2023
Changes in Patient Experiences of Hospital Care During the COVID-19 Pandemic
Elliott M, Beckett M, Cohea C, Lehrman W, Cleary P, Giordano L, Russ C, Goldstein E, Fleisher L. Changes in Patient Experiences of Hospital Care During the COVID-19 Pandemic. JAMA Health Forum 2023, 4: e232766. PMID: 37624612, PMCID: PMC10457712, DOI: 10.1001/jamahealthforum.2023.2766.Peer-Reviewed Original ResearchConceptsCohort studyPatient experienceCare experiencesTop quartile hospitalsAffected measuresAge 65 yearsSurgical service linesStaffing levelsCOVID-19 pandemicPatient experience scoresPatient care experiencesEffect sizePrimary outcomeHCAHPS measuresPrepandemic dataHospital careMAIN OUTCOMESummary scoresHCAHPS scoresUS hospitalsLarge effect sizesPrimary analysisHospitalDischarge informationSecondary analysis
2020
A quasi-experiment assessing the six-months effects of a nurse care coordination program on patient care experiences and clinician teamwork in community health centers
Nembhard IM, Buta E, Lee YSH, Anderson D, Zlateva I, Cleary PD. A quasi-experiment assessing the six-months effects of a nurse care coordination program on patient care experiences and clinician teamwork in community health centers. BMC Health Services Research 2020, 20: 137. PMID: 32093664, PMCID: PMC7038598, DOI: 10.1186/s12913-020-4986-0.Peer-Reviewed Original ResearchConceptsHigh-risk patientsCare coordinationCare experiencesOffice visitsSix-month effectsCare coordination programSame health systemCommunity health centersPatient office visitsPatient care experiencesLow-resource settingsMonths of useMonths of implementationPre-post designHealth centersPatient reportsPatient experiencePatientsProgram enrolleesHealthcare providersQuasi-experimental studyClinical staffHealth systemCoordination programStudy outcomes
2017
Chronic Obstructive Pulmonary Disease Readmissions and Other Measures of Hospital Quality
Rinne ST, Castaneda J, Lindenauer PK, Cleary PD, Paz HL, Gomez JL. Chronic Obstructive Pulmonary Disease Readmissions and Other Measures of Hospital Quality. American Journal Of Respiratory And Critical Care Medicine 2017, 196: 47-55. PMID: 28145726, PMCID: PMC5519962, DOI: 10.1164/rccm.201609-1944oc.Peer-Reviewed Original ResearchConceptsCOPD readmission ratesChronic obstructive pulmonary diseaseReadmission ratesCOPD readmissionsMortality rateChronic Obstructive Pulmonary Disease ReadmissionsHospital qualityObstructive pulmonary diseaseDisease-specific outcomesAcute myocardial infarctionPatient experience measuresHigh-quality careIndividual disease outcomesHospital Compare websiteHeart failureHospital readmissionPulmonary diseaseMyocardial infarctionSurgical conditionsDisease outcomePatient reportsReadmissionMedical conditionsCare experiencesMeasures of quality
2016
Evolving Concepts of Patient-Centered Care and the Assessment of Patient Care Experiences: Optimism and Opposition
Cleary PD. Evolving Concepts of Patient-Centered Care and the Assessment of Patient Care Experiences: Optimism and Opposition. Journal Of Health Politics Policy And Law 2016, 41: 675-696. PMID: 27127265, DOI: 10.1215/03616878-3620881.Peer-Reviewed Original ResearchConceptsHealth care qualityQuality improvement effortsPatient satisfactionCare experiencesCare qualityHigh-quality patient-centered carePatient-centered carePatient care experiencesHealth care systemBetter outcomesCare needsPatient experienceImprovement effortsCare systemCareSurvey-based assessmentOutcomesMultiple outcomesBroad effectsAvailable researchBroad improvementsEvolving ConceptAdvice to Quit Smoking and Ratings of Health Care among Medicare Beneficiaries Aged 65+
Winpenny E, Elliott MN, Haas A, Haviland AM, Orr N, Shadel WG, Ma S, Friedberg MW, Cleary PD. Advice to Quit Smoking and Ratings of Health Care among Medicare Beneficiaries Aged 65+. Health Services Research 2016, 52: 207-219. PMID: 27061081, PMCID: PMC5264017, DOI: 10.1111/1475-6773.12491.Peer-Reviewed Original ResearchConceptsCare experiencesPatient experience measuresPatient care experiencesMedicare Consumer AssessmentCessation advicePhysician advicePatient assessmentAged 65Physician communicationPhysician ratingsHealthcare providersSmokingFixed-effects linear regression modelsConsumer AssessmentCross-sectional survey dataSystem surveyHealth careExperience measuresSmokersPositive associationLinear regression modelsRegression modelsRepresentative sampleAdvicePhysicians
2015
Accelerating Improvement and Narrowing Gaps: Trends in Patients' Experiences with Hospital Care Reflected in HCAHPS Public Reporting
