Read by QxMD icon Read


Stephen Yu, John Dundon, Olga Solovyova, Joseph Bosco, Richard Iorio
BACKGROUND: TKA pain management protocols vary widely with no current consensus on a standardized pain management regimen. Multimodal TKA pain management protocols aim to address pain control, facilitate functional recovery, and maintain patient satisfaction. QUESTIONS/PURPOSES: (1) Did changes to our pain management protocol, specifically adding liposomal bupivacaine, eliminating patient-controlled analgesia (PCA), and discontinuing femoral nerve blocks (FNBs), affect narcotic consumption after TKA? (2) Did these changes to our pain management protocols affect patient-reported pain scores? (3) Does the use of an immediate postoperative PCA affect rapid rehabilitation and functional recovery? (4) How did changes to our pain management regimen affect discharge disposition and pain-related Hospital Consumer Assessment of Healthcare Providers and Systems (HCAHPS) scores? METHODS: We retrospectively analyzed an institutional arthroplasty database between September 2013 and September 2015 containing 1808 patients who underwent primary TKA...
January 2018: Clinical Orthopaedics and related Research
Michelle Boltz, Norma G Cuellar, Casey Cole, Brent Pistorese
Introduction Since 2010, more than 75 rural hospitals have closed in the USA and more than one-third are at risk of closure due to lower patient volumes, lower funding levels, decreased hospital revenue and lower physician employment pools. Telemedicine can provide new models of care delivery that maintain quality and reduce cost of healthcare in rural populations. The purpose of this project was to evaluate a cross-organizational pilot program by comparing a NP/telemedicine physician hospitalist programme with a traditional physician hospitalist model to assess effects on length of patient stay, mortality rates, readmission rate, Hospital Consumer Assessment of Healthcare Providers and Systems (HCAHPS) ratings of provider communication, and total hospital costs...
January 1, 2018: Journal of Telemedicine and Telecare
Daniela N Faloon, Holly Hampe, Thomas Cline
Miscommunication is a large contributing factor to hospital sentinel events. Communication with nurses is a component of the Hospital Consumer Assessment of Healthcare Providers and Systems (HCAHPS) survey. The HCAHPS survey not only assesses patient satisfaction but also impacts how hospitals are reimbursed. A literature review reveals that nursing bedside shift positively impacts patient satisfaction and nurse communication. There is limited research on how to implement bedside report as well as what to include during report...
April 2018: Critical Care Nursing Quarterly
Lauren Folgosa Cooley, Sandra B Barker
The use of canine-assisted therapy (CAT) in healthcare is expanding and the purpose of this review is to highlight its potential use in the surgical patient. While CAT literature to date has detailed widespread benefits in blood pressure control and improving pain, anxiety, and stress, little research has been performed specifically in surgical patients who may benefit significantly from CAT interventions. Critical points highlighted herein are as follows: (1) Hypertension is common and significantly increases morbidity and mortality associated with elective surgery...
February 24, 2018: Alternative Therapies in Health and Medicine
Andria F Brantley, Deanna M Rossi, Shalonda Barnes-Warren, Jon Carlo Francisco, Ira Schatten, Vishwas Dave
PURPOSE: The development and implementation of a hospitalwide, pharmacist-led transitions-of-care (TOC) program are described. METHODS: This 21-week quality improvement initiative was conducted from October 1, 2015, to February 26, 2016, at Memorial Hospital Pembroke. A TOC team was comprised of pharmacists, a pharmacy resident, pharmacy students, a physician, case managers, and nurses. All patients over the age of 18 admitted to the inpatient telemetry unit were included in this initiative...
March 1, 2018: American Journal of Health-system Pharmacy: AJHP
Lianping Yang, Chaojie Liu, Cunrui Huang, Dana B Mukamel
BACKGROUND: Reducing 30-day hospital readmissions has become a focus of the current national payment policies. Medicare requires that hospitals collect and report patients' experience with their care as a condition of payment. However, the extent to which patients' experience with hospital care is related to hospital readmission is unknown. METHODS: We established multivariate regression models in which 30-day risk-adjusted readmission rates were the dependent variables and patients' perceptions of the responsiveness of the hospital staff and communication (as measured by the Hospital Consumer Assessment of Healthcare Providers and Systems (HCAHPS) scores) were the independent variables of interest...
