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
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 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
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
Should 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 levelsHospitalDevelopment 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 reliabilityAMPAre 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
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 rating
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
2008
Evaluating 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
2003
Beneficiary reported experience and voluntary disenrollment in Medicare managed care.
Lied TR, Sheingold SH, Landon BE, Shaul JA, Cleary PD. Beneficiary reported experience and voluntary disenrollment in Medicare managed care. Medicare & Medicaid Research Review 2003, 25: 55-66. PMID: 14997693, PMCID: PMC4194833.Peer-Reviewed Original Research
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
2001
Patient‐centered Processes of Care and Long‐term Outcomes of Myocardial Infarction*
Fremont A, Cleary P, Hargraves J, Rowe R, Jacobson N, Ayanian J. Patient‐centered Processes of Care and Long‐term Outcomes of Myocardial Infarction*. Journal Of General Internal Medicine 2001, 16: 800-808. PMID: 11903758, PMCID: PMC1495308, DOI: 10.1046/j.1525-1497.2001.10102.x.Peer-Reviewed Original ResearchConceptsLong-term outcomesChest painHospital carePatient experienceOverall healthAcute myocardial infarction patientsSelf-reported overall healthPhysical healthNegative hospital experiencesPain 12 monthsObservational cohort studyShortness of breathHospital discharge abstractsMyocardial infarction patientsPatient-centered processNew Hampshire HospitalAnalytic cohortCohort studyClinical factorsCare groupPatient 1Discharge planningInfarction patientsMyocardial infarctionHospital experience
2000
A Comparison of Carepartner and Patient Experiences with Hospital Care
Vom Eigen K, Walker J, Edgman-Levitan S, Cleary P, Delbanco T. A Comparison of Carepartner and Patient Experiences with Hospital Care. Families Systems & Health 2000, 18: 191-203. DOI: 10.1037/h0091846.Peer-Reviewed Original ResearchHospital experienceNon-clinical outcomesSupport of patientsDomains of careQuality improvement effortsFamily membersDischarge planningPatient satisfactionPatient responseHospital careSurgical careCarepartnersPatient experienceNationwide telephone surveyPatientsIndividual survey itemsHospital systemCareTelephone surveyFamily participationEmotional supportSurvey itemsImprovement effortsHospitalizationMore problems