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https://www.readbyqxmd.com/read/28212168/implementation-of-interdisciplinary-rapid-rounds-in-observation-units
#1
Lindsey Ryan, Stephanie Scott, Willa Fields
Lack of collaboration and communication can lead to medical errors, increased length of stay, and diminished patient satisfaction. The purpose of this project was to improve nurse efficiency, interdisciplinary communication and collaboration, and patient satisfaction with the discharge process through Rapid Rounds. The results demonstrated that interdisciplinary communication and collaboration improved coordination of care, as evidenced by improved Press Ganey percentile rankings for readiness for discharge and speed of the discharge process, increased pharmaceutical interventions, and fewer phone calls to physicians...
February 16, 2017: Journal of Nursing Care Quality
https://www.readbyqxmd.com/read/28183312/psychometric-properties-of-the-press-ganey%C3%A2-outpatient-medical-practice-survey
#2
Angela P Presson, Chong Zhang, Amir M Abtahi, Jacob Kean, Man Hung, Andrew R Tyser
BACKGROUND: The Press Ganey® Medical Practice Survey ("Press Ganey® survey") is a patient-reported questionnaire commonly used to measure patient satisfaction with outpatient health care in the United States. Our objective was to evaluate the reliability and validity of the Press Ganey® survey in a single institution setting. METHODS: We analyzed surveys from 34,503 unique respondents seen by 624 providers from 47 specialties and 94 clinics at the University of Utah in 2013...
February 10, 2017: Health and Quality of Life Outcomes
https://www.readbyqxmd.com/read/28152808/ambulatory-redesign-strategies-for-quality-improvement-in-patient-care
#3
Catherine A Lyons, Nancy Smith, Maureen McGlennon, Terri L Parker, Carolyn Truini, Maureen Major-Campos, Jill Lacy, Karen Michaels, Vanna Dest, Richard Lisitano, Kerin B Adelson, Rogerio Lilenbaum
85 Background: Growing outpatient volume poses patient flow challenges, making it difficult to accommodate the complexities of academic medical practice. Volume increases create operational inefficiencies like delays in lab turnaround time (TAT) and limited rooming capacity resulting in delays in patient access and reduced provider productivity. These bottlenecks negatively impact patient satisfaction. METHODS: Four multidisciplinary teams assessed barriers to patient flow in the lab, rooming and scheduling process...
March 2016: Journal of Clinical Oncology: Official Journal of the American Society of Clinical Oncology
https://www.readbyqxmd.com/read/28152700/establishing-a-value-framework-for-cancer-specific-patient-satisfaction-ps-across-a-large-health-system
#4
Frances Cartwright
100 Background: The Mount Sinai Health System and the Tisch Cancer Institute (TCI) includes 7 hospitals and 6 ambulatory oncology centers in New York City, with over 9,000 new cancer cases seen annually. In order to address PS across these multiple sites, we established a framework to enhance value encompassing 4 domains: Infrastructure, Responsibility, Outcomes and Monitoring. METHODS: Infrastructure. A quality dashboard was developed and distributed across all system sites. Inpatient oncology Dyads (D) (inpatient medical director and nurse manager) and ambulatory oncology Triads (T) (ambulatory medical director, nurse manager and administrator) and Quadrads (Q) (including radiation therapist) were established...
March 2016: Journal of Clinical Oncology: Official Journal of the American Society of Clinical Oncology
https://www.readbyqxmd.com/read/28152676/evaluation-of-resource-utilization-using-time-derived-activity-based-costing-tdabc-to-result-in-more-effective-processes-and-cost-reduction
#5
Elizabeth A Garcia, Kai E Lang, Valerie Villanueva, Shannon Neville Westin, Nicole D Fleming, Thomas W Feeley, Karen H Lu, Larissa Meyer
22 Background: Current changes in health care economics have led to a focus on value-based health care. TDABC is a systematic method to assess personnel utilization and the associated cost in the delivery of medical care. Based on baseline process maps and cost estimates in our outpatient center, cancer surveillance visits (CSV) were identified as inefficient, lengthy and high cost. The purpose of this study was to determine if reallocation of personnel was feasible, resulted in decrease cost and better value care...
