scholarly journals Psychometric Properties of the Filipino Version of Hospital Consumer Assessment of Healthcare Providers and Systems (HCAHPS): A Cross-Cultural Validation Study

2020 ◽  
Vol 7 (6) ◽  
pp. 1526-1534
Author(s):  
Estrellita A Judan-Ruiz ◽  
Rame John L Mina ◽  
John Rey B Macindo
Keyword(s):  
Patient Experience ◽  
Internal Consistency ◽  
Healthcare Providers ◽  
Cross Cultural ◽  
Content Validation ◽  
Forward Translation ◽  
Hospital Consumer Assessment ◽  
Conceptual Equivalence ◽  
Consumer Assessment ◽  
Cultural Validation

Albeit the importance of patient experience, most questionnaires are only available in English. To understand the hospital experience of Filipino patients, a psychometrically sound instrument in Filipino is warranted. This study culturally adapted and validated the Hospital Consumer Assessment of Healthcare Providers and Systems (HCAHPS) into Filipino. A 5-step cross-cultural validation process was conducted. Forward translation, back-translation, and panel reconciliation involved 7 language experts. Pretesting included content validation and pretesting of the Filipino HCAHPS, while field testing involved 64 purposively selected hospitalized patients who completed a 4-part survey from July to December 2018. Content, linguistic, and conceptual equivalence and internal consistency were statistically appraised. Content validation yielded a scale content validity index/average of 1.00. Comparative analysis and Bland-Altman plots indicated good linguistic equivalence. All correlation coefficients were ≥.30, denoting good conceptual equivalence. Cronbach’s α for both versions of HCAHPS were ≥0.80, suggestive of good internal consistency. The Filipino HCAHPS is a psychometrically sound and culturally appropriate tool to measure patient experience among Filipinos. This understanding can be utilized for quality improvements on both practice and policy levels.

scholarly journals Translation, adaptation, and validation of the Hospital Consumer Assessment of Healthcare Providers and Systems (HCAHPS) for use in Japan: A multicenter cross-sectional study

2020 ◽  
Author(s):  
Takuya Aoki ◽  
Yosuke Yamamoto ◽  
Tomoaki Nakata
Keyword(s):  
Patient Experience ◽  
Internal Consistency ◽  
Healthcare Providers ◽  
Internal Consistency Reliability ◽  
Cross Sectional Study ◽  
Sectional Study ◽  
Cross Sectional ◽  
Validity Criterion ◽  
Hospital Consumer Assessment ◽  
Consumer Assessment

Objectives. The Hospital Consumer Assessment of Healthcare Providers and Systems (HCAHPS) is a well-established and internationally recognized scale for measuring patient experience with hospital inpatient care. This study aimed to develop a Japanese version of the HCAHPS and to examine its structural validity, criterion-related validity, and internal consistency reliability. Design. Multicenter cross-sectional study. Setting. A total of 48 hospitals in Japan. Participants. Patients aged ≥ 16 years who were discharged from the participating hospitals. Results. We translated the HCAHPS into Japanese according to the guidelines. Psychometric properties were examined using data from 6,522 patients. A confirmatory factor analysis showed excellent goodness of fit of the same factor structure as that of the original HCAHPS, with the following composites: communication with nurses, communication with doctors, responsiveness of hospital staff, hospital environment, communication about medicines, and discharge information. All hospital-level Pearson correlation coefficients between the Japanese HCAHPS composites and overall hospital rating exceeded the criteria. Results of inter-item correlations indicated adequate internal consistency reliability. Conclusions. We developed the Japanese HCAHPS, and evaluated its structural validity, criterion-related validity, and internal consistency reliability. This scale could be used for quality improvement based on the assessment of patient experience with hospital care and for health services research in Japan.

scholarly journals Development and psychometric properties of the Japanese Consumer Assessment of Healthcare Providers and Systems Clinician & Group Survey (CG-CAHPS)

PLoS ONE ◽  
2021 ◽  
Vol 16 (4) ◽  
pp. e0250843
Author(s):  
Takuya Aoki ◽  
Kuichiro Taguchi ◽  
Eiichi Hama
Keyword(s):  
Psychometric Properties ◽  
Ambulatory Care ◽  
Patient Experience ◽  
Internal Consistency ◽  
Pearson Correlation ◽  
Healthcare Providers ◽  
Internal Consistency Reliability ◽  
Validity And Reliability ◽  
Structural Validity ◽  
Consumer Assessment

