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Eugene Son, Ashley Halbert, Shawn Abreu, Rebecca Hester, Gina Jefferson, Kristofer Jennings, Harold Pine, Tammara Watts
OBJECTIVES: To demonstrate the feasibility and efficacy of the Google Glass as a tool to improve patient satisfaction and patient-physician communication for otolaryngology residents in the outpatient clinic setting. The primary outcome of the study was to improve patient satisfaction scores based on physician communication related questions from Consumer Assessment of Healthcare Providers and Systems (CAHPS) surveys. STUDY DESIGN: Prospective randomized trial. SETTING: Tertiary care hospital...
December 19, 2016: Clinical Otolaryngology
Dackiewicz Nora, Rodriguez Susana, Irazola Vilma, Barani Mariela, Marciano Beatriz, Fedrizzi Valeria, Gonzales Claudia, Elias-Costa Christian, Almada Ariel, Viola Bettina, Tonini Silvia, Zamberlin Nina, Garcia-Elorrio Ezequiel
OBJECTIVE: To create a hospital pediatric inpatient experience survey based on the Consumer Assessment of Healthcare Providers and Systems Hospital Survey (CAHPS® Hospital Survey). DESIGN: Survey development based on: (i) Translation and back translation, (ii) Review by experts, (iii) Cultural adaptation: qualitative evaluation of dimensions with reformulation and adaptation of items, (iv) Local cognitive evaluation and (v) Final measurement of its psychometric properties...
August 30, 2016: International Journal for Quality in Health Care
Laura A Hatfield, Alan M Zaslavsky
OBJECTIVE: To study how differences in quality score adjustments across Medicare Advantage contracts change comparisons for individuals and contracts. DATA SOURCES: Responses to the Medicare Advantage implementation of the Consumer Assessments of Healthcare Providers and Systems (CAHPS) survey from 2010 to 2014. STUDY DESIGN: We fit national-and state-level hierarchical models to predict CAHPS scores for individuals and contracts, adjusted for self-reported education, general health, and mental health...
August 8, 2016: Health Services Research
Ron D Hays, Neetu Chawla, Erin E Kent, Neeraj K Arora
PURPOSE: Asians report worse experiences with care than Whites. This could be due to true differences in care received, expectations about care, or survey response styles. We examined responses to the Consumer Assessment of Healthcare Providers and Systems (CAHPS(®)) Medicare survey items by Whites and Asians, controlling for underlying level on the CAHPS constructs. METHODS: We conducted multiple group analyses to evaluate measurement equivalence of CAHPS Medicare survey data between White and Asian Medicare beneficiaries for CAHPS reporting composites (communication with personal doctor, access to care, plan customer service) and global ratings of care using pooled data from 2007 to 2011...
August 5, 2016: Quality of Life Research
Nicholas Castle, John Engberg, Aiju Men
The psychometric properties of The Consumer Assessment of Healthcare Providers and Systems (CAHPS®) Nursing Home survey: Discharged Resident Instrument (NHCAHPS-D) are examined. A random sample of 550 nursing homes was selected from across the United States and 365 agreed to participate (participation rate = 66%). From 7,020 surveys sent to discharged residents, 4,926 were returned (response rate = 70%). The psychometric properties of the resident responses and the survey items were robust. Confirmatory factor analyses model fit statistics met the criterion for good conformance...
July 12, 2016: Journal of Applied Gerontology: the Official Journal of the Southern Gerontological Society
Nancy Jiang, Benjamin D Malkin
OBJECTIVES: (1) Measure patients' experiences with surgical care using the Consumer Assessment of Healthcare Providers and Systems (CAHPS) Surgical Care Survey. (2) Use lean thinking to analyze and improve quality of patient care. STUDY DESIGN: A prospective quality improvement study. SETTING: Hospital-based otolaryngology clinic. SUBJECTS AND METHODS: The CAHPS Surgical Care Survey was distributed to 17 surgical patients to determine their perception of the current state of care...