March 2016: Journal of Clinical Oncology: Official Journal of the American Society of Clinical Oncology
https://www.readbyqxmd.com/read/27908955/measuring-family-satisfaction-with-care-delivered-in-the-intensive-care-unit
#6
Kathleen Clark, Kerry A Milner, Marlene Beck, Virginia Mason
BACKGROUND: In our competitive health care environment, measuring the experience of family members of patients in the intensive care unit to ensure that health care providers are meeting families' needs is critical. Surveys from Press Ganey and the Centers for Medicare and Medicaid Services are unable to capture families' satisfaction with care in this setting. OBJECTIVE: To implement a sustainable measure for family satisfaction in a 12-bed medical and surgical intensive care unit...
December 2016: Critical Care Nurse
https://www.readbyqxmd.com/read/27892915/patient-access-improving-wait-times-in-a-specialty-clinic
#7
Tarina Kwong
A vascular surgery clinic in an academic center faced many delays for patients in gaining access to an appointment. In January 2014, wait times from referral to patient appointment were estimated to be 3 to 4 weeks. A 6-month pilot project was conducted from January 2014 through June 2014 with the aim of scheduling 50% of new patients within 7 days of referral. The clinic manager, medical director, clinic staff, and clerical team worked in partnership to initiate a series of interventions to reduce the backlog of patients, implement scheduling guidelines, and use nurse practitioners to improve practice efficiencies...
January 2016: Health Care Manager
https://www.readbyqxmd.com/read/27832879/the-patient-experience-a-quality-metric-to-be-aware-of
#8
Seba Ramhmdani, Ali Bydon
Etier BE Jr, Orr SP, Antonetti J, Thomas SB, Theiss SM. Factors impacting Press Ganey patient satisfaction scores in orthopedic surgery spine clinic. Spine J 2016:16:1285-9. (in this issue).
November 2016: Spine Journal: Official Journal of the North American Spine Society
https://www.readbyqxmd.com/read/27757040/same-day-physical-therapy-consults-in-an-outpatient-neuromuscular-disease-physician-clinic
#9
Evan M Pucillo, Nancy Christensen-Mayer, Shelly D Poole, Denise M Whitten, Danielle Freeman, Blake R Bohe, Brandon R Swensen, A Gordon Smith, Nicholas E Johnson
BACKGROUND: Team-based care has been shown to offer more comprehensive benefits to patients when compared to standard physician-based care alone in clinics for chronic conditions. However, apart from grant-funded multidisciplinary clinics, there are no reports on the usage of same-day physical therapy (PT) consults within a daily outpatient neuromuscular disease (NMD) physician clinic. OBJECTIVE: To determine the impact of same-day PT consults at the University of Utah's outpatient Clinical Neurosciences Center...
2016: Journal of Multidisciplinary Healthcare
https://www.readbyqxmd.com/read/27729679/pharmacy-initiated-transitions-of-care-services-an-opportunity-to-impact-patient-satisfaction
#10
EDITORIAL
Jeffrey S Reichard, Scott Savage, Stephen F Eckel
PURPOSE: A transitions of care program at an academic teaching hospital was designed to reengineer the fragmented discharge process. The team included a pharmacy technician, called a transition specialist, who coordinated the medication needs of discharging patients. This study intends to assess the impact of the transitions of care program on patient satisfaction scores. METHODS: Two datasets of Press Ganey and Hospital Consumer Assessment of Healthcare Providers (HCAHPS) were analyzed...
