scholarly journals Patient Factors and Perioperative Outcomes Affect Hospital Consumer Assessment of Healthcare Providers and Systems Survey Response Rates After Primary Total Hip Replacement

2021 ◽  
Vol 5 (4) ◽  
Author(s):  
Michael R. Mercier ◽  
Neil Pathak ◽  
Murillo Adrados ◽  
Anoop R. Galivanche ◽  
Rohil Malpani ◽  
...  
Keyword(s):  
Total Hip Replacement ◽  
Hip Replacement ◽  
Healthcare Providers ◽  
Response Rates ◽  
Survey Response ◽  
Perioperative Outcomes ◽  
Patient Factors ◽  
Total Hip ◽  
Hospital Consumer Assessment ◽  
Consumer Assessment

Hospital Consumer Assessment of Healthcare Providers and Systems Scores Do Not Predict Outcomes After Total Hip Arthroplasty

2018 ◽  
Vol 33 (2) ◽  
pp. 337-339.e6 ◽  
Author(s):  
Utkarsh Anil ◽  
Ameer M. Elbuluk ◽  
Jacob Ziegler ◽  
Ran Schwarzkopf ◽  
William J. Long
Keyword(s):  
Total Hip Arthroplasty ◽  
Hip Arthroplasty ◽  
Healthcare Providers ◽  
Total Hip ◽  
Hospital Consumer Assessment ◽  
Consumer Assessment

scholarly journals Associations of Mail Survey Length and Layout With Response Rates

2019 ◽  
pp. 107755871988840 ◽  
Author(s):  
Q Burkhart ◽  
Nate Orr ◽  
Julie A. Brown ◽  
Ron D. Hays ◽  
Paul D. Cleary ◽  
...  
Keyword(s):  
Regression Models ◽  
Survey Design ◽  
Healthcare Providers ◽  
Mail Survey ◽  
Response Rates ◽  
Survey Response ◽  
Medicare Advantage ◽  
Survey Length ◽  
The Difference ◽  
Consumer Assessment

We assess the association between survey layout and response rates (RRs) in the 2017 Medicare Advantage Consumer Assessment of Healthcare Providers and Systems mail survey. Among 438 Medicare Advantage plans surveyed by six vendors, there was latitude in survey layout, and plans could add up to 12 supplemental items. Regression models predicted survey response from survey characteristics (page count, number of supplemental items, and survey attractiveness), and beneficiary sociodemographics. Beneficiary-age-by-survey-characteristic interactions assessed whether survey characteristics were more strongly related to RRs among older beneficiaries. We found that surveys with more supplemental items and less attractive layouts had lower adjusted odds of response. RRs were more sensitive to format among older beneficiaries. The difference in adjusted RRs for the most favorable versus the least favorable survey design was 14.5%. For a 65-year-old, this difference was 13.6%; for an 80-year-old, it was 21.0%. These findings suggest that even within a relatively standardized survey, formatting can substantially influence RRs.

Hospital Consumer Assessment of Healthcare Providers and Systems: Do Patient Demographics Affect Outcomes in Total Hip Arthroplasty?

2019 ◽  
Vol 34 (11) ◽  
pp. 2580-2585 ◽  
Author(s):  
Nima Eftekhary ◽  
James E. Feng ◽  
Afshin A. Anoushiravani ◽  
Ran Schwarzkopf ◽  
Jonathan M. Vigdorchik ◽  
...  
Keyword(s):  
Total Hip Arthroplasty ◽  
Hip Arthroplasty ◽  
Healthcare Providers ◽  
Total Hip ◽  
Patient Demographics ◽  
Hospital Consumer Assessment ◽  
Consumer Assessment

Discharge Planning and Hospital Readmissions

2016 ◽  
Vol 74 (3) ◽  
pp. 345-368 ◽  
Author(s):  
Rachel Mosher Henke ◽  
Zeynal Karaca ◽  
Paige Jackson ◽  
William D. Marder ◽  
Herbert S. Wong
Keyword(s):  
Heart Failure ◽  
Mixed Model ◽  
Linear Mixed Model ◽  
Discharge Planning ◽  
Hospital Readmissions ◽  
Healthcare Providers ◽  
Total Hip ◽  
Hospital Consumer Assessment ◽  
Consumer Assessment

This study examines the association between the quality of hospital discharge planning and all-cause 30-day readmissions and same-hospital readmissions. The sample included adults aged 18 years and older hospitalized in 16 states in 2010 or 2011 for acute myocardial infarction, heart failure, pneumonia, or total hip or joint arthroplasty. Data from the Hospital Consumer Assessment of Healthcare Providers and Systems measured discharge-planning quality at the hospital level. A generalized linear mixed model was used to estimate the contribution of patient and hospital characteristics to 30-day all-cause and same-hospital readmissions. Discharge-planning quality was associated with (a) lower rates of 30-day hospital readmissions and (b) higher rates of same-hospital readmissions for heart failure, pneumonia, and total hip or joint replacement. These results suggest that by improving inpatient discharge planning, hospitals may be able to influence their 30-day readmissions and increase the likelihood that readmissions will be to the same hospital.

The Hemodynamic and Fibrinolytic Response to Low Dose Epinephrine and Phenylephrine Infusions During Total Hip Replacement Under Epidural Anesthesia

1992 ◽  
Vol 68 (04) ◽  
pp. 436-441 ◽  
Author(s):  
Nigel E Sharrock ◽  
George Go ◽  
Robert Mineo ◽  
Peter C Harpel
Keyword(s):  
Heart Rate ◽  
Deep Vein Thrombosis ◽  
Cardiac Index ◽  
Total Hip Replacement ◽  
Epidural Anesthesia ◽  
Hip Replacement ◽  
Low Dose ◽  
Total Hip ◽  
Vein Thrombosis ◽  
Deep Vein

SummaryLower rates of deep vein thrombosis have been noted following total hip replacement under epidural anesthesia in patients receiving exogenous epinephrine throughout surgery. To determine whether this is due to enhanced fibrinolysis or to circulatory effects of epinephrine, 30 patients scheduled for primary total hip replacement under epidural anesthesia were randomly assigned to receive intravenous infusions of either low dose epinephrine or phenylephrine intraoperatively. All patients received lumbar epidural anesthesia with induced hypotension and were monitored with radial artery and pulmonary artery catheters.Patients receiving low dose epinephrine infusion had maintenance of heart rate and cardiac index whereas both heart rate and cardiac index declined significantly throughout surgery in patients receiving phenylephrine (p = 0.0001 and p = 0.0001, respectively). Tissue plasminogen activator (t-PA) activity increased significantly during surgery (p <0.0005) and declined below baseline postoperatively (p <0.005) in both groups. Low dose epinephrine was not associated with any additional augmentation of fibrinolytic activity perioperatively. There were no significant differences in changes in D-Dimer, t-PA antigen, α2-plasmin inhibitor-plasmin complexes or thrombin-antithrombin III complexes perioperatively between groups receiving low dose epinephrine or phenylephrine. The reduction in deep vein thrombosis rate with low dose epinephrine is more likely mediated by a circulatory mechanism than by augmentation of fibrinolysis.

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