Successes and Challenges in Patient Care Transition Programming: One Hospital’s Journey

2015 ◽  
Vol 20 (3) ◽  
Author(s):  
Suzanne DelBoccio ◽  
Debra Smith ◽  
Melissa Hicks ◽  
Pamela Lowe ◽  
Joy Graves-Rust ◽  
...  
Keyword(s):  
Patient Care ◽  
Healthcare Providers ◽  
Care Transition ◽  
Indiana University ◽  
Transition Programming ◽  
Patient Protection ◽  
Orthopedic Patient ◽  
Hospital Consumer Assessment ◽  
Consumer Assessment ◽  
Hcahps Survey

The 2013 addition of the Care Transition Measures to the Hospital Consumer Assessment of Healthcare Providers and Systems (HCAHPS) survey; enactment of the Patient Protection and Affordable Care Act (2010); and a greater focus on population health have brought a heightened awareness and need for action with patient transitions. Data are emerging from the additional Care Transition Measures and benchmarks have been developed. This article briefly describes the context of care transition. We describe the journey of Indiana University Health North Hospital to overcome patient care transition obstacles, ultimately achieving designation as a top performer. We will discuss our efforts to personalize patient outcomes and transition through activation and improve transitions for vulnerable populations, specifically in the bariatric and orthopedic patient populations. The article concludes with discussion of overcoming obstacles and future directions with continued focus on collaboration and improvement.

Impact of Isolation on Hospital Consumer Assessment of Healthcare Providers and Systems Scores: Is Isolation Isolating?

2012 ◽  
Vol 33 (5) ◽  
pp. 513-516 ◽  
Author(s):  
Joan Vinski ◽  
Mary Bertin ◽  
Zhiyuan Sun ◽  
Steven M. Gordon ◽  
Daniel Bokar ◽  
...  
Keyword(s):  
Patient Satisfaction ◽  
Healthcare Providers ◽  
Physician Communication ◽  
Hospital Consumer Assessment ◽  
Consumer Assessment ◽  
Hcahps Survey

The Hospital Consumer Assessment of Healthcare Providers and Systems (HCAHPS) survey was used to measure the effect of isolation on patient satisfaction. Isolated patients reported lower scores for questions regarding physician communication and staff responsiveness. Overall scores for these domains were lower in isolated than in nonisolated patients.

scholarly journals Hospital Consumer Assessment of Healthcare Providers and Systems survey response rates are significantly affected by patient characteristics and postoperative outcomes for patients undergoing primary total knee arthroplasty

PLoS ONE ◽  
2021 ◽  
Vol 16 (9) ◽  
pp. e0257555
Author(s):  
Michael R. Mercier ◽  
Anoop R. Galivanche ◽  
Wyatt B. David ◽  
Rohil Malpani ◽  
Neil Pathak ◽  
...  
Keyword(s):  
Total Knee Arthroplasty ◽  
Knee Arthroplasty ◽  
Healthcare Providers ◽  
Patient Characteristics ◽  
Postoperative Outcomes ◽  
Hospital Consumer Assessment ◽  
Survey Results ◽  
Total Knee ◽  
Consumer Assessment ◽  
Hcahps Survey

Introduction The Hospital Consumer Assessment of Healthcare Providers and Systems (HCAHPS) survey measures patients’ satisfaction of their hospital experience. A minority of discharged patients return the survey. Underlying bias among who ultimately returns the survey (non-response bias) after total knee arthroplasty (TKA) may affect results of the survey. Thus, the objective of the current study is to assess the relationship between patient characteristics and postoperative outcomes on HCAHPS survey nonresponse. Methods All adult patients at a single institution undergoing inpatient, elective, primary TKA between February 2013 and May 2020 were selected for analysis. Following discharge, all patients had been mailed the HCAHPS survey. The primary outcome analyzed in the current study is survey return. Patient characteristics, surgical variables, and 30-day postoperative outcomes were analyzed. Univariate and multivariate analyses were performed to identify factors independently associated with return of the HCAHPS survey. Results Of 4,804 TKA patients identified, 1,498 (31.22%) returned HCAHPS surveys. On multivariate regression analyses controlling for patient factors, patients who did not return the survey were more likely to have a higher American Society of Anesthesia score (ASA score of 4 or higher, OR = 2.37; P<0.001), and be partially or totally dependent (OR = 2.37; P = 0.037). Similarly, patients who did not return the survey were more likely to have had a readmission (OR = 1.94; P<0.001), be discharged to a place other than home (OR = 1.52; P<0.001), or stay in the hospital for longer than 3 days (OR = 1.43; P = 0.004). Discussion Following TKA, HCAHPS survey response rate was only 31.22% and completion of the survey was associated with several demographic and postoperative variables. These findings suggest that HCAHPS survey results capture a non-representative fraction of the true TKA patient population. This bias is necessary to consider when using HCAHPS survey results as a metric for quality of healthcare and federal reimbursement rates.