November 2015: Hospital Pharmacy
https://www.readbyqxmd.com/read/27579815/admission-through-the-emergency-department-is-an-independent-risk-factor-for-lower-satisfaction-with-physician-performance-among-orthopaedic-surgery-patients-a-multicenter-study
#11
John S Vorhies, Michael J Weaver, Julius A Bishop
BACKGROUND: Patient experience data are increasingly used to guide performance improvement and to determine physician and hospital reimbursement. We studied the relationship between emergency department (ED) admission and patient satisfaction with physicians' performance, and identified other associated predictors. METHODS: We evaluated 6,524 inpatient Press Ganey patient experience surveys from two academic level I trauma centers over 5 years. We stratified patients by ED admission or other admission and compared the proportions of patients in each group who were satisfied with physician performance...
October 2016: Journal of the American Academy of Orthopaedic Surgeons
https://www.readbyqxmd.com/read/27579266/patient-race-and-provider-predict-patient-satisfaction-following-post-mastectomy-breast-reconstruction
#12
Ashkaun Shaterian, Jessica Gandy, Shadi Lalezari, Sarah Smith, Keyianoosh Paydar
BACKGROUND: Post-mastectomy breast reconstruction is commonly performed in the United States with numerous options available to patients and providers. This study evaluated patient race and provider in prediction of patient satisfaction following post-mastectomy breast reconstruction. METHODS: The patient satisfaction for women who underwent post mastectomy breast reconstruction at University of California, Irvine Medical Center was evaluated between 2012 and 2014, randomly using Press Ganey Hospital Consumer Assessment of Healthcare Providers and Systems (HCAHPS) surveys...
May 2016: World Journal of Plastic Surgery
https://www.readbyqxmd.com/read/27520481/developing-a-comportment-and-communication-tool-for-use-in-hospital-medicine
#13
REVIEW
Susrutha Kotwal, Waseem Khaliq, Regina Landis, Scott Wright
BACKGROUND: An exceptional experience in a hospital is largely influenced by the quality and performance of the hospitalist physician. We set out to establish a metric that would comprehensively assess hospitalists' comportment and communication to establish norms and expectations. METHODS: The chiefs of hospital medicine divisions at 5 hospitals were asked to identify their "most clinically excellent" hospitalists. An investigator observed each hospitalist during a routine clinical shift and recorded behaviors believed to be associated with excellent comportment and communication using the hospital medicine comportment and communication tool (HMCCOT)...
December 2016: Journal of Hospital Medicine: An Official Publication of the Society of Hospital Medicine
https://www.readbyqxmd.com/read/27488567/evidence-of-non-response-bias-in-the-press-ganey-patient-satisfaction-survey
#14
A R Tyser, A M Abtahi, M McFadden, A P Presson
BACKGROUND: Measures of patient satisfaction have gained prominence in recent years as changes to the American health care system have led to the incorporation of such metrics into reimbursement models. The response rate for widely-used outpatient satisfaction metrics and variables influencing the probability of survey nonresponse remain largely unknown. METHODS: We reviewed all unique adult patients (16,779) who completed an outpatient encounter in the Department of Orthopaedic surgery at our academic institution from 1/1/13 to 10/24/13...
August 4, 2016: BMC Health Services Research
https://www.readbyqxmd.com/read/27379678/influencing-patient-satisfaction-scores-prospective-one-arm-study-of-a-novel-intravenous-catheter-system-with-retractable-coiled-tip-guidewire-compared-with-published-literature-for-conventional-peripheral-intravenous-catheters
#15
Norman R Anderson
With potential hospital reimbursement centered on patient satisfaction, limiting the number of invasive peripheral venipunctures may increase Press Ganey satisfaction scores. A prospective study compared published outcomes with conventional intravenous (IV) catheters against results using a newly designed IV catheter with a retractable, coiled-tip guidewire. The objectives were to determine whether successful first-attempt and IV complication rates might be altered using the new technology. In a small community hospital-based study of 95 patients, first-attempt success, complications, dwell time, and patient satisfaction results with the new technology scored significantly better, from insertion to removal, than published outcomes with conventional catheters...
