Can specific feedback improve patients’ satisfaction with hospitalist physicians? A feasibility study using a validated tool to assess inpatient satisfaction

The Hospital Consumer Assessment of Healthcare Providers and Systems (HCAHPS) is a patient satisfaction survey utilized for hospital reimbursement calculations. It is not, however, considered a valid measure of individual physician performance. The object of this study was to determine if the “Tool...

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Autores principales: Sarah Richards, Rachel Thompson, Steven Paulmeyer, Ashvita Garg, Sarah Malik, Kristy Carlson, Elizabeth Lyden, Jason Shiffermiller
Formato: article
Lenguaje:EN
Publicado: The Beryl Institute 2018
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spelling oai:doaj.org-article:74d25d9366d64baca6151325564c79072021-11-15T04:25:59ZCan specific feedback improve patients’ satisfaction with hospitalist physicians? A feasibility study using a validated tool to assess inpatient satisfaction2372-0247https://doaj.org/article/74d25d9366d64baca6151325564c79072018-11-01T00:00:00Zhttps://pxjournal.org/journal/vol5/iss3/6https://doaj.org/toc/2372-0247The Hospital Consumer Assessment of Healthcare Providers and Systems (HCAHPS) is a patient satisfaction survey utilized for hospital reimbursement calculations. It is not, however, considered a valid measure of individual physician performance. The object of this study was to determine if the “Tool to Assess Inpatient Satisfaction with Care from Hospitalists” (TAISCH) instrument could be leveraged to improve patient satisfaction. A pragmatic pre/post study was conducted with adult inpatients admitted to either teaching or non-teaching general internal medicine services at a large mid-western academic medical center. TAISCH surveys were administered to patients (n=192) who were able to identify their hospitalist provider by name or photograph. An intervention consisting of performance cards (n=20) and group reflection sessions (n=13) was carried out. Pre- and post-intervention TAISCH surveys were administered over a period of approximately 18 months. Coinciding pre- and post-intervention HCAHPS scores were also collected. The results show physicians received significantly higher scores following the intervention on “checking for understanding” (4.63 vs. 4.82, p=0.026) and “confidence in provider” (4.45 vs. 4.64, p=0.048). Pre- and post-intervention HCAHPS “Top Box” scores were no different for any of the three doctor communication questions (explain p=0.086, listen p=0.19, courtesy and respect p=0.19). The TAISCH survey, while providing feedback that is more detailed, actionable, and individually attributable than the HCAHPS, is time and resource intensive and appears to be insufficient in isolation to improve patient perceptions of their hospitalist physician.Sarah RichardsRachel ThompsonSteven PaulmeyerAshvita GargSarah MalikKristy CarlsonElizabeth LydenJason ShiffermillerThe Beryl Institutearticlepatient experiencepatient satisfactionhcahpstaischphysician feedbackhospitalist performanceMedicine (General)R5-920Public aspects of medicineRA1-1270ENPatient Experience Journal (2018)
institution DOAJ
collection DOAJ
language EN
topic patient experience
patient satisfaction
hcahps
taisch
physician feedback
hospitalist performance
Medicine (General)
R5-920
Public aspects of medicine
RA1-1270
spellingShingle patient experience
patient satisfaction
hcahps
taisch
physician feedback
hospitalist performance
Medicine (General)
R5-920
Public aspects of medicine
RA1-1270
Sarah Richards
Rachel Thompson
Steven Paulmeyer
Ashvita Garg
Sarah Malik
Kristy Carlson
Elizabeth Lyden
Jason Shiffermiller
Can specific feedback improve patients’ satisfaction with hospitalist physicians? A feasibility study using a validated tool to assess inpatient satisfaction
description The Hospital Consumer Assessment of Healthcare Providers and Systems (HCAHPS) is a patient satisfaction survey utilized for hospital reimbursement calculations. It is not, however, considered a valid measure of individual physician performance. The object of this study was to determine if the “Tool to Assess Inpatient Satisfaction with Care from Hospitalists” (TAISCH) instrument could be leveraged to improve patient satisfaction. A pragmatic pre/post study was conducted with adult inpatients admitted to either teaching or non-teaching general internal medicine services at a large mid-western academic medical center. TAISCH surveys were administered to patients (n=192) who were able to identify their hospitalist provider by name or photograph. An intervention consisting of performance cards (n=20) and group reflection sessions (n=13) was carried out. Pre- and post-intervention TAISCH surveys were administered over a period of approximately 18 months. Coinciding pre- and post-intervention HCAHPS scores were also collected. The results show physicians received significantly higher scores following the intervention on “checking for understanding” (4.63 vs. 4.82, p=0.026) and “confidence in provider” (4.45 vs. 4.64, p=0.048). Pre- and post-intervention HCAHPS “Top Box” scores were no different for any of the three doctor communication questions (explain p=0.086, listen p=0.19, courtesy and respect p=0.19). The TAISCH survey, while providing feedback that is more detailed, actionable, and individually attributable than the HCAHPS, is time and resource intensive and appears to be insufficient in isolation to improve patient perceptions of their hospitalist physician.
format article
author Sarah Richards
Rachel Thompson
Steven Paulmeyer
Ashvita Garg
Sarah Malik
Kristy Carlson
Elizabeth Lyden
Jason Shiffermiller
author_facet Sarah Richards
Rachel Thompson
Steven Paulmeyer
Ashvita Garg
Sarah Malik
Kristy Carlson
Elizabeth Lyden
Jason Shiffermiller
author_sort Sarah Richards
title Can specific feedback improve patients’ satisfaction with hospitalist physicians? A feasibility study using a validated tool to assess inpatient satisfaction
title_short Can specific feedback improve patients’ satisfaction with hospitalist physicians? A feasibility study using a validated tool to assess inpatient satisfaction
title_full Can specific feedback improve patients’ satisfaction with hospitalist physicians? A feasibility study using a validated tool to assess inpatient satisfaction
title_fullStr Can specific feedback improve patients’ satisfaction with hospitalist physicians? A feasibility study using a validated tool to assess inpatient satisfaction
title_full_unstemmed Can specific feedback improve patients’ satisfaction with hospitalist physicians? A feasibility study using a validated tool to assess inpatient satisfaction
title_sort can specific feedback improve patients’ satisfaction with hospitalist physicians? a feasibility study using a validated tool to assess inpatient satisfaction
publisher The Beryl Institute
publishDate 2018
url https://doaj.org/article/74d25d9366d64baca6151325564c7907
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