2017
A Flow-Based Model of the HIV Care Continuum in the United States
Gonsalves GS, Paltiel AD, Cleary PD, Gill MJ, Kitahata MM, Rebeiro PF, Silverberg MJ, Horberg M, Abraham AG, Althoff KN, Moore R, Bosch RJ, Tang T, Hall HI, Kaplan EH. A Flow-Based Model of the HIV Care Continuum in the United States. JAIDS Journal Of Acquired Immune Deficiency Syndromes 2017, 75: 548-553. PMID: 28471841, PMCID: PMC5533168, DOI: 10.1097/qai.0000000000001429.Peer-Reviewed Original ResearchConceptsViral suppressionAntiretroviral therapyHIV careNorth American AIDS Cohort CollaborationProportion of HIVHIV care continuumCohort CollaborationHIV diagnosisAntiretroviral treatmentVirological dataCare continuumFlow of patientsDisease controlPatientsCareAverage timeHIVTherapyLaboratory resultsMonthsSuppressionYearsDiagnosisIndividualsPrevention
2016
Understanding The Role Played By Medicare’s Patient Experience Points System In Hospital Reimbursement
Elliott MN, Beckett MK, Lehrman WG, Cleary P, Cohea CW, Giordano LA, Goldstein EH, Damberg CL. Understanding The Role Played By Medicare’s Patient Experience Points System In Hospital Reimbursement. Health Affairs 2016, 35: 1673-1680. PMID: 27605650, DOI: 10.1377/hlthaff.2015.0691.Peer-Reviewed Original ResearchEvolving 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 Concept
2015
The 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
Development and Evaluation of the CAHPS (Consumer Assessment of Healthcare Providers and Systems) Survey for In-Center Hemodialysis Patients
Weidmer BA, Cleary PD, Keller S, Evensen C, Hurtado MP, Kosiak B, Gallagher PM, Levine R, Hays RD. Development and Evaluation of the CAHPS (Consumer Assessment of Healthcare Providers and Systems) Survey for In-Center Hemodialysis Patients. American Journal Of Kidney Diseases 2014, 64: 753-760. PMID: 24998035, PMCID: PMC4356523, DOI: 10.1053/j.ajkd.2014.04.021.Peer-Reviewed Original ResearchConceptsGlobal ratingCenter carePatient experienceKidney doctorEnd-stage renal disease prospective payment systemIn-Center Hemodialysis PatientsMeasurement propertiesDialysis patientsHemodialysis patientsDialysis centersMulti-item scalesUS CentersPatientsDialysis facilitiesHealthcare providersAbstractTextInternal consistency reliabilityStudy designConsumer AssessmentMedicaid ServicesProspective payment systemCareFormative researchConsistency reliabilityAMP
2013
Evaluation of a Care Coordination Measure for the Consumer Assessment of Healthcare Providers and Systems (CAHPS®) Medicare Survey
Hays RD, Martino S, Brown JA, Cui M, Cleary P, Gaillot S, Elliott M. Evaluation of a Care Coordination Measure for the Consumer Assessment of Healthcare Providers and Systems (CAHPS®) Medicare Survey. Medical Care Research And Review 2013, 71: 192-202. PMID: 24227813, PMCID: PMC3959996, DOI: 10.1177/1077558713508205.Peer-Reviewed Original ResearchConceptsCare coordinationHealthcare providersConsumer AssessmentCAHPS global ratingCare coordination measuresBetter care coordinationMedicare surveyOverall care qualityMedical recordsPersonal doctorPatient reportsStrong unique associationCare qualityGlobal ratingHealth careFive-item measureComposite scoreCarePlan performanceCoordination measuresUnique associationPatientsProviders
2012
Development and Evaluation of CAHPS Questions to Assess the Impact of Health Information Technology on Patient Experiences With Ambulatory Care