Elliott MN, Cohea CW, Lehrman WG, Goldstein EH, Cleary PD, Giordano LA, Beckett MK, Zaslavsky AM. Accelerating Improvement and Narrowing Gaps: Trends in Patients' Experiences with Hospital Care Reflected in HCAHPS Public Reporting. Health Services Research 2015, 50: 1850-1867. PMID: 25854292, PMCID: PMC4693845, DOI: 10.1111/1475-6773.12305.Peer-Reviewed Original ResearchConceptsHospital care experiencesAdult inpatientsHospital characteristicsPublic reportingLinear mixed-effects regression modelsMixed effects regression modelsPatient characteristicsHCAHPS measuresHospital careHospital typePatient experienceHCAHPS scoresHospitalMeaningful improvementsCare experiencesPatient mixLarge hospitalsU.S. hospitalsPercent decreaseInpatientsNational probability sampleGreater improvementProbability sampleNarrowing GapsRegression modelsThe relationship between voice climate and patients’ experience of timely care in primary care clinics
Nembhard IM, Yuan CT, Shabanova V, Cleary PD. The relationship between voice climate and patients’ experience of timely care in primary care clinics. Health Care Management Review 2015, 40: 104-115. PMID: 24589927, PMCID: PMC5428896, DOI: 10.1097/hmr.0000000000000017.Peer-Reviewed Original ResearchConceptsTimeliness of carePrimary care clinicsTimely carePatient care experiencesCare clinicsPatient experienceCare experiencesCross-sectional studyLess patientsStaff work environmentPatient reportsPatientsQuality careClinicAppointment timeCareClinical leadersAdministrative staffReportProfessional groupsWork environmentStaffAnalysis of varianceLeaders' reportsVoice climate
2014
Methodological Considerations When Studying the Association between Patient‐Reported Care Experiences and Mortality
Xu X, Buta E, Anhang Price R, Elliott MN, Hays RD, Cleary PD. Methodological Considerations When Studying the Association between Patient‐Reported Care Experiences and Mortality. Health Services Research 2014, 50: 1146-1161. PMID: 25483571, PMCID: PMC4545351, DOI: 10.1111/1475-6773.12264.Peer-Reviewed Original ResearchConceptsPatient care experiencesCare experiencesNational Death Index mortality dataMedical careCox proportional hazards modelNational Health Interview SurveyMedical Expenditure Panel Survey dataOverall care experienceProportional hazards modelHealth Interview SurveyPatient experience measuresCause mortalityClinic visitsHalf of respondentsAmenable deathsHazards modelRespondents ages 18MortalityAge 18Mortality dataDoctor's officeInterview SurveyExperience measuresDeathPatientsShould Health Care Providers be Accountable for Patients’ Care Experiences?
Anhang Price R, Elliott MN, Cleary PD, Zaslavsky AM, Hays RD. Should Health Care Providers be Accountable for Patients’ Care Experiences? Journal Of General Internal Medicine 2014, 30: 253-256. PMID: 25416601, PMCID: PMC4314483, DOI: 10.1007/s11606-014-3111-7.Peer-Reviewed Original ResearchConceptsHealth care providersPatient experience measuresCare providersPatient experienceCare experiencesExperience measuresCare qualityHigh-quality clinical careBetter patient experienceHealth care qualityPatients' scoresClinical carePatient's desirePatientsResponse rateHealthcare providersConsumer AssessmentSystem surveyStandardized approachExperiences SurveyProvidersExamining the Role of Patient Experience Surveys in Measuring Health Care Quality
Price R, Elliott MN, Zaslavsky AM, Hays RD, Lehrman WG, Rybowski L, Edgman-Levitan S, Cleary PD. Examining the Role of Patient Experience Surveys in Measuring Health Care Quality. Medical Care Research And Review 2014, 71: 522-554. PMID: 25027409, PMCID: PMC4349195, DOI: 10.1177/1077558714541480.Peer-Reviewed Original ResearchConceptsHealth care qualityBetter patient care experiencesLess health care utilizationCare qualityBetter clinical outcomesHealth care utilizationPatient experience surveysPatient experience measuresPatient care experiencesBetter patient safetyClinical outcomesCare utilizationExperiences SurveyPatient experienceCare experiencesPatient safetyClinical processesExperience measuresPublic reportingStandard protocolSound instrumentPerformance programsSample sizeHigh levelsHospital
2013
Care Experiences of Managed Care Medicare Enrollees Near the End of Life
Elliott MN, Haviland AM, Cleary PD, Zaslavsky AM, Farley DO, Klein DJ, Edwards CA, Beckett MK, Orr N, Saliba D. Care Experiences of Managed Care Medicare Enrollees Near the End of Life. Journal Of The American Geriatrics Society 2013, 61: 407-412. PMID: 23379270, DOI: 10.1111/jgs.12121.Peer-Reviewed Original ResearchConceptsCare experiencesSocial Security Administration death recordsParticipants' experiencesIndividual experiencesBad experiencesExperienceRepresentative sampleFuture researchEnd of lifeIndividual deathSurvey completionSurveyHealthcare providersGood experienceRaceEthnicityPrescription drug coverageEducationRetrospective reportsGeographic regions
2011
How Do the Experiences of Medicare Beneficiary Subgroups Differ between Managed Care and Original Medicare?