July 2016: Journal of Infusion Nursing: the Official Publication of the Infusion Nurses Society
https://www.readbyqxmd.com/read/27317250/patient-perspectives-of-care-and-process-and-outcome-quality-measures-for-heart-failure-admissions-in-us-hospitals-how-are-they-related-in-the-era-of-public-reporting
#16
Sydney Morss Dy, Kitty S Chan, Hsien-Yen Chang, Allen Zhang, Junya Zhu, Deirdre Mylod
IMPORTANCE: Process quality measure performance has improved significantly with public reporting, requiring reevaluation of process-outcome relationships and the emerging role of patient perspectives on care. OBJECTIVE: To evaluate associations between heart failure patient perspectives of care and publicly reported processes and outcomes. DESIGN: Cross-sectional study, July 2008-June 2011. SETTING: US hospitals in the Press Ganey database...
September 2016: International Journal for Quality in Health Care
https://www.readbyqxmd.com/read/27221579/does-the-press-ganey-survey-correlate-to-online-health-grades-for-a-major-academic-otolaryngology-department
#17
Timothy Ryan, Jessica Specht, Sarah Smith, John M DelGaudio
OBJECTIVES: Analyze the correlation between online-based review websites and the Press Ganey Patient Satisfaction Survey (PGPSS) in an academic otolaryngology department. STUDY DESIGN: Retrospective cross sectional. SETTING: Tertiary academic institution. METHODS: All available data were collected for Vitals.com and Healthgrades.com, along with PGPSS data for 16 otolaryngology attending physicians from 2012 to 2014. A mean rating was calculated for each topic category for online websites and compared with 7 PGPSS content questions using zero-order correlations...
September 2016: Otolaryngology—Head and Neck Surgery
https://www.readbyqxmd.com/read/27155998/what-influences-how-patients-rate-their-hospital-after-total-hip-arthroplasty
#18
Jaydev B Mistry, Morad Chughtai, Randa K Elmallah, Sidney Le, Peter M Bonutti, Ronald E Delanois, Michael A Mont
BACKGROUND: Centers for Medicare and Medicaid Services are now using results from patient satisfaction surveys, such as Press Ganey, for reimbursement. It is unknown what factors influence scores on satisfaction surveys in post-total hip arthroplasty (THA) patients. The purpose of this study was to evaluate what influences these scores in THA patients. Specifically, we aimed to evaluate: (1) how pain control affects the patients' perception of their orthopedist, nursing staff, and overall hospital satisfaction; (2) the individual impact of these factors on overall hospital satisfaction after THA; and (3) the impact of lengths of stay, age, body mass index (BMI), and American Society of Anesthesiology (ASA) scores on overall satisfaction...
April 13, 2016: Journal of Arthroplasty
https://www.readbyqxmd.com/read/27109333/perceptions-of-person-centered-care-following-spinal-cord-injury
#19
Allen W Heinemann, Sherri L LaVela, Bella Etingen, Ana Miskovic, Sara M Locatelli, Holly DeMark Neumann, David Chen
OBJECTIVES: To (1) evaluate perceptions of person-centered care (PCC) in individuals with traumatic spinal cord injury (SCI); and (2) examine perceived differences in PCC concepts between patients continuing to receive any services from a Spinal Cord Injury Model Systems (SCIMS) facility and those who are not. DESIGN: We used a cross-sectional design, mailed a paper survey, and followed up with a second mailing to nonrespondents after 4 weeks. SETTING: Community...
August 2016: Archives of Physical Medicine and Rehabilitation
https://www.readbyqxmd.com/read/27084192/factors-impacting-press-ganey-patient-satisfaction-scores-in-orthopedic-surgery-spine-clinic
#20
Brian E Etier, Scott P Orr, Jonathan Antonetti, Scott B Thomas, Steven M Theiss
BACKGROUND CONTEXT: Patient satisfaction is and will continue to become an important metric in the American health-care system. To our knowledge, there is no current literature exploring the factors that impact patient satisfaction in outpatient orthopedic spine surgery clinic. PURPOSE: The purpose of this study was to determine which factors impact patient satisfaction in an outpatient orthopedic spine clinic. STUDY DESIGN: This is a case series, level of evidence IV...
April 12, 2016: Spine Journal: Official Journal of the North American Spine Society
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