The Care Process Self-Evaluation Tool: a valid and reliable instrument for measuring care process organization of health care teams

Abstract

BackgroundPatient safety can be increased by improving the organization of care. A tool that evaluates the actual organization of care, as perceived by multidisciplinary teams, is the Care Process Self-Evaluation Tool (CPSET). CPSET was developed in 2007 and includes 29 items in five subscales: (a) patient-focused organization, (b) coordination of the care process, (c) collaboration with primary care, (d) communication with patients and family, and (e) follow-up of the care process. The goal of the present study was to further evaluate the psychometric properties of the CPSET at the team and hospital levels and to compile a cutoff score table.MethodsThe psychometric properties of the CPSET were assessed in a multicenter study in Belgium and the Netherlands. In total, 3139 team members from 114 hospitals participated. Psychometric properties were evaluated by using confirmatory factor analysis (CFA), Cronbach’s alpha, interclass correlation coefficients (ICCs), Kruskall-Wallis test, and Mann–Whitney test. For the cutoff score table, percentiles were used. Demographic variables were also evaluated.ResultsCFA showed a good model fit: a normed fit index of 0.93, a comparative fit index of 0.94, an adjusted goodness-of-fit index of 0.87, and a root mean square error of approximation of 0.06. Cronbach’s alpha values were between 0.869 and 0.950. The team-level ICCs varied between 0.127 and 0.232 and were higher than those at the hospital level (0.071-0.151). Male team members scored significantly higher than females on 2 of the 5 subscales and on the overall CPSET. There were also significant differences among age groups. Medical doctors scored significantly higher on 4 of the 5 subscales and on the overall CPSET. Coordinators of care processes scored significantly lower on 2 of the 5 subscales and on the overall CPSET. Cutoff scores for all subscales and the overall CPSET were calculated.ConclusionsThe CPSET is a valid and reliable instrument for health care teams to measure the extent care processes are organized. The cutoff table permits teams to compare how they perceive the organization of their care process relative to other teams.

Patient and Health Care Professional Perspectives: A Case Study of the Lung Cancer Integrated Care Pathway

“…Specifically, patients were administered the Opportunities for treatment in Oncology (OPTION) self-report questionnaire [21], while the staff involved in the various stages of the ICP filled in the self-report Care Process Self-Evaluation Tool (CPSET) [151721]. …”

“…The CPSET questionnaire [1521] investigates the perception of different health care professionals involved in the various stages of the ICP. It serves to identify the expected impact of the ICP on its process outcomes.…”

“…In this regard, a recent qualitative analysis by Scotland’s National Cancer Patient Experience Survey suggested that patients with cancer would value greater integration of care from services involved in their treatment [14]. Indeed, efficacious care is distinguished not only by effective, patient-centred coordination of the care process, collaboration with primary care, and follow-up assessment but also effective communication, which should be perceived as such by patients and family [15]. That being said, the perception of the health care professionals themselves of the care processes they operate in has also been proposed to be an important dimension, enabling assessment of interprofessional teamwork, coordination, and communication [1617].…”

Measurement tools and outcome measures used in transitional patient safety; a systematic review

“…These transitional patient safety outcomes are specifically of interest because we need to be able to measure if an intervention is actually effective on all safety outcome types: from patient safety culture to patient outcomes. In our systematic review we also disregarded instruments that assessed other quality aspects such as efficiency and effectiveness [ 47 ] and measurement tools that focused on continuity within healthcare organisations instead of transitional patient safety [ 48 – 56 ].…”

Organiseringa av 22 pasientforløp i Helse Vest

“…The form is used in several European countries (30,31), and is currently being tested in The health care worker gives a score for each statement using an ordinal scale from 1 to 10, where 1 means 'totally disagree' and 10 means 'totally agree'.…”