The Consumer Assessment of Healthcare Providers and Systems Clinician & Group Survey (CG-CAHPS) is one of the most widely studied and endorsed patient experience measures for ambulatory care. This study aimed to develop a Japanese CG-CAHPS and examine its psychometric properties. We evaluated the structural validity, criterion-related validity, internal consistency reliability, and site-level reliability of the scale. Data were analyzed for 674 outpatients aged 18 years or older in 11 internal medicine clinics. The confirmatory factor analysis supported the scale’s structural validity and the same composites (Access, Provider Communication, Care Coordination, and Office Staff) as that of the original CG-CAHPS. All site-level Pearson correlation coefficients between the Japanese CG-CAHPS composites and overall provider rating exceeded the criteria. Results of item-total correlations and Cronbach’s alpha indicated adequate internal consistency reliability. We developed the Japanese CG-CAHPS and examined its validity and reliability to measure the quality of ambulatory care based on patient experience. The results of the Japanese CG-CAHPS survey will provide useful information to providers, organizations, and policy makers for achieving a patient-centered healthcare system in Japan.

scholarly journals An approach to predicting patient experience through machine learning and social network analysis

2020 ◽  
Vol 27 (12) ◽  
pp. 1834-1843
Author(s):  
Vitej Bari ◽  
Jamie S Hirsch ◽  
Joseph Narvaez ◽  
Robert Sardinia ◽  
Kevin R Bock ◽  
...  
Keyword(s):  
Machine Learning ◽  
Social Network ◽  
Social Network Analysis ◽  
Network Analysis ◽  
Patient Experience ◽  
Operating Characteristic ◽  
Characteristic Curve ◽  
Healthcare Providers ◽  
Hospital Consumer Assessment ◽  
Consumer Assessment

Abstract Objective Improving the patient experience has become an essential component of any healthcare system’s performance metrics portfolio. In this study, we developed a machine learning model to predict a patient’s response to the Hospital Consumer Assessment of Healthcare Providers and Systems survey’s “Doctor Communications” domain questions while simultaneously identifying most impactful providers in a network. Materials and Methods This is an observational study of patients admitted to a single tertiary care hospital between 2016 and 2020. Using machine learning algorithms, electronic health record data were used to predict patient responses to Hospital Consumer Assessment of Healthcare Providers and Systems survey questions in the doctor domain, and patients who are at risk for responding negatively were identified. Model performance was assessed by area under receiver-operating characteristic curve. Social network analysis metrics were also used to identify providers most impactful to patient experience. Results Using a random forest algorithm, patients’ responses to the following 3 questions were predicted: “During this hospital stay how often did doctors. 1) treat you with courtesy and respect? 2) explain things in a way that you could understand? 3) listen carefully to you?” with areas under the receiver-operating characteristic curve of 0.876, 0.819, and 0.819, respectively. Social network analysis found that doctors with higher centrality appear to have an outsized influence on patient experience, as measured by rank in the random forest model in the doctor domain. Conclusions A machine learning algorithm identified patients at risk of a negative experience. Furthermore, a doctor social network framework provides metrics for identifying those providers that are most influential on the patient experience.

scholarly journals Development and psychometric properties of the Japanese Consumer Assessment of Healthcare Providers and Systems Clinician & Group Survey (CG-CAHPS)

2020 ◽  
Author(s):  
Takuya Aoki ◽  
Kuichiro Taguchi ◽  
Eiichi Hama
Keyword(s):  
Psychometric Properties ◽  
Ambulatory Care ◽  
Patient Experience ◽  
Internal Consistency ◽  
Pearson Correlation ◽  
Healthcare Providers ◽  
Correlation Coefficients ◽  
Internal Consistency Reliability ◽  
Structural Validity ◽  
Consumer Assessment