Elliott MN, Haviland AM, Orr N, Hambarsoomian K, Cleary PD. How Do the Experiences of Medicare Beneficiary Subgroups Differ between Managed Care and Original Medicare? Health Services Research 2011, 46: 1039-1058. PMID: 21306370, PMCID: PMC3165177, DOI: 10.1111/j.1475-6773.2011.01245.x.Peer-Reviewed Original ResearchConceptsFair self-rated healthHealth care providersSubgroup characteristicsSelf-rated healthHealth care experiencesLow-income subsidyMedicare Consumer AssessmentUniform careCare scoresAge 85Care providersMedicare beneficiariesService MedicareCare experiencesCAHPS measuresConsumer AssessmentHigh school degreeCareSystem surveyParticular subgroupManaged CareAssessed differencesTraditional feeLow incomeSignificant positive interaction
2010
Hospital Survey Shows Improvements In Patient Experience
Elliott MN, Lehrman WG, Goldstein EH, Giordano LA, Beckett MK, Cohea CW, Cleary PD. Hospital Survey Shows Improvements In Patient Experience. Health Affairs 2010, 29: 2061-2067. PMID: 21041749, DOI: 10.1377/hlthaff.2009.0876.Peer-Reviewed Original ResearchConceptsPatient experienceHospital Consumer AssessmentStaff responsivenessInpatient care experienceInpatient careHospital SurveyDoctor communicationHealthcare providersDischarge informationCare experiencesConsumer AssessmentHospital cleanlinessSystem surveyPublic reportingHospitalMeaningful gainsResponsivenessPatientsA Randomized Trial Comparing Mail versus In‐Office Distribution of the CAHPS Clinician and Group Survey
Anastario MP, Rodriguez HP, Gallagher PM, Cleary PD, Shaller D, Rogers WH, Bogen K, Safran DG. A Randomized Trial Comparing Mail versus In‐Office Distribution of the CAHPS Clinician and Group Survey. Health Services Research 2010, 45: 1345-1359. PMID: 20579126, PMCID: PMC2965508, DOI: 10.1111/j.1475-6773.2010.01129.x.Peer-Reviewed Original ResearchConceptsPatient care experiencesCare experiencesLower overall response rateOverall response rateComparison of physicianChoice of patientsCAHPS ClinicianResponse ratePractice sitesSurvey scoresAnalytic samplePotential rolePatientsCliniciansDistribution ratePhysiciansFurther testingValid assessmentSurvey distributionNew York StateGroup surveyMailTrialsWeeksRate
2009
Development of a New Patient-Based Measure of Pediatric Ambulatory Care
Gallagher P, Ding L, Ham HP, Schor EL, Hays RD, Cleary PD. Development of a New Patient-Based Measure of Pediatric Ambulatory Care. Pediatrics 2009, 124: 1348-1354. PMID: 19822587, PMCID: PMC5443558, DOI: 10.1542/peds.2009-0495.Peer-Reviewed Original ResearchConceptsPediatric ambulatory carePreventive careAmbulatory carePediatric careCAHPS surveyAmbulatory pediatric careHospital care experiencesHealth care policyPediatric instrumentsPediatric expertsNew patientsGood internal consistencyDevelopmental monitoringHealthcare providersCare experiencesConsumer AssessmentCareHealth careCare policyCliniciansInternal consistencyFocus groupsValid assessmentCognitive interviewsGroupQuality Assessments by Sick and Healthy Beneficiaries in Traditional Medicare and Medicare Managed Care
Keenan PS, Elliott MN, Cleary PD, Zaslavsky AM, Landon BE. Quality Assessments by Sick and Healthy Beneficiaries in Traditional Medicare and Medicare Managed Care. Medical Care 2009, 47: 882-888. PMID: 19543123, DOI: 10.1097/mlr.0b013e3181a39415.Peer-Reviewed Original ResearchConceptsPreventive services measuresCare experiencesPreventive servicesMedicaid ServicesPreventive services receiptRates of immunizationCAHPS scoresExperience measuresOffice wait timeQuality of careTraditional MedicareSick groupPhysician ratingsCare plansMedicare Managed CareHealthcare providersService MedicareCAHPS measuresHealth plansService receiptConsumer AssessmentSystem surveyHealthier beneficiariesManaged CareMedicare
