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
2018
Hospital quality indicators are not unidimensional: A reanalysis of Lieberthal and Comer
Cefalu MS, Elliott MN, Setodji CM, Cleary PD, Hays RD. Hospital quality indicators are not unidimensional: A reanalysis of Lieberthal and Comer. Health Services Research 2018, 54: 502-508. PMID: 30259508, PMCID: PMC6407350, DOI: 10.1111/1475-6773.13056.Peer-Reviewed Original ResearchConceptsHospital quality indicatorsHospital qualityHospital Value-Based PurchasingHospital Compare dataAmerican Hospital Association Annual SurveyHospital carePatient experienceDifferent hospitalsValue-based purchasingRidit scoresIndicators of structureQuality indicatorsExploratory factor analysisHospitalPrior publicationsMortality
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 Research
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 models
2014
Examining 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 levelsHospitalAre Comparisons of Patient Experiences Across Hospitals Fair? A Study in Veterans Health Administration Hospitals
Cleary PD, Meterko M, Wright SM, Zaslavsky AM. Are Comparisons of Patient Experiences Across Hospitals Fair? A Study in Veterans Health Administration Hospitals. Medical Care 2014, 52: 619-625. PMID: 24926709, PMCID: PMC4682878, DOI: 10.1097/mlr.0000000000000144.Peer-Reviewed Original ResearchMeSH KeywordsAgedAttitude of Health PersonnelConfounding Factors, EpidemiologicContinuity of Patient CareFemaleHealth Services AccessibilityHealth Services ResearchHospitals, VeteransHumansMaleMiddle AgedMyocardial InfarctionPatient SatisfactionQuality of Health CareResidence CharacteristicsSocioeconomic FactorsSurveys and QuestionnairesUnited StatesConceptsAcute myocardial infarctionPatients' clinical characteristicsClinical characteristicsPatient characteristicsPatient experienceInitial acute myocardial infarctionPatient-reported health statusVeterans Health Administration hospitalsVeterans Affairs Medical CenterVA administrative dataPatient experience surveysPatient care experiencesComplex patientsMyocardial infarctionPatient surveyMedical recordsAdministration HospitalClinical dataHospital careMedical CenterClinical informationHOSPITAL scoreInpatient experienceHealth statusHospital
2011
Parents' Roles in Decision Making for Children With Cancer in the First Year of Cancer Treatment
Mack JW, Wolfe J, Cook EF, Grier HE, Cleary PD, Weeks JC. Parents' Roles in Decision Making for Children With Cancer in the First Year of Cancer Treatment. Journal Of Clinical Oncology 2011, 29: 2085-2090. PMID: 21464400, DOI: 10.1200/jco.2010.32.0507.Peer-Reviewed Original ResearchConceptsParents' preferred roleParents of childrenChild's physicianPhysician communicationPreferred roleMost parentsDana-Farber Cancer InstituteCancer treatmentFirst yearCross-sectional surveyChildren's HospitalPhysician judgmentPhysicians' perceptionsCancer InstitutePhysiciansCancerChildrenHospitalTreatmentPassive roleYearsActual roleMore passive rolesParentsRole
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 gainsResponsivenessPatientsThe 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 measuresSafety
2009
Peace of Mind and Sense of Purpose as Core Existential Issues Among Parents of Children With Cancer
Mack JW, Wolfe J, Cook EF, Grier HE, Cleary PD, Weeks JC. Peace of Mind and Sense of Purpose as Core Existential Issues Among Parents of Children With Cancer. JAMA Pediatrics 2009, 163: 519-524. PMID: 19487607, DOI: 10.1001/archpediatrics.2009.57.Peer-Reviewed Original ResearchMeSH KeywordsAdaptation, PsychologicalAdolescentBostonChildChild, PreschoolCommunicationCross-Sectional StudiesCultureData CollectionExistentialismHospitals, PediatricHumansInfantMotivationNeoplasmsParentsPersonality InventoryProfessional-Family RelationsPrognosisPsychometricsQuality of LifeSpiritualityTrustConceptsChronic Illness Therapy-Spiritual WellParents of childrenPrognostic informationFunctional assessmentDana-Farber Cancer InstituteMultivariable logistic regression modelCross-sectional surveyDetailed prognostic informationLogistic regression modelsOncologist judgmentChildren's HospitalMAIN OUTCOMECancer InstituteCancerCancer treatmentPeace of mindOncologistsHospitalScoresChildrenFirst yearHigh peaceRegression modelsMedical informationSubscale responses
