2019
Differences in Hospitalizations Between Fee-for-Service and Medicare Advantage Beneficiaries
Ndumele CD, Elliott MN, Haviland AM, Burkhart Q, Orr N, Gaillot S, Cleary PD. Differences in Hospitalizations Between Fee-for-Service and Medicare Advantage Beneficiaries. Medical Care 2019, 57: 8-12. PMID: 30339575, DOI: 10.1097/mlr.0000000000001000.Peer-Reviewed Original ResearchConceptsFFS coverageHospitalization ratesMedicare AdvantageMultivariable logistic regression modelMA enrolleesRate of hospitalizationLower hospitalization ratesPatterns of careMedicare Advantage beneficiariesLogistic regression modelsMedicare Consumer AssessmentHospital admissionRetrospective studyHealth characteristicsService useHospitalizationHealth statusHealthcare providersEnrollee demographicsConsumer AssessmentEnrolleesSystem surveySignificant age differencesMA enrollmentMA respondents
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 ResearchAdvice to Quit Smoking and Ratings of Health Care among Medicare Beneficiaries Aged 65+
Winpenny E, Elliott MN, Haas A, Haviland AM, Orr N, Shadel WG, Ma S, Friedberg MW, Cleary PD. Advice to Quit Smoking and Ratings of Health Care among Medicare Beneficiaries Aged 65+. Health Services Research 2016, 52: 207-219. PMID: 27061081, PMCID: PMC5264017, DOI: 10.1111/1475-6773.12491.Peer-Reviewed Original ResearchConceptsCare experiencesPatient experience measuresPatient care experiencesMedicare Consumer AssessmentCessation advicePhysician advicePatient assessmentAged 65Physician communicationPhysician ratingsHealthcare providersSmokingFixed-effects linear regression modelsConsumer AssessmentCross-sectional survey dataSystem surveyHealth careExperience measuresSmokersPositive associationLinear regression modelsRegression modelsRepresentative sampleAdvicePhysicians
2014
Clinician advice to quit smoking among seniors
Shadel WG, Elliott MN, Haas AC, Haviland AM, Orr N, Farmer MM, Ma S, Weech-Maldonado R, Farley DO, Cleary PD. Clinician advice to quit smoking among seniors. Preventive Medicine 2014, 70: 83-89. PMID: 25482423, PMCID: PMC5428890, DOI: 10.1016/j.ypmed.2014.11.020.Peer-Reviewed Original ResearchMeSH KeywordsAge DistributionAgedAged, 80 and overCommunicationEducational StatusFemaleGeographyHealth Care SurveysHealth StatusHumansLinear ModelsMaleMedicareMinority HealthPatient Education as TopicPhysician-Patient RelationsPractice Patterns, Physicians'PrevalenceSex DistributionSmokingSmoking CessationSmoking PreventionUnited StatesConceptsCessation adviceProportion of smokersAmerican Indian/Alaskan NativeClinician advicePersons 50System survey dataSmoking ratesDoctor visitsAfrican American seniorsMedicare beneficiariesAge 64Healthcare providersConsumer AssessmentAlaskan NativesSmoking researchBeneficiary characteristicsUS seniorsSmokersSmokingCliniciansConsistent interventionOld smokeAdviceFemale respondentsSeniorsShould 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 SurveyProvidersDevelopment 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 items
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
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
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 interviewsGroupQuality Assessments by Sick and Healthy Beneficiaries in Traditional Medicare and Medicare Managed Care
Keenan PS, Elliott MN, Cleary PD, Zaslavsky AM, Landon BE. Quality Assessments by Sick and Healthy Beneficiaries in Traditional Medicare and Medicare Managed Care. Medical Care 2009, 47: 882-888. PMID: 19543123, DOI: 10.1097/mlr.0b013e3181a39415.Peer-Reviewed Original ResearchConceptsPreventive services measuresCare experiencesPreventive servicesMedicaid ServicesPreventive services receiptRates of immunizationCAHPS scoresExperience measuresOffice wait timeQuality of careTraditional MedicareSick groupPhysician ratingsCare plansMedicare Managed CareHealthcare providersService MedicareCAHPS measuresHealth plansService receiptConsumer AssessmentSystem surveyHealthier beneficiariesManaged CareMedicarePsychometric properties of an instrument to assess Medicare beneficiaries' prescription drug plan experiences.
Martino SC, Elliott MN, Cleary PD, Kanouse DE, Brown JA, Spritzer KL, Heller A, Hays RD. Psychometric properties of an instrument to assess Medicare beneficiaries' prescription drug plan experiences. Medicare & Medicaid Research Review 2009, 30: 41-53. PMID: 19544934, PMCID: PMC4195071.Peer-Reviewed Original Research
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
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 reportsLevelsCAHPSCase‐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 adjustmentDisordersAgeScoresAdjusting Pediatric Consumer Assessment of Health Plans Study (CAHPS) Scores to Ensure Fair Comparison of Health Plan Performances.
Kim M, Zaslavsky AM, Cleary PD. Adjusting Pediatric Consumer Assessment of Health Plans Study (CAHPS) Scores to Ensure Fair Comparison of Health Plan Performances. Medical Care 2005, 43: 44-52. PMID: 15626933.Peer-Reviewed Original ResearchConceptsPrivate health insuranceCasemix modelChild health statusCAHPS surveyPatient characteristicsHealth plansHealth Plans Study (CAHPS) surveyHealth insurancePlan ratingsHealth plan performanceHealth statusCAHPS scoresPlan differencesConsumer AssessmentCommercial plansParents' agePlan performanceAdjustment variablesMedicaidSeparate modelsSubstantial impactStudy surveyMedicaid beneficiariesMedicaid plansSuch models