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
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
The 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
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
2008
Case‐Mix Adjustment of Consumer Reports about Managed Behavioral Health Care and Health Plans
Eselius LL, Cleary PD, Zaslavsky AM, Huskamp HA, Busch SH. Case‐Mix Adjustment of Consumer Reports about Managed Behavioral Health Care and Health Plans. Health Services Research 2008, 43: 2014-2032. PMID: 18783456, PMCID: PMC2613989, DOI: 10.1111/j.1475-6773.2008.00894.x.Peer-Reviewed Original ResearchConceptsCase-mix adjustmentBehavioral health careHealth statusHealth plansPatient reportsSelf-reported general health statusSelf-reported mental health statusAlcohol/drug treatmentGeneral health statusHealth careHealth Outcomes SurveyBehavioral health plansMental health statusCase-mix adjustment modelExperience of careHealth care experiencesRace/ethnicityPatient characteristicsDrug treatmentOutcome SurveyCare experiencesPoor healthPlan rankingsReport scoresGood health
2005
Methods 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 methodsSubset
2002
How 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
1999
Benchmarking and quality improvement: the Harvard Emergency Department Quality Study∗∗Access the “Journal Club” discussion of this paper at http://www.elsevier.com/locate/ajmselect/
Burstin H, Conn A, Setnik G, Rucker D, Cleary P, O’Neil A, Orav E, Sox C, Brennan T, Investigators T. Benchmarking and quality improvement: the Harvard Emergency Department Quality Study∗∗Access the “Journal Club” discussion of this paper at http://www.elsevier.com/locate/ajmselect/. The American Journal Of Medicine 1999, 107: 437-449. PMID: 10569298, DOI: 10.1016/s0002-9343(99)00269-7.Peer-Reviewed Original ResearchConceptsPatient-reported problemsEmergency department careCare guidelinesMedical recordsPatient ratingsChief complaintEmergency departmentHospital emergency departmentQuality improvement interventionsPatient-reported measuresEmergency department directorsPatient-based measuresEmergency department (ED) qualityQuality improvement effortsEligible patientsPatient questionnairePreintervention periodPostintervention periodPatient reportsPatientsImprovement interventionsMultivariate analysisPercent complianceStudy periodCare
1998
The Relationship Between Method of Physician Payment and Patient Trust
Kao A, Green D, Zaslavsky A, Koplan J, Cleary P. The Relationship Between Method of Physician Payment and Patient Trust. JAMA 1998, 280: 1708-1714. PMID: 9832007, DOI: 10.1001/jama.280.19.1708.Peer-Reviewed Original ResearchMeSH KeywordsAttitude to HealthBaltimoreCapitation FeeCross-Sectional StudiesDistrict of ColumbiaFee-for-Service PlansFloridaGeorgiaHealth Care SurveysHealth Maintenance OrganizationsHumansMultivariate AnalysisPhysician Incentive PlansPhysician-Patient RelationsRegression AnalysisReimbursement MechanismsRisk Sharing, FinancialSalaries and Fringe BenefitsTrustUrban PopulationConceptsIndemnity patientsCare patientsPatient trustPhysician behaviorPatient reportsCross-sectional telephone interview surveyHealth plan costsTelephone interview surveyPatient-physician relationshipLarge national insurerPatient's best interestMost patientsPatients' perceptionsPhysicians' methodMAIN OUTCOMEPatientsPhysician paymentMultivariate analysisHealth plansPhysiciansInterview SurveyNational insurerHigh levelsRegression analysisPlace physicians
1994
The accuracy of symptom reporting by patients complaining of palpitations
Barsky A, Cleary P, Barnett M, Christiansen C, Ruskin J. The accuracy of symptom reporting by patients complaining of palpitations. The American Journal Of Medicine 1994, 97: 214-221. PMID: 8092169, DOI: 10.1016/0002-9343(94)90003-5.Peer-Reviewed Original ResearchConceptsPositive predictive valuePredictive valueAmbulatory electrocardiographic monitoringMedical care utilizationCardiac activityStructured diagnostic interviewElectrocardiographic resultsSymptom diaryConsecutive patientsSignificant arrhythmiasCare utilizationElectrocardiographic monitoringPsychologic distressHypochondriacal patientsHeart diseasePatient reportsPsychiatric symptomsSelf-report questionnairesPalpitationsPatientsArrhythmiasMedical careDiagnostic InterviewSymptom reportingSymptomsDo patients' health status reports predict future hospital stays for patients with an acute myocardial infarction?
Nelson E, Ferreira P, Cleary P, Gustafson D, Wasson J. Do patients' health status reports predict future hospital stays for patients with an acute myocardial infarction? Family Practice Research Journal 1994, 14: 119-26. PMID: 8053377.Peer-Reviewed Original ResearchConceptsPatient reportsHealth statusCardiac symptomsAMI patientsMedical historyAcute myocardial infarction patientsAcute myocardial infarctionGeneral health statusSignificant independent predictorsMyocardial infarction patientsPsychosocial health statusPatients' health statusPoor psychosocial functionPoor psychosocial functioningIndependent predictorsPrognostic valueFuture hospitalInfarction patientsMyocardial infarctionHealth care researchCommunity hospitalLongitudinal followPatientsPsychosocial functionYounger age
1993
Using patient reports to assess health-related quality of life after total hip replacement
Cleary P, Reilly D, Greenfield S, Mulley A, Wexler L, Frankel F, McNeil B. Using patient reports to assess health-related quality of life after total hip replacement. Quality Of Life Research 1993, 2: 3-11. PMID: 8490615, DOI: 10.1007/bf00642884.Peer-Reviewed Original ResearchConceptsTotal hip replacementHip replacementUnilateral total hip replacementHealth-related qualityOutcomes 1 yearQuestionnaire 12 monthsProcess of careGood construct validityReponse rateRheumatoid arthritisFunctional statusMedical recordsTeaching hospitalPatient reportsHip arthroplastyHealth statusDisease severitySociodemographic characteristicsPatientsStrongest predictorConstruct validityQuestionnaireStatusHospitalizationArthritisUsing patient reports to improve medical care
Cleary P, Edgman-Levitan S, Walker J, Gerteis M, Delbanco T. Using patient reports to improve medical care. Quality Management In Health Care 1993, 2: 31-38. PMID: 10131018, DOI: 10.1097/00019514-199302010-00007.Peer-Reviewed Original Research
1992
Using patient reports to assess hospital treatment of persons with AIDS: A pilot study
Cleary P, Fahs M, McMullen W, Fulop G, Strain J, Sacks H, Muller C, Foley M, Stein E. Using patient reports to assess hospital treatment of persons with AIDS: A pilot study. AIDS Care 1992, 4: 325-332. PMID: 1525203, DOI: 10.1080/09540129208253102.Peer-Reviewed Original ResearchConceptsAIDS unitsPilot studyGeneral medical bedsGeneral hospital bedsMajor teaching hospitalQuality of careEfficient medical careHIV infectionPain managementHospital treatmentInvolvement of familyPatient preferencesPatient educationTeaching hospitalDifferent treatment modelsHospital carePatient reportsUS hospitalsMedical carePatient carePatientsPhysical careAIDS knowledgeHospital bedsCare