Associate Professor of Psychiatry; Director of Training, Doctoral Internship in Clinical and Community Psychology, Psychiatry; Director, Division of Quality and Innovation, Adult Psychiatry; Director, Psychological Assessment Service, Psychiatry; Director of Psychology Continuing Education, Psychiatry
Psychiatry & Behavioral Health Patient Experience
Patient Experience
Patient Experience development and research at Yale Psychiatric Hospital represents a pivotal facet of our ongoing commitment to elevating the quality of healthcare delivery. Our overarching objective is to enhance organizational workflows and processes directed at improving patient outcomes. Our patient experience initiatives begin with a rigorous psychometric development process with input from patients and leading national healthcare experts that yields a wealth of qualitative and quantitative data providing insights about patients' needs, motivations, goals, and outcomes.
Presently, our patient experience work is distinctly oriented toward the formulation and validation of a comprehensive suite of metrics applicable across a spectrum of programs within Psychiatry and Behavioral Health. This encompasses areas such as inpatient care, interventional psychiatry, outpatient services, family patient experience initiatives, and telehealth interventions, among others. In pursuit of this endeavor, we are constructing a conceptual framework to elucidate the multifaceted dimensions of patient experience while propelling innovations aimed at crafting healthcare systems that promote respect and dignity for all and optimize the overall landscape of patient care.
Psychiatry Inpatient Experienc (PIX)
The "Psychiatric Inpatient Patient Experience (PIX)" measure, formulated in 2021, is the culmination of efforts by an interdisciplinary team of scholars and practitioners from the Yale School of Medicine and the Yale New Haven Psychiatric Hospital.
Conceptual Framework
PIX Domains of Patient Experience
Treatment Team Relationship (6 questions):
The synergy between patients and care providers, characterized by reciprocal respect, attentive communication, and a fortified therapeutic partnership, all converging towards common therapeutic objectives.
Healing Environment (7 questions):
The distinctive attributes of the inpatient milieu that are conducive to patient recovery include a clean environment, a secure and quiet space, diverse social and recreational activities, and exposure to natural light or outdoor settings.
Treatment Effectiveness (6 questions):
The accessibility, utility, and pertinence of therapeutic modalities within the framework of the inpatient care landscape and resources and support in anticipation of hospital discharge.
Nursing and Team Presence (7 questions):
Intentional engagement focused on patient recovery and addressing patients’ immediate needs while emphasizing the significance of a cohesive and reliable team.
Measurement Specifications: The said measure encompasses 26 questions spanning the above four domains. The measure employs a five-point Likert Scale, ranging from "strongly agree" to "strongly disagree," supplemented with a discretionary "does not apply" response option. A net promoter question, complemented by open-ended prompts for qualitative insights, is included along with elective demographics with predefined categorical selections.
Resources
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Leadership
- David Klemanski, Psy.D., MPH, is the Director of the Yale Doctoral Internship in Clinical and Community Psychology, Director of the Psychological Assessment Service for Yale-New Haven Hospital, and Director of the Division of Quality and Innovation at Yale New Haven Psychiatric Hospital. He completed both his predoctoral and postdoctoral fellowships at Yale University, within the School of Medicine and Department of Psychology, respectively. Dr. Klemanski specializes in the treatment of anxiety disorders and psychological and diagnostic assessment. His research focuses on the psychopathological aspects of anxiety and common comorbidities. He investigates emotion regulation strategies and treatment outcomes associated with anxiety and mood disorders, with a goal of clarifying diagnostic overlap by identifying different regulatory processes linked to various emotional experiences. Additionally, he has formed research partnerships with Caravan Wellness to explore digital wellness and conducts studies on patient experiences in psychiatry. A recognized expert in psychopathology, mindfulness, and emotion regulation, Dr. Klemanski regularly publishes in scientific journals and presents at national conferences. He co-authored "Don't Let Your Anxiety Run Your Life: Using the Science of Emotion Regulation And Mindfulness to Overcome Your Worry And Fear," which translates clinical research into practical strategies for managing anxiety. Dr. Klemanski regularly contributes to media outlets including MSNBC and Vice Media, contributes to podcasts, and actively participates in community education through lectures, panels, and workshops.