January 29, 2018: BMC Health Services Research
Panagiotis Kerezoudis, Mohammed Ali Alvi, Daniel S Ubl, Kristine T Hanson, William E Krauss, Fredric B Meyer, Robert J Spinner, Elizabeth B Habermann, Mohamad Bydon
OBJECTIVE Patient-reported outcomes have been increasingly mandated by regulators and payers to evaluate hospital and physician performance. The purpose of this study is to delineate the differences in patient-reported experience of hospital care for cranial and spinal operations. METHODS The authors selected all patients who underwent inpatient, elective cranial or spinal procedures and completed the Hospital Consumer Assessment of Healthcare Providers and Systems (HCAHPS) survey at a single, high-volume, tertiary care institution between October 2012 and September 2015...
January 26, 2018: Journal of Neurosurgery
(no author information available yet)
BACKGROUND: Our goal was to determine whether readmissions within 30 or 90 days following discharge are associated with Hospital Consumer Assessment of Healthcare Providers and Systems (HCAHPS) scores for total hip arthroplasty (THA) patients. METHODS: HCAHPS surveys from all patients who underwent THA between January 2016 and September 2016 in our institution were analyzed. Readmissions, demographics, baseline joint pain, joint function, and Veterans RAND-12 scores were collected...
December 29, 2017: Journal of Arthroplasty
Erik Hefti, Michael Remington, Charles Lavallee
Background: Pharmacist involvement has been shown to improve various aspects of patient care. Patients undergoing knee and hip replacement surgery generally experience post-operative pain and discomfort. Pain control can impact patient satisfaction, as reported by the Hospital Consumer Assessment of Healthcare Providers and Systems (HCAHPS) survey. Objective: The current pilot study aims to measure the potential impact that incorporating pharmacists into preoperative patient education programs has on the response to select HCAHPS questions...
October 2017: Pharmacy Practice
Jessie L Tucker
No abstract text is available yet for this article.
January 2018: Journal of Healthcare Management / American College of Healthcare Executives
Mona Al-Amin, Melody K Schiaffino, Sinyoung Park, Jeffrey Harman
This study examines hospital characteristics associated with sustained superior performance on Hospital Consumer Assessment of Healthcare Providers and Systems (HCAHPS) measures. We classified hospitals as sustainers if they remained in the top 25th percentile of overall patient ratings of inpatient experience from 2009 through 2013. We classified hospital characteristics as modifiable or unmodifiable. Modifiable characteristics are operational measures that hospitals can change to improve performance; these characteristics include registered nurse (RN) staffing levels, presence of hospitalists, and level of physician integration...
January 2018: Journal of Healthcare Management / American College of Healthcare Executives
J Gene Chen, Baiming Zou, Jonathan Shuster
Background: Physician care influences patient satisfaction. Inherent physician attributes may also affect scores. Objective: To determine the relationship between physician characteristics and patient satisfaction regarding physician care and communication. Method: Observational retrospective study. We examined patient satisfaction surveys from inpatient adults across 9 questions (HCAHPS: Courtesy, Listen, and Explain; Press Ganey: Time, Concern, Informed, Friendliness, Skill, Rating) in relation to physician gender, age, ethnicity, race, and specialty...
December 2017: Journal of Patient Experience
Sumer Wallace, Kristine T Hanson, Sean C Dowdy, Elizabeth B Habermann
OBJECTIVE: We sought to compare the Hospital Consumer Assessment of Healthcare Providers and Systems (HCAHPS) survey responses of women who underwent gynecologic surgery at our institution across patient factors and surgical approach. METHODS: We identified patients with returned HCAHPS surveys following an inpatient laparoscopic surgery or laparotomy in gynecologic surgery from 10/1/2012-9/30/2015. Exclusions included patient age<18years, discharge by a service other than Gynecologic Surgery, or refusal of Minnesota research authorization...
January 2018: Gynecologic Oncology
Elizabeth Zwillinger, Tammy Huster