The Consumer Assessment of Healthcare Providers and Systems Clinician & Group Survey (CG-CAHPS) is one of the most widely studied and endorsed patient experience measures for ambulatory care. This study aimed to develop a Japanese CG-CAHPS and examine its psychometric properties. We evaluated the structural validity, criterion-related validity, and internal consistency reliability of the scale. Data were analyzed for 674 outpatients aged 18 years or older in 11 internal medicine clinics. The confirmatory factor analysis supported the structural validity of the scale and the same four composites (Access, Provider Communication, Care Coordination, and Office Staff) as that of the original CG-CAHPS. All provider-level Pearson correlation coefficients between the Japanese CG-CAHPS composites and overall provider rating exceeded the criteria. Results of item-total correlations and Cronbach alpha indicated adequate internal consistency reliability. We developed the Japanese CG-CAHPS as a valid and reliable scale to measure the quality of ambulatory care based on patient experience. The results of the Japanese CG-CAHPS survey will provide useful information to providers, organizations, and policy makers for achieving a patient-centered healthcare system in Japan.

scholarly journals Perspectives on Patient Experience: A National Survey of Hospitalists

2020 ◽  
Vol 7 (6) ◽  
pp. 1482-1490
Author(s):  
Rafina Khateeb ◽  
Angela Keniston ◽  
Amber Moore ◽  
Christine Hrach ◽  
Kimberly A Indovina ◽  
...  
Keyword(s):  
Patient Experience ◽  
Healthcare Providers ◽  
Training Group ◽  
Qualitative Work ◽  
Hospital Consumer Assessment ◽  
Variable Success ◽  
Areas Of Interest ◽  
Future Work ◽  
Consumer Assessment ◽  
Improve Patient

Despite efforts to improve patient experience (PX), little is known about the perspective of hospitalists regarding PX initiatives and priorities. A survey was distributed to hospitalist groups across the country assessing involvement in PX initiatives and their perceived effectiveness, what PX means to providers, and facilitators/barriers in improving PX. Ninety-nine percent of respondents had encountered some improvement activity around PX. The most prevalent were communication training, group Hospital Consumer Assessment of Healthcare Providers and Systems data, and interdisciplinary bedside rounding. Respondents rated most initiatives a 5 to 6 out of 10 for their effectiveness, with the perception of effectiveness increasing with respondents’ assessment of patient experience priority. Learning about others’ experiences in improving PX and learning about potential collaborations for quality improvement or research in these areas were areas of interest for future work. Qualitative work highlighted potential barriers in improving PX such as workload and staffing constraints, uncontrollable environmental factors, and unrealistic patient expectations. Improving PX is a priority, and there are many initiatives in place with perceived variable success and perceived barriers in improving PX.

scholarly journals Using Laddering Interviews and Hierarchical Value Mapping to Gain Insights Into Improving Patient Experience in the Hospital: A Systematic Literature Review

2020 ◽  
Vol 7 (6) ◽  
pp. 1740-1747
Author(s):  
Pankaj Kumar ◽  
Michele Follen ◽  
Chi-Cheng Huang ◽  
Amy Cathey
Keyword(s):  
Health Care ◽  
Patient Experience ◽  
Customer Value ◽  
Healthcare Providers ◽  
Inpatient Settings ◽  
Hospital Consumer Assessment ◽  
Patient Values ◽  
Laddering Interviews ◽  
Consumer Assessment ◽  
Information Providers

Hospitals are continuously facing pressures to mitigate the gap between patient’s expectations and the quality of services provided. Now with Medicare reimbursements tied to Hospital Consumer Assessment of Healthcare Providers and Systems (HCAHPS) scores, institutions are attempting interventions to increase satisfaction scores. However, a standard framework to understand patient values and perceptions and subsequently translate it into reliable measures of patient satisfaction does not exist, particularly in the inpatient settings. This article highlights opportunity for the addition of qualitative customer value research to augment the information providers gain from HCAHPS scores and provide additional indicators that can be used in improving the patient experience. In this article, patient laddering interviews and hierarchical value mapping are reviewed as methodologies to understand patient core satisfaction values during their hospital stay. A systematic literature search was performed to identify articles addressing laddering interviews and hierarchical value mapping as applied to health care. Inclusion criteria involved studies relating to health care and using laddering interviews. Exclusion criteria included non-health-care studies. Only 3 studies were found eligible for this review. Our systematic review of literature revealed only few studies which may help to guide us to improve patient experience using laddering interviews. These interviews can help compose a personalized bedside survey which may be more meaningful than current widely used HCAHPS survey.

scholarly journals Does Coaching Hospitalists in a Community Hospital Improve the Measured Experience of Care?