2007
Hope and Prognostic Disclosure
Mack JW, Wolfe J, Cook EF, Grier HE, Cleary PD, Weeks JC. Hope and Prognostic Disclosure. Journal Of Clinical Oncology 2007, 25: 5636-5642. PMID: 18065734, DOI: 10.1200/jco.2007.12.6110.Peer-Reviewed Original ResearchConceptsPrognostic disclosurePrognostic informationPhysician communicationDana-Farber Cancer InstituteDisclosure of prognosisHalf of parentsChildren's HospitalParents of childrenChild's physicianMultivariable modelMAIN OUTCOMEParental recallCancer InstituteChild's oncologistChildren's CancerPatients' hopePhysiciansCancerEmotional distressPrognosisOncologistsHospitalChildren's likelihoodFirst yearCureHope and prognostic disclosure
Mack J, Cook E, Wolfe J, Grier H, Cleary P, Weeks J. Hope and prognostic disclosure. Journal Of Clinical Oncology 2007, 25: 6510-6510. DOI: 10.1200/jco.2007.25.18_suppl.6510.Peer-Reviewed Original ResearchPrognostic informationPrognostic disclosureParents of childrenPhysician communicationDana-Farber Cancer InstituteDisclosure of prognosisAdditional prognostic informationChildren's likelihoodChildren's HospitalChild's physicianMultivariable modelCancer InstituteChild's prognosisParent recallPrognosisPhysiciansCancer treatmentSignificant financial relationshipParental reportsFive-item indexHospitalCancerFirst yearCureChildren
2006
Communication About Prognosis Between Parents and Physicians of Children With Cancer: Parent Preferences and the Impact of Prognostic Information
Mack JW, Wolfe J, Grier HE, Cleary PD, Weeks JC. Communication About Prognosis Between Parents and Physicians of Children With Cancer: Parent Preferences and the Impact of Prognostic Information. Journal Of Clinical Oncology 2006, 24: 5265-5270. PMID: 17114660, DOI: 10.1200/jco.2006.06.5326.Peer-Reviewed Original ResearchConceptsPrognostic informationDana-Farber Cancer InstitutePhysicians of childrenMain outcome measuresParents' preferencesChildren's HospitalMajority of parentsParents of childrenChild's physicianOutcome measuresCancer InstitutePrognosisPhysiciansLoss of hopeCancerChildrenHospitalParents' senseParent ratingsParents' desireParentsPatientsUnderstanding of prognosis among parents of children with cancer: Parental optimism and the role of the parent-physician interaction
Mack J, Cook E, Wolfe J, Grier H, Cleary P, Weeks J. Understanding of prognosis among parents of children with cancer: Parental optimism and the role of the parent-physician interaction. Journal Of Clinical Oncology 2006, 24: 6033-6033. DOI: 10.1200/jco.2006.24.18_suppl.6033.Peer-Reviewed Original ResearchParents of childrenChild's physicianPhysicians' perceptionsDana-Farber Cancer InstituteMain outcome measuresUnderstanding of prognosisCross-sectional surveyChildren's HospitalMajority of parentsPhysician ratingsOutcome measuresCancer InstituteChild's prognosisPrognosisCancerPhysiciansPrognostic estimatesSignificant financial relationshipParents' confidenceCureMost parentsHospitalChildren's likelihoodChildrenChildren's chances
2005
Exploratory Factor Analyses of the CAHPS® Hospital Pilot Survey Responses across and within Medical, Surgical, and Obstetric Services
O'Malley AJ, Zaslavsky AM, Hays RD, Hepner KA, Keller S, Cleary PD. Exploratory Factor Analyses of the CAHPS® Hospital Pilot Survey Responses across and within Medical, Surgical, and Obstetric Services. Health Services Research 2005, 40: 2078-2095. PMID: 16316439, PMCID: PMC1361242, DOI: 10.1111/j.1475-6773.2005.00471.x.Peer-Reviewed Original ResearchConceptsPatient-level analysisComposite scoreDifferent composite scoresObstetric servicesPatient levelHospital SurveyHospital levelHealthcare providersHospitalCAHPS Hospital SurveyPatientsConsumer AssessmentMedicaid ServicesCross-sectional dataPilot surveyCAHPS scoresScoresExploratory factor analytic methodsQuestionnaire itemsExploratory factor analysisSurgicalQuality reportsLevelsCAHPSMethods Used to Streamline the CAHPS® Hospital Survey