McInnes DK, Brown JA, Hays RD, Gallagher P, Ralston JD, Hugh M, Kanter M, Serrato CA, Cosenza C, Halamka J, Ding L, Cleary PD. Development and Evaluation of CAHPS Questions to Assess the Impact of Health Information Technology on Patient Experiences With Ambulatory Care. Medical Care 2012, 50: s11-s19. PMID: 23064271, PMCID: PMC3525454, DOI: 10.1097/mlr.0b013e3182610a50.Peer-Reviewed Original ResearchConceptsHealth information technologyPatient experienceProvider websitesInformation technologyItem-scale correlationsDoctors' useE-mailAcademic medical centerIndependent predictorsAmbulatory careMedical CenterHealth plansIntegrated delivery systemsCognitive testingConsumer AssessmentCronbach's αComputerHealth careCarePatientsWebsitesPhysiciansCAHPSFocus groupsOverall ratingDevelopment of and Field Test Results for the CAHPS PCMH Survey
Scholle SH, Vuong O, Ding L, Fry S, Gallagher P, Brown JA, Hays RD, Cleary PD. Development of and Field Test Results for the CAHPS PCMH Survey. Medical Care 2012, 50: s2-s10. PMID: 23064272, PMCID: PMC5388834, DOI: 10.1097/mlr.0b013e3182610aba.Peer-Reviewed Original ResearchMeSH KeywordsAdolescentAdultAgedChildChild, PreschoolCommunity Health CentersConsumer BehaviorFactor Analysis, StatisticalFemaleFocus GroupsHealth Care SurveysHealth PersonnelHumansInfantInterviews as TopicMaleMiddle AgedPatient SatisfactionPatient-Centered CarePrimary Health CarePrivate PracticeReproducibility of ResultsSurveys and QuestionnairesUnited StatesYoung AdultConceptsEffective care practicesProcess of careMulti-item compositesPrimary careMedical homePediatric practiceSystems ClinicianCare practicesHealthcare providersConsumer AssessmentExpert panelSupplemental itemsPCMHCareChild versionCognitive interviewsExploratory factor analysisSurvey questionsPatientsBroad public inputCliniciansPsychometric Properties of the Consumer Assessment of Healthcare Providers and Systems (CAHPS®) Clinician and Group Adult Visit Survey
Dyer N, Sorra JS, Smith SA, Cleary PD, Hays RD. Psychometric Properties of the Consumer Assessment of Healthcare Providers and Systems (CAHPS®) Clinician and Group Adult Visit Survey. Medical Care 2012, 50: s28-s34. PMID: 23064274, PMCID: PMC3480671, DOI: 10.1097/mlr.0b013e31826cbc0d.Peer-Reviewed Original ResearchConceptsPractice site levelDoctor communicationSystems ClinicianHealthcare providersInternal consistency reliabilityConsumer AssessmentOutpatient medical officesGlobal ratingVisit surveyMulti-item compositesConsistency reliabilityClinical practice sitesGlobal rating itemsPsychometric propertiesDoctors' ratingsAcceptable psychometric propertiesCAHPS ClinicianHelpful staffMedical officesPractice sitesPatientsCliniciansCareIndividual levelSurvey itemsImproving Organizational Climate for Quality and Quality of Care
Nembhard IM, Northrup V, Shaller D, Cleary PD. Improving Organizational Climate for Quality and Quality of Care. Medical Care 2012, 50: s74-s82. PMID: 23064280, PMCID: PMC5428889, DOI: 10.1097/mlr.0b013e31826b1087.Peer-Reviewed Original ResearchConceptsTimeliness of careDoctor-patient communicationClinical Systems ImprovementPatient-centered careQuality of careStaff helpfulnessRatings of doctorsComparison clinicsIntervention clinicsPre-post designQuality improvement collaborativesControl clinicsDoctors' ratingsQuality careClinicClinic employeesDoctor's officeCareEquivocal effectsImprovement collaborativesMonthsPoor qualityMixed effectsDoctorsStaff relationshipsMultilevel Interventions: Study Design and Analysis Issues