scholarly journals Can patients reliably identify safe, high quality care?

2014 ◽  
Vol 3 (5) ◽  
pp. 150 ◽  
Author(s):  
Sarah E. Tevis ◽  
Ryan K. Schmocker ◽  
Gregory D. Kennedy
Keyword(s):  
Patient Satisfaction ◽  
Patient Outcomes ◽  
Quality Care ◽  
Healthcare Providers ◽  
Patient Specific ◽  
Process Of Care ◽  
Hospital Consumer Assessment ◽  
Safety Metrics ◽  
Consumer Assessment ◽  
Hcahps Survey

The Hospital Consumer Assessment of Healthcare Providers and Systems (HCAHPS) survey is a publicly reported tool that measures patient satisfaction. As both patients and Centers for Medicare & Medicaid Services (CMS) reimbursement rely on survey results as a metric of quality of care, we reviewed the current literature to determine if patient satisfaction correlates with quality, safety, or patient outcomes. We found varying associations between safety culture, process of care measure compliance, and patient outcomes with patient satisfaction on the HCAHPS survey. Some studies found inverse relationships between quality and safety metrics and patient satisfaction. The measure that most reliably correlated with high patient satisfaction was low readmission rate. Future studies using patient specific data are needed to better identify which factors most influence patient satisfaction and to determine if patient satisfaction is a marker of safer and better quality care. Furthermore, the HCAHPS survey should continue to undergo evaluations to assure it generates predictable results.

What Parents have to Say: Content and Actionability of Narrative Comments from Child HCAHPS Survey

2022 ◽  
Author(s):  
Denise D. Quigley ◽  
Zachary Predmore
Keyword(s):  
Medical Center ◽  
Academic Medical Center ◽  
Healthcare Providers ◽  
Pediatric Care ◽  
Frontline Staff ◽  
Negative Comments ◽  
Hospital Consumer Assessment ◽  
Child Hospital ◽  
Consumer Assessment ◽  
Hcahps Survey

OBJECTIVE: To examine the content and actionability of written comments from parents and guardians on the Child Hospital Consumer Assessment of Healthcare Providers and Systems (Child HCAHPS) survey. METHODS: We coded 548 narrative text comments linked to demographic information from the Child HCAHPS survey from July 2017 to December 2020 about inpatient pediatric care at an urban children’s hospital-within-a-hospital at an academic medical center. We developed initial codes based on research findings and the content of the Child HCAHPS survey, and also added codes that emerged from the comments. We performed directed and conventional content analysis. RESULTS: Most comments were positive and provided by the child’s mother. About half referred to content on the Child HCAHPS survey, primarily on being treated with courtesy and respect or explaining care at discharge. Comments about other topics most frequently provided a narrative rating of the provider or described whether providers were caring and friendly. Thirty-nine percent of comments were deemed sufficiently specific to make improvements (ie, actionable) in inpatient pediatric care; negative comments or comments about care for sicker patients were more often actionable. CONCLUSIONS: Child HCAHPS comments provided rich detail and a large portion were deemed actionable. Comments also provided insights into topics both on the survey itself and on many other inpatient pediatric issues raised by parents and guardians. More research is needed on the value of Child HCAHPS comments, the association between Child HCAHPS open-ended and closed-ended responses, and how quality leaders and frontline staff use comments to improve inpatient pediatric care.

Sign in / Sign up

Export Citation Format

Share Document