June 21, 2016: Otolaryngology—Head and Neck Surgery
Audrey L Jones, Maria K Mor, John P Cashy, Adam J Gordon, Gretchen L Haas, James H Schaefer, Leslie R M Hausmann
BACKGROUND: Patient-Centered Medical Homes (PCMH) may be effective in managing care for racial/ethnic minorities with mental health and/or substance use disorders (MHSUDs). How such patients experience care in PCMH settings is relatively unknown. OBJECTIVE: We aimed to examine racial/ethnic differences in experiences with primary care in PCMH settings among Veterans with MHSUDs. DESIGN: We used multinomial regression methods to estimate racial/ethnic differences in PCMH experiences reported on a 2013 national survey of Veterans Affairs patients...
December 2016: Journal of General Internal Medicine
Steven C Martino, Marc N Elliott, Katrin Hambarsoomian, Robert Weech-Maldonado, Sarah Gaillot, Samuel C Haffer, Ron D Hays
BACKGROUND: Little is known about racial/ethnic differences in the experience of care coordination. To the extent that they exist, such differences may exacerbate health disparities given the higher prevalence of some chronic conditions among minorities. OBJECTIVE: To investigate the extent to which racial/ethnic disparities exist in the receipt of coordinated care by Medicare beneficiaries. SUBJECTS: A total of 260,974 beneficiaries who responded to the 2013 Medicare Consumer Assessment of Healthcare Providers and Systems (CAHPS) survey...
August 2016: Medical Care
Camilla S L Tuttle, Melinda J Carrington, Simon Stewart, Alex Brown
OBJECTIVES: We examined the logistical challenges of conducting an outreach, secondary prevention program for adults discharged from Alice Springs Hospital following an acute presentation of cardiovascular disease. DESIGN AND SETTING: This represents a sub-study of the Central Australian Heart Protection Study (CAHPS). Clinical, logistic and demographic data were used to examine the characteristics of outreach visits in the intervention arm of the study. PARTICIPANTS: Fifty subjects initially allocated to the intervention arm of the trial were studied...
April 2016: Australian Journal of Rural Health
Kerri L Cavanaugh
Patient experience surveys provide a critical and unique perspective on the quality of patient-centered healthcare delivery. These surveys provide a mechanism to systematically express patients' voice on topics valued by patients to make decisions about choices in care. They also provide an assessment to healthcare organizations about their service that cannot be obtained from any other source. Regulatory agencies have mandated the assessment of patients' experience as part of healthcare value based purchasing programs and weighted the results to account for up to 30% of the total scoring...
March 2016: Seminars in Dialysis
Steven P Reise, Rob R Meijer, Andrew T Ainsworth, Leo S Morales, Ron D Hays
Group-level parametric and non-parametric item response theory models were applied to the Consumer Assessment of Healthcare Providers and Systems (CAHPS(®)) 2.0 core items in a sample of 35,572 Medicaid recipients nested within 131 health plans. Results indicated that CAHPS responses are dominated by within health plan variation, and only weakly influenced by between health plan variation. Thus, although the CAHPS 2.0 survey has acceptable psychometric properties when analyzed at the individual level, large sample sizes are needed to reliably differentiate among health plans...
March 1, 2006: Multivariate Behavioral Research
Lauren A Mayer, Marc N Elliott, Ann Haas, Ron D Hays, Robin M Weinick
BACKGROUND: Asian Americans (hereafter "Asians") generally report worse experiences with care than non-Latino whites (hereafter "whites"), which may reflect differential use of response scales. Past studies indicate that Asians exhibit lower Extreme Response Tendency (ERT)-they less frequently use responses at extreme ends of the scale than whites. OBJECTIVE: To explore whether lower ERT is observed for Asians than whites in response to standardized vignettes depicting patient experiences of care and whether ERT might in part explain Asians reporting worse care than whites...
January 2016: Medical Care
Valerie S Harder, Julianne Krulewitz, Craig Jones, Richard C Wasserman, Judith S Shaw
INTRODUCTION: Patient experience, 1 of 3 aims for improving health care, is rarely included in studies of patient-centered medical home (PCMH) transformation. This study examines the association between patient experience and National Committee on Quality Assurance (NCQA) PCMH transformation. METHODS: This was a cross-sectional study of parent-reported child patient experience from PCMH and non-PCMH practices. It used randomly sampled experience surveys completed by 2599 patients at 29 pediatric and family medicine PCMH (n = 21) and non-PCMH (n = 8) practices in Vermont from 2011 to 2013...
January 2016: Journal of the American Board of Family Medicine: JABFM
Ron D Hays, Joshua S Mallett, Sarah Gaillot, Marc N Elliott
BACKGROUND: Physical functioning is an important health domain for adults. OBJECTIVE: Evaluate physical functioning items in Medicare beneficiaries. RESEARCH DESIGN: Survey data from the 2010 Consumer Assessment of Healthcare Providers and Systems Medicare survey. SUBJECTS: The 366,701 respondents were 58% female; 38% were 75 or older; 57% had high school education or less. MEASURES: Walking, getting in or out of chairs, bathing, dressing, toileting, and eating assessed with 3 response choices: unable to do, have difficulty, do not have difficulty...
February 2016: Medical Care
William G Lehrman, Mark W Friedberg
No abstract text is available yet for this article.
November 2015: Hastings Center Report
Megan Johnson Shen, Heidi A Hamann, Anna J Thomas, Jamie S Ostroff
PURPOSE: The majority (95 %) of lung cancer patients report stigma, with 48 % of lung cancer patients specifically reporting feeling stigmatized by their medical providers. Typically associated with the causal link to smoking and the historically poor prognosis, lung cancer stigma can be seen as a risk factor for poor psychosocial and medical outcomes in the context of lung cancer diagnosis and treatment. Thus, modifiable targets for lung cancer stigma-reducing interventions are needed...
May 2016: Supportive Care in Cancer: Official Journal of the Multinational Association of Supportive Care in Cancer
David E Kanouse, Mark Schlesinger, Dale Shaller, Steven C Martino, Lise Rybowski
BACKGROUND: Patients' comments about doctors are increasingly available on the internet. The effects of these anecdotal accounts on consumers' engagement with reports on doctor quality, use of more statistically reliable performance measures, and ability to choose doctors wisely are unknown. OBJECTIVE: To examine the effects of providing patient comments along with standardized performance information in a web-based public report. DESIGN: Participants were randomly assigned to view 1 of 6 versions of a website presenting comparative performance information on fictitious primary care doctors...
January 2016: Medical Care
Brian D Stucky, Ron D Hays, Maria O Edelen, Jill Gurvey, Julie A Brown
BACKGROUND: The Consumer Assessment of Healthcare Providers and Systems (CAHPS) Clinician and Group adult survey (CG-CAHPS) includes 34 items used to monitor the quality of ambulatory care from the patient's perspective. CG-CAHPS includes items assessing access to care, provider communication, and courtesy and respect of office staff. Stakeholders have expressed concerns about the length of the CG-CAHPS survey. OBJECTIVES: This paper explores the impact on reliability and validity of the CAHPS domain scores of reducing the numbers of items used to assess the 3 core CG-CAHPS domains (Provider Communication, Access to Care, and Courteous and Helpful Office Staff)...
January 2016: Medical Care
Kyle Kemp, Sarah Warren, Nancy Chan, Brandi McCormack, Maria Santana, Hude Quan
BACKGROUND AND OBJECTIVES: Due to the multitude of questions in the Hospital-Consumer Assessment of Healthcare Providers and Systems (H-CAHPS) survey, it may be difficult to decide where quality improvement efforts should be focused. Our organisation has supplemented the survey with a 'patient complaints' section. The study objectives were to determine (1) the frequency of qualitative complaints and the demographic/clinical profile of patients lodging them, (2) the most frequent complaint themes and their association with overall experience scores and (3) whether overall experience scores varied based upon the complaint action taken by the patient or the degree of patient satisfaction in the handling of complaints...
October 2016: BMJ Quality & Safety
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