2021 ◽  
Vol 8 ◽  
pp. 237437352199696
Author(s):  
David Pratt ◽  
Aaron Wu ◽  
John W Huppertz
Keyword(s):  
Patient Experience ◽  
Community Hospital ◽  
Healthcare Providers ◽  
Limited Attention ◽  
Full Time ◽  
Experience Of Care ◽  
Hospital Consumer Assessment ◽  
Consumer Assessment ◽  
Doctor Communication ◽  
Improve Patient

Hospitals initiate physician communication training programs expecting to improve patient experience measures. However, most efforts have relied on methods with limited attention to bedside physician–patient interactions. We conducted an intensive in-person hospitalist coaching program to improve patient experience in a community hospital. Full-time hospitalists were coached twice monthly by physician-coaches using a structured process featuring direct observation of care and immediate recommendations. Coach-observed care measures improved marginally. Difference-in-differences analysis of 1137 Hospital Consumer Assessment of Healthcare Providers and Systems surveys revealed no significant improvements by trained hospitalists in preintervention versus intervention comparisons, calling into question the strategy of using coaching programs to improve hospitals’ doctor communication measures.

A Novel Approach to Improving Patient Experience in Orthopedics

2017 ◽  
Vol 32 (6) ◽  
pp. 655-660 ◽  
Author(s):  
Spencer M. Stein ◽  
Sarav S. Shah ◽  
Alanna Carcich ◽  
Marlena McGill ◽  
Isaac Gammal ◽  
...  
Keyword(s):  
Patient Experience ◽  
Healthcare Providers ◽  
Physician Communication ◽  
Value Based Purchasing ◽  
Quality Health Care ◽  
Novel Approach ◽  
Quality Health ◽  
Physician Awareness ◽  
Hospital Consumer Assessment ◽  
Consumer Assessment

The patient experience domain comprises a significant portion of the Hospital Value-Based Purchasing program. This study investigated whether an intervention focusing on attending physician awareness, resident and physician assistant education, and multidisciplinary patient-centric care had an effect on patient perceived physician communication and overall hospital ratings. Responses to the Hospital Consumer Assessment of Healthcare Providers and Systems survey were reviewed in 2014 and 2015. Patients’ perceptions that the physician explained their condition in ways they understood and the overall hospital rating improved significantly after implantation of the model ( P < .05). Patient-physician communication is important for high-quality health care and is becoming increasingly more important in hospital economics. These methods may serve as a protocol for other institutions to improve the patient experience.

scholarly journals Examining the Association Between Chaplain Care and Patient Experience

2020 ◽  
Vol 7 (6) ◽  
pp. 1174-1180 ◽  
Author(s):  
Annelieke Damen ◽  
Patricia Murphy ◽  
Francis Fullam ◽  
Deirdre Mylod ◽  
Raj C Shah ◽  
...  
Keyword(s):  
Patient Experience ◽  
Religious Affiliation ◽  
Medical Center ◽  
Healthcare Providers ◽  
Family Satisfaction ◽  
Care Patient ◽  
Self Rated Health ◽  
Lower Likelihood ◽  
Hospital Consumer Assessment ◽  
Consumer Assessment

A developing body of evidence indicates that chaplain care is associated with higher levels of patient/family satisfaction with their hospital care. We examined the association between chaplain care and patient experience among patients at Rush University Medical Center in Chicago who responded to Hospital Consumer Assessment of Healthcare Providers and Systems and Press Ganey survey items between 2011 and 2017. Information about chaplain care was taken from the inpatients’ electronic medical record. Our analyses included 11 741 patients, 26.5% of whom had received any chaplain care. Patients with lower self-rated health were more likely to have received chaplain care ( P < .001). In bivariate analyses, chaplain care was associated with lower likelihood of reporting the highest score for 4 patient experience items ( P < .001). In multi-variable models that adjusted for patient self-rated health and other factors, the association between chaplain care and the 4 patient experience items was nonsignificant. There was no effect modification for patient religious affiliation, self-rated health, or other demographic factors. The chaplain care-patient experience association may be more complex than has initially appeared, and further research is needed to help us better understand it.

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