2008
Case‐Mix Adjustment of Consumer Reports about Managed Behavioral Health Care and Health Plans
Eselius LL, Cleary PD, Zaslavsky AM, Huskamp HA, Busch SH. Case‐Mix Adjustment of Consumer Reports about Managed Behavioral Health Care and Health Plans. Health Services Research 2008, 43: 2014-2032. PMID: 18783456, PMCID: PMC2613989, DOI: 10.1111/j.1475-6773.2008.00894.x.Peer-Reviewed Original ResearchConceptsCase-mix adjustmentBehavioral health careHealth statusHealth plansPatient reportsSelf-reported general health statusSelf-reported mental health statusAlcohol/drug treatmentGeneral health statusHealth careHealth Outcomes SurveyBehavioral health plansMental health statusCase-mix adjustment modelExperience of careHealth care experiencesRace/ethnicityPatient characteristicsDrug treatmentOutcome SurveyCare experiencesPoor healthPlan rankingsReport scoresGood health
2007
Quality of Health Care for Children: Role of Health and Chronic Illness in Inpatient Care Experiences
Mack JW, Co JP, Goldmann DA, Weeks JC, Cleary PD. Quality of Health Care for Children: Role of Health and Chronic Illness in Inpatient Care Experiences. JAMA Pediatrics 2007, 161: 828-834. PMID: 17768281, DOI: 10.1001/archpedi.161.9.828.Peer-Reviewed Original ResearchConceptsChronic conditionsParents of childrenInpatient careHealth statusPoor healthHealth careQuality of careInpatient care experiencePercent of parentsCare-related problemsHealth care interactionsCare ratingsChronic illnessMultivariable modelRole of healthInpatient SurveyCare problemsCare experiencesLow qualityCare interactionsWorse healthGood healthCareSuch childrenChildren
2002
HIV Patients’ Experiences With Inpatient and Outpatient Care
Wilson IB, Ding L, Hays RD, Shapiro MF, Bozzette SA, Cleary PD. HIV Patients’ Experiences With Inpatient and Outpatient Care. Medical Care 2002, 40: 1149-1160. PMID: 12458298, DOI: 10.1097/00005650-200212000-00003.Peer-Reviewed Original ResearchConceptsOutpatient careCare experiencesPatient characteristicsInpatient stayGlobal ratingPatient experienceBetter provider-patient communicationOnly patient characteristicServices Utilization StudyProblem rateSpecific patient subgroupsProcess of careProvider-patient communicationSite of carePatient care experiencesQuality improvement effortsCohort studyHIV CostOutpatient visitsPatient subgroupsEmergency roomMultivariable modelInpatientsUtilization studiesHIVHow Are Patients' Specific Ambulatory Care Experiences Related to Trust, Satisfaction, and Considering Changing Physicians?
Keating NL, Green DC, Kao AC, Gazmararian JA, Wu VY, Cleary PD. How Are Patients' Specific Ambulatory Care Experiences Related to Trust, Satisfaction, and Considering Changing Physicians? Journal Of General Internal Medicine 2002, 17: 29-39. PMID: 11903773, PMCID: PMC1494999, DOI: 10.1046/j.1525-1497.2002.10209.x.Peer-Reviewed Original ResearchMeSH KeywordsAdultAmbulatory CareAttitude of Health PersonnelBaltimoreConfidence IntervalsDistrict of ColumbiaFemaleFloridaGeorgiaHumansMaleMiddle AgedMultivariate AnalysisOutcome Assessment, Health CarePatient ParticipationPatient SatisfactionPhysician-Patient RelationsQuality of Health CareSurveys and QuestionnairesConceptsPatient trustLower overall ratingsLarge national health insurerAmbulatory care experiencesMost patientsMultivariable analysisNational health insurerOverall ratingPatient reportsMedical informationAmbulatory settingPatient experienceMedical careCare experiencesPhysiciansHealth care organizationsPatient problemsTelephone surveyHealth informationMore trusting relationshipCare organizationsPatientsHealth insurersProblem experience