Cleary PD, Gross CP, Zaslavsky AM, Taplin SH. Multilevel Interventions: Study Design and Analysis Issues. JNCI Monographs 2012, 2012: 49-55. PMID: 22623596, PMCID: PMC3482964, DOI: 10.1093/jncimonographs/lgs010.Peer-Reviewed Original ResearchMeSH KeywordsConfounding Factors, EpidemiologicContinuity of Patient CareData Interpretation, StatisticalDelivery of Health Care, IntegratedEarly Detection of CancerEducation, Medical, ContinuingFamilyHealth BehaviorHealth EducationHealth PromotionHealth Services ResearchHumansMedicaidMedicareNeoplasmsOrganizationsPatient Care TeamPrimary Health CareQuality of Health CareRandomized Controlled Trials as TopicResearch DesignResidence CharacteristicsRisk AssessmentSchoolsUnited StatesWorkplaceConceptsSingle-level interventionsMultilevel interventionsImpact of interventionsPatient outcomesCancer preventionIntervention componentsHealth care organizationsStudy designFocused interventionsHealth careInterventionSustained changesOutcomesKind of interventionLittle evidenceLevelsPatientsClinicCommunity levelCancerPhysiciansIndividualsCarePrevention
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
The Relationship between Patients' Perception of Care and Measures of Hospital Quality and Safety
Isaac T, Zaslavsky AM, Cleary PD, Landon BE. The Relationship between Patients' Perception of Care and Measures of Hospital Quality and Safety. Health Services Research 2010, 45: 1024-1040. PMID: 20528990, PMCID: PMC2910567, DOI: 10.1111/j.1475-6773.2010.01122.x.Peer-Reviewed Original ResearchConceptsPatient experienceHospital qualityHospital careSurgical complication ratePatient safety indicatorsHospital Consumer AssessmentBetter patient experienceHospital Quality AllianceUlcer ratesComplication ratePatients' perceptionsSurgical careMedical conditionsSystem scoreHealthcare providersMedical careConsumer AssessmentHospitalQuality AllianceCareMeasure domainsFurther studiesSurgical processSummary measuresSafetyWhy Pharmacists Belong In The Medical Home
Smith M, Bates DW, Bodenheimer T, Cleary PD. Why Pharmacists Belong In The Medical Home. Health Affairs 2010, 29: 906-913. PMID: 20439879, DOI: 10.1377/hlthaff.2010.0209.Peer-Reviewed Original ResearchConceptsMedical homeMedication-related problemsCost of therapyMedication therapy managementCost-effective therapySelf-care medicationTherapy reviewComplex regimensMedication regimensMedication effectivenessPatient adherenceOffice visitsAdherence programPrimary careChronic conditionsTherapy managementPharmacistsMedicationsRegimensTherapyAdherenceVisitsCare
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 interviewsGroupReported care quality in federal Ryan White HIV/AIDS Program supported networks of HIV/AIDS care
Hirschhorn LR, Landers S, Mcinnes DK, Malitz F, Ding L, Joyce R, Cleary PD. Reported care quality in federal Ryan White HIV/AIDS Program supported networks of HIV/AIDS care. AIDS Care 2009, 21: 799-807. PMID: 19484615, DOI: 10.1080/09540120802511992.Peer-Reviewed Original ResearchConceptsRyan White ProgramEligible metropolitan areasRyan White HIV/AIDS ProgramHIV/AIDS programsWhite ProgramCare providersCase managementHIV/AIDS careAIDS ProgramCare networkPrimary care providersCoordination of careNetworks of careMedical care providersQuality of careCoordination of servicesQuality improvement activitiesAIDS careCare sitesEarly pilot testingMedical providersCare qualitySupport servicesCareImprovement activitiesOlder People's Experiences of Patient-Centered Treatment for Chronic Pain: A Qualitative Study
