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 ResearchMeSH KeywordsAgedCohort StudiesCOVID-19FemaleHospitalsHumansPandemicsPatient Outcome AssessmentPregnancyConceptsCohort 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
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
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
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
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
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
1991
Patients Evaluate Their Hospital Care: A National Survey
Cleary P, Edgman-Levitan S, Roberts M, Moloney T, McMullen W, Walker J, Delbanco T. Patients Evaluate Their Hospital Care: A National Survey. Health Affairs 1991, 10: 254-267. PMID: 1778560, DOI: 10.1377/hlthaff.10.4.254.Peer-Reviewed Original Research