male)
13%
- Sample: Race/Ethnicity (%)
White 77%, African American 5%, Asian 4%, American Indian 3%, Hispanic 4%, Other 7%
- Sample: Sampling Strategy
Random sampling
- Sample: Size
885
- Reliability: Internal Consistency
Cronbach’s Alpha for Access to Treatment (ɑ=0.84);
Cronbach’s Alpha for Communication With Clinicians (ɑ=0.86);
Cronbach’s Alpha for Functional Improvement (ɑ=0.89);
Cronbach’s Alpha for Effect of Treatment (ɑ=0.85)- Study design
- Cross-sectional
States Using This Instrument
Waivers Associated with This Instrument
- North Carolina: