Use of new interactive patient-provider software improves patient satisfaction and outcomes—a retrospective single-center study

Abstract

Background While a number of studies have explored patient- and provider-related factors contributing to quality of care, few studies have explored the role of technology in improving quality and optimizing patient-provider communication. This study explores the use of an interactive patient-provider software platform (IPSP) at a single institution. Specifically, we compared: (1) patient satisfaction scores, (2) complication rates, and (3) readmission rates before and after the use of an IPSP on patients undergoing total hip arthroplasty and total knee arthroplasty. Material and Methods A retrospective review was performed on all total hip arthroplasty and total knee arthroplasty patients who completed a Press Ganey survey at a single institution between the years 2014 and 2017. Primary outcomes included Press Ganey patient satisfaction scores and 90-day complication and readmission rates. Mann-Whitney U testing and chi-squared analyses were conducted to assess continuous and categorical variables, respectively. Results Analysis revealed an improvement in median Clinician and Group Consumer Assessment of Healthcare Providers and Systems (89 vs 97) and Hospital for Consumer Assessment of Healthcare Providers and Systems scores (9 vs 10; P < .001) between pre-IPSP and post-IPSP. There was a decrease in 90-day complication rates (17.3 vs 11.2%; P = .035) but no decrease in readmission rates (0.30 vs 0.18%, P = .322) between the 2 time points. Conclusions The use of an IPSP proved instrumental in improving patient satisfaction and lowering 90-day complication rates at a single institution. The implementation of an IPSP may prove beneficial to arthroplasty surgeons and health-care institutions alike seeking to optimize the quality of care. Larger multicenter studies are necessary to validate the results of the present study.

Mobile Application's Effect on Patient Satisfaction and Compliance in Total Joint Arthroplasty: A Systematic Review and Meta-analysis

“…Furthermore, clinical findings acquired by mobile applications were consistent with those of in-person visits. 23,25,26,34 In addition, this study revealed an overall increased rate of postoperative survey completion with the use of a mobile application in comparison with in-office forms. [26][27][28]49 The use of a mobile application may be an opportunity for surgeons to effectively gather valuable data regarding patient feedback and functional outcomes and may help reduce unscheduled visits because of the added and improved communication such an intervention provides.…”

“…Four articles reported on mobile applications ability to reduce postoperative unscheduled visits, and all four supported their use. 23,26,33,34 Two articles reported on the reduction of unscheduled office or emergency department visits when compared with control groups, and two reported on the accuracy between…”

Mobile Application Use and Patient Engagement in Total Hip and Knee Arthroplasty

“…Using the Oswestry Very Short Form, a measure of patient satisfaction, providers were able to assess whether patients were doing well without them attending clinic. PROMs and functional outcomes can also be collected with MA-based interactive patient-provider platforms 12 . A photograph-based smartphone MA was developed and implemented in a series of patients undergoing knee replacement to track their ROM remotely.…”

Developing Infographics to Facilitate HIV-Related Patient–Provider Communication in a Limited-Resource Setting

“…Effective communication is a central component of highquality health care 1 that leads to better patient outcomes when successfully completed. [2][3][4] Unfortunately, productive health communication presents many challenges for health care providers and patients and can contribute to health inequity. 5,6 For instance, providers must acquire, synthesize, and present massive amounts of complex information to patients 7 ; and patients must receive, process, and use that information, which, despite best intentions, is frequently presented in a complicated format or riddled with advanced medical terminology.…”