Discover how one group successfully sustained HCAHPS scores in the 99th percentile over 18 quarters.
December 2017: Nursing Management
Shelly L Eisert, Rebecca J Bartlett Ellis, Jennifer W Geers, Karen L Werskey
This article describes an innovative approach to using national measures of patients' perspectives of quality health care. Nurses from a regional simulation consortium designed and executed a simulation using the Hospital Consumer Assessment of Healthcare Providers and Systems (HCAHPS) survey to prepare nurses to improve care and, in turn, enhance patients' perceptions of care. The consortium is currently revising the reporting mechanism to collect data about specific learning objectives based on national quality indicator benchmarks, specifically HCAHPS...
January 2017: Nursing Education Perspectives
Cheryl A Thompson
No abstract text is available yet for this article.
December 1, 2017: American Journal of Health-system Pharmacy: AJHP
Sabrina B Orique, Christopher M Patty, Alisha Sandidge, Emma Camarena, Rose Newsom
OBJECTIVE: The aim of this article is to describe the use of Hospital Consumer Assessment of Healthcare Providers and Systems (HCAHPS) data to measure missed nursing care and construct a missed nursing care metric. BACKGROUND: Missed nursing care varies widely within and between US hospitals. Missed nursing care can be measured utilizing the HCAHPS data. METHODS: This cross-sectional study used HCAHPS data to measure missed care. RESULTS: This analysis includes HCAHPS data from 1125 acute care patients discharged between January 2014 and December 2014...
December 2017: Journal of Nursing Administration
Utkarsh Anil, Ameer M Elbuluk, Jacob Ziegler, Ran Schwarzkopf, William J Long
BACKGROUND: With the establishment of the Hospital Value-Based Purchasing program, the Hospital Consumer Assessment of Healthcare Providers and Systems (HCAHPS) score has been incorporated into the calculation of the total performance score, which determines redistribution of up to 2% of Medicare payments. This study aims to assess whether the HCAHPS score correlates with validated outcome measures after total hip arthroplasty. METHODS: Data from 63 patients who underwent a total hip arthroplasty and completed both an HCAHPS score and patient-reported outcome measures (PROMs) at our institution during the study period from January 1, 2015 to September 2016 were analyzed...
October 3, 2017: Journal of Arthroplasty
Farouk Dako, Rick Wray, Omer Awan, Rathan M Subramaniam
Patient satisfaction with health-care delivery is essential today. Using a psychometrically validated questionnaire-SERVPERF-we quantitatively measured patients' perceptions of the quality of service at the point of care in a PET/CT center, and we used this information to guide subsequent quality improvement interventions. SERVPERF is a survey instrument that measures performance for various services. It has demonstrated reliability and validity across various industries. The standard for measuring patient perception of quality in hospitals-the "Hospital Consumer Assessment of Health Care Providers and Systems" survey-does not include questions about the care received in a typical radiology department and is not performed at the point of care...
December 2017: Journal of Nuclear Medicine Technology
Molly A Day, Christopher A Anthony, Nicholas A Bedard, Natalie A Glass, Charles R Clark, John J Callaghan, Nicolas O Noiseux
BACKGROUND: Automated mobile phone messaging has not been reported in total joint arthroplasty (TJA). Our purpose was to compare Press Ganey (PG) and Hospital Consumer Assessment of Healthcare Providers and Systems (HCAHPS) scores between TJA patients who did and did not receive perioperative automated mobile phone messages. METHODS: Patients were prospectively enrolled and received messages for 1 week prior until 2 weeks after TJA. Message content included reminders, activity, and pain control...
January 2018: Journal of Arthroplasty
Fetch more papers »
Fetching more papers... Fetching...
Read by QxMD. Sign in or create an account to discover new knowledge that matter to you.
Remove bar
Read by QxMD icon Read

Search Tips

Use Boolean operators: AND/OR

diabetic AND foot
diabetes OR diabetic

Exclude a word using the 'minus' sign

Virchow -triad

Use Parentheses

water AND (cup OR glass)

Add an asterisk (*) at end of a word to include word stems

Neuro* will search for Neurology, Neuroscientist, Neurological, and so on

Use quotes to search for an exact phrase

"primary prevention of cancer"
(heart or cardiac or cardio*) AND arrest -"American Heart Association"