Teh CF, Karp JF, Kleinman A, Reynolds C, Weiner DK, Cleary PD. Older People's Experiences of Patient-Centered Treatment for Chronic Pain: A Qualitative Study. Pain Medicine 2009, 10: 521-530. PMID: 19207235, PMCID: PMC2841780, DOI: 10.1111/j.1526-4637.2008.00556.x.Peer-Reviewed Original ResearchConceptsPatient-provider relationshipPatient-directed careChronic painOlder adultsTreatment decisionsUniversity-based pain clinicModel of carePatient-centered carePain clinicPain treatmentPatient activationCaucasian older adultsPatients' willingnessPainSpecific treatmentPatient involvementOlder people's experiencesQuality careHealth care environmentCareCare environmentAdultsTreatmentQualitative studyProviders
2008
Quality of depression care for people with coincident chronic medical conditions
Teh CF, Reynolds CF, Cleary PD. Quality of depression care for people with coincident chronic medical conditions. General Hospital Psychiatry 2008, 30: 528-535. PMID: 19061679, PMCID: PMC2598839, DOI: 10.1016/j.genhosppsych.2008.07.002.Peer-Reviewed Original ResearchMeSH KeywordsAdultAntidepressive AgentsChronic DiseaseComorbidityDepressive Disorder, MajorDysthymic DisorderFemaleHealth SurveysHumansMaleMiddle AgedPatient SatisfactionPhysician-Patient RelationsPrimary Health CareQuality Assurance, Health CareReferral and ConsultationUnited StatesUtilization ReviewConceptsChronic medical conditionsAdequate depression carePatient-provider relationshipDepression careMedical conditionsComorbid chronic medical conditionsSevere chronic medical conditionsDepression care qualityDepression recognitionContinuity of careMajor depressive disorderMental health problemsLogistic regression modelsAntidepressant medicationMedical visitsPoor outcomePatient satisfactionDepressed patientsDepressive disorderUsual sourceHealth problemsCare qualityCareProvider trustDepressionPerceptions of cancer‐related information among cancer survivors: A report from the American Cancer Society's Studies of Cancer Survivors
McInnes DK, Cleary PD, Stein KD, Ding L, Mehta CC, Ayanian JZ. Perceptions of cancer‐related information among cancer survivors: A report from the American Cancer Society's Studies of Cancer Survivors. Cancer 2008, 113: 1471-1479. PMID: 18666212, DOI: 10.1002/cncr.23713.Peer-Reviewed Original ResearchConceptsCancer survivorsCancer-related informationCancer informationCancer careLong-term side effectsAmerican Cancer Society's StudyCancer support groupsLow incomeSurvivors 3Cancer patientsCancer physiciansCommon cancerOlder womenSide effectsHealth outcomesYoung womenSurvivorsMental healthSupport groupsHealth informationCareWomenMore barriersUnfavorable ratingsPhysiciansEvaluating the use of a modified CAHPS® survey to support improvements in patient‐centred care: lessons from a quality improvement collaborative
Davies E, Shaller D, Edgman‐Levitan S, Safran DG, Oftedahl G, Sakowski J, Cleary PD. Evaluating the use of a modified CAHPS® survey to support improvements in patient‐centred care: lessons from a quality improvement collaborative. Health Expectations 2008, 11: 160-176. PMID: 18494960, PMCID: PMC5060434, DOI: 10.1111/j.1369-7625.2007.00483.x.Peer-Reviewed Original ResearchConceptsPatient experienceClinical Systems ImprovementSample of patientsPatient-centered careCAHPS surveyHealthcare providersSimple interventionMedical groupConsumer AssessmentSystem surveyProcess evaluationHealthcare systemHarvard Medical SchoolQuality improvementBaseline dataCareInterventionPowerful stimulusMeasurable improvementResource manualGroupSmall improvementEngaged leadershipSuccessful groupSubsequent changes