Keller S, O'Malley AJ, Hays RD, Matthew RA, Zaslavsky AM, Hepner KA, Cleary PD. Methods Used to Streamline the CAHPS® Hospital Survey. Health Services Research 2005, 40: 2057-2077. PMID: 16316438, PMCID: PMC1361248, DOI: 10.1111/j.1475-6773.2005.00478.x.Peer-Reviewed Original ResearchConceptsStatistical propertiesHospital SurveyCare qualityHospital care qualityBest subsetStandard psychometric methodsParsimonious subsetPromising measurement propertiesHospital stayPatient evaluationHospital carePatient reportsInternal consistency reliabilityCAHPS Hospital SurveyHospitalExcellent fitPilot dataMeasurement propertiesReport itemsConsistency reliabilityConfirmatory factor analysisCareFocus groupsPsychometric methodsSubsetCase‐Mix Adjustment of the CAHPS® Hospital Survey
O'Malley AJ, Zaslavsky AM, Elliott MN, Zaborski L, Cleary PD. Case‐Mix Adjustment of the CAHPS® Hospital Survey. Health Services Research 2005, 40: 2162-2181. PMID: 16316443, PMCID: PMC1361241, DOI: 10.1111/j.1475-6773.2005.00470.x.Peer-Reviewed Original ResearchConceptsGeneral health statusCase-mix adjustmentCirculatory disordersHospital SurveyMedical servicesCase-mix variablesNon-Hispanic blacksPatient characteristicsHospital survey dataPatient ratingsHospital ratingMedical conditionsCirculatory problemsHealth statusHealthcare providersHospitalHospital qualityCAHPS Hospital SurveyHospital servicesConsumer AssessmentSurgeryImpact of adjustmentDisordersAgeScores
2003
What do patients value in their hospital care? An empirical perspective on autonomy centred bioethics
Joffe S, Manocchia M, Weeks J, Cleary P. What do patients value in their hospital care? An empirical perspective on autonomy centred bioethics. Journal Of Medical Ethics 2003, 29: 103. PMID: 12672891, PMCID: PMC1733711, DOI: 10.1136/jme.29.2.103.Peer-Reviewed Original ResearchConceptsHospital carePatients' overall evaluationCoordination of careLogistic regression analysisPatient autonomyCross-sectional surveyAvailability of staffPatient evaluationMAIN OUTCOMEPatient valuesHospitalCareHealth careSurvey recipientsRegression analysisTreatmentRandom samplePhysical comfortInvolvementOverall evaluationProvidersHospitalisationEvaluation
2002
Evolving dissatisfaction among primary care physicians.
Landon BE, Aseltine R, Shaul JA, Miller Y, Auerbach BA, Cleary PD. Evolving dissatisfaction among primary care physicians. The American Journal Of Managed Care 2002, 8: 890-901. PMID: 12395957.Peer-Reviewed Original ResearchConceptsPrimary care physiciansCare physiciansCurrent practice situationCare plansLarge health planQuality of careCross-sectional surveyOverall satisfactionChoice of hospitalImportant predictorCare dissatisfactionAdequacy of reimbursementOverall dissatisfactionMultivariable modelPhysician ratingsPhysician satisfactionHealth plansPhysiciansPhysician practicesCarePractice situationsWay physiciansPredictorsHospitalSatisfaction
2001
Adjusting for Patient Characteristics When Analyzing Reports From Patients About Hospital Care
Hargraves J, Wilson I, Zaslavsky A, James C, Walker J, Rogers G, Cleary P. Adjusting for Patient Characteristics When Analyzing Reports From Patients About Hospital Care. Medical Care 2001, 39: 635-641. PMID: 11404646, DOI: 10.1097/00005650-200106000-00011.Peer-Reviewed Original ResearchConceptsPatient characteristicsHospital careHealth statusPatient-reported problemsCoordination of careTypes of patientsSample of patientsQuality improvement effortsInvolvement of familyPatient genderPatient preferencesHospital differencesPatientsHospital staffPhysical careConsistent associationHospitalHospital rankingsCareTelephone surveyImportant predictorEducation levelEmotional supportReportPresent data