At the Intersection of Patient Experience Data, Outcomes Research, and Practice: Analysis of HCAHPS Scores in Neurology Patients

Hanson, Kristine T.; Zalewski, Nicholas L.; Hocker, Sara E.; Caselli, Richard J.; Habermann, Elizabeth B.; Thiels, Cornelius A.

doi:10.1016/j.mayocpiqo.2018.03.007

Cited by 9 publications

(5 citation statements)

References 18 publications

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“…13 A mere glance at Figure 1 reveals the unique position of care transition among all SQ attributes. Based on that analysis, the SQ variable nurse communication achieves the closest position (nurse communication = 75.31; r = 0.822) to overall rating, as was previously described, 22,23 while the newly published HCAHPS measure care transition is solely positioned in quadrant IV (care transition = 46.27; r = 0.804). Thus, for providers and health care policy makers, care transition has the most potential for improvement, as compared to the other SQ attributes.…”

Section: Discussionmentioning

confidence: 60%

“…where OR represents the dependent variable overall rating, X 1 is the care transition scores, and X 2 is the interaction variable, having a value of 0 or 1. Finally, a key driver analysis 22 was conducted to identify composite attributes that are important drivers of overall rating. Such attributes are classified by a low SQ score on the one hand and being highly correlated with the overall rating score on the other.…”

Section: Methodsmentioning

confidence: 99%

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Does Care Transition Matter? Exploring the Newly Published HCAHPS Measure

2020

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In recent years, health care systems have undergone a consumer revolution—putting patients at the center. The study aim was to explore the association between care transition—the new measure proposed by the Hospital Consumer Assessment of Healthcare Providers and Systems (HCAHPS)—and hospital patients’ overall rating based on their experience, along with hospitals’ internal characteristics and operational attributes. Using HCAHPS and American Hospital Association published databases, the authors examined the association between hospital characteristics and measures of patient experience, focusing on the care transition measure, in 2350 US hospitals. Positive significant association was found between care transition and overall rating ( P < .0001). An interaction regression model revealed that each of the following moderators—teaching affiliation, location, and membership in a health system—significantly (all P < .05) strengthens the association between care transition and overall rating in a positive direction. These findings may help improve hospital rating, value-based payments, and patient-centered outcomes.

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Section: Discussionmentioning

confidence: 60%

Section: Methodsmentioning

confidence: 99%

Does Care Transition Matter? Exploring the Newly Published HCAHPS Measure

2020

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“…Of the 10 812 studies identified, 18 were included, describing 13 PREMs [6][7][8][9][10][11][12][13][14][15][16][17][18][19][20][21][22][23] (Figure ; Table II in the Data Supplement). Two PREMs, Consumer Quality Index: Cerebrovascular Accident (CQI-CVA) 16 and Riksstroke, 13 had been developed for stroke care.…”

Section: Resultsmentioning

confidence: 99%

Patient-Reported Experience Measures in Stroke Care

Cornelis¹,

Hartog

Bastemeijer

et al. 2021

Stroke

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Background and Purpose: Patient-reported experience measures (PREMs) assess patients’ perception of health care. We aimed to identify all reported PREMs for stroke care and critically appraise psychometric properties of PREMs validated for patients with stroke. Methods: Studies on the development, validation, or utilization of PREMs for adult patients with stroke were systematically identified. The Consensus-Based Standards for the Selection of Health Measurement Instruments criteria were used to appraise psychometric performance. Results: We included 18 studies, examining 13 PREMs. Two PREMs had been developed for stroke care: Consumer Quality Index: Cerebrovascular Accident and Riksstroke. Consumer Quality Index: Cerebrovascular Accident was given a positive psychometric assessment, but its length and limited language applicability impede clinical implementation. Riksstroke was appraised as doubtful. Eleven PREMs were generic. The psychometric performance of 5 generic PREMS, validated for patients with stroke, received conflicting assessments. Six generic PREMs had not been validated in patients with stroke and were therefore not assessed for instrument performance. Conclusions: Thirteen PREMs have been published for use in stroke care. The stroke-specific Consumer Quality Index: Cerebrovascular Accident has favorable psychometric performance but lacks practical feasibility. Other PREMs have inadequate or unknown psychometric properties. This indicates the need for developing stroke-specific PREMs to support quality improvement and enhance patient-centered care.

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“…Due to the risk of acquiescence bias (the tendency for survey respondents to select positive response options) [13], we focused our reporting of agreement on the percentage of respondents who selected "strongly agree", thus actively indicating a strong preference in favor of each recommendation. As clinicians' level of support for a clinical practice guideline has been associated with their adherence to guidelines in practice [14,15], this type of top-box analysis-used often in patient experience surveys [16][17][18]-may best predict clinicians' real-world behavior. We calculated 95% confidence intervals for the percentages of respondents who strongly agreed with each recommendation; average margin of error across all recommendation was 12.7% (Supplementary Information).…”

Section: Discussionmentioning

confidence: 99%

Awareness and agreement with neurofibromatosis care guidelines among U.S. neurofibromatosis specialists

Merker

Knight

Radtke

et al. 2022

Orphanet J Rare Dis

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Introduction The neurofibromatoses (NF) are a group of rare, genetic diseases sharing a predisposition to develop multiple benign nervous system tumors. Given the wide range of NF symptoms and medical specialties involved in NF care, we sought to evaluate the level of awareness of, and agreement with, published NF clinical guidelines among NF specialists in the United States. Methods An anonymous, cross-sectional, online survey was distributed to U.S.-based NF clinicians. Respondents self-reported demographics, practice characteristics, awareness of seven NF guideline publications, and level of agreement with up to 40 individual recommendations using a 5-point Likert scale. We calculated the proportion of recommendations that each clinician rated “strongly agree”, and assessed for differences in guideline awareness and agreement by respondent characteristics. Results Sixty-three clinicians (49% female; 80% academic practice) across > 8 medical specialties completed the survey. Awareness of each guideline publication ranged from 53%-79% of respondents; specialists had higher awareness of publications endorsed by their medical professional organization (p < 0.05). The proportion of respondents who “strongly agree” with individual recommendations ranged from 17%-83%; for 16 guidelines, less than 50% of respondents “strongly agree”. There were no significant differences in overall agreement with recommendations based on clinicians’ gender, race, specialty, years in practice, practice type (academic/private practice/other), practice location (urban/suburban/rural), or involvement in NF research (p > 0.05 for all). Conclusions We identified wide variability in both awareness of, and agreement with, published NF care guidelines among NF experts. Future quality improvement efforts should focus on evidence-based, consensus-driven methods to update and disseminate guidelines across this multi-specialty group of providers. Patients and caregivers should also be consulted to proactively anticipate barriers to accessing and implementing guideline-driven care. These recommendations for improving guideline knowledge and adoption may also be useful for other rare diseases requiring multi-specialty care coordination.

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At the Intersection of Patient Experience Data, Outcomes Research, and Practice: Analysis of HCAHPS Scores in Neurology Patients

Cited by 9 publications

References 18 publications

Does Care Transition Matter? Exploring the Newly Published HCAHPS Measure

Does Care Transition Matter? Exploring the Newly Published HCAHPS Measure

Patient-Reported Experience Measures in Stroke Care

Awareness and agreement with neurofibromatosis care guidelines among U.S. neurofibromatosis specialists

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