patient reports about health it
Download
Skip this Video
Download Presentation
Patient Reports about Health IT

Loading in 2 Seconds...

play fullscreen
1 / 18

Patient Reports about Health IT - PowerPoint PPT Presentation


  • 137 Views
  • Uploaded on

Patient Reports about Health IT. Developing & Field Testing Survey Questions for Outpatient Settings Keith McInnes Boston University School of Public Health & VA Bedford Medical Center. Outline. Background Item Development Illustrative Items Field Testing Methods

loader
I am the owner, or an agent authorized to act on behalf of the owner, of the copyrighted work described.
capcha
Download Presentation

PowerPoint Slideshow about ' Patient Reports about Health IT' - derick


An Image/Link below is provided (as is) to download presentation

Download Policy: Content on the Website is provided to you AS IS for your information and personal use and may not be sold / licensed / shared on other websites without getting consent from its author.While downloading, if for some reason you are not able to download a presentation, the publisher may have deleted the file from their server.


- - - - - - - - - - - - - - - - - - - - - - - - - - E N D - - - - - - - - - - - - - - - - - - - - - - - - - -
Presentation Transcript
patient reports about health it

Patient Reports about Health IT

Developing & Field Testing Survey Questions for Outpatient Settings

Keith McInnes

Boston University School of Public Health &

VA Bedford Medical Center

outline
Outline
  • Background
  • Item Development
  • Illustrative Items
  • Field Testing
    • Methods
    • Sample descriptive statistics
background
Background
  • Growing use of health IT
    • Electronic health records
    • Providers using computers during patient visit
    • Eprescribing
    • Patient portals/personal health records
  • Unknown how it affects patient experience of care
    • Interest in developing supplemental items for CAHPS surveys
consumer assessment of healthcare providers and systems cahps
Consumer Assessment of Healthcare Providers and Systems (CAHPS®)
  • Standardized surveys to
    • Assess patient-centered care
    • Compare and report on performance
    • Improve quality of care
    • Patient is the best source of information
  • Supplemental items vs. “core” items
  • Clinician & Group Survey
development process
Development Process
  • AHRQ stakeholder meeting 2006
  • Literature review
  • Focus groups
  • Develop item inventory
  • Expert interviews (CIOs, health IT experts, PHR managers)
  • Cognitive interviews
  • Identification of field test sites
survey content
Survey Content

Access to Care

  • Core: In the last 12 months when you made an appointment for a check-up or routine care with this doctor, how often did you get an appointment as soon as you thought you needed?
  • Health IT: In the last 12 months, when you used e-mail or a website to get an appointment at this doctor’s office, how often did you get an appointment as soon as you thought you needed?

Response Options: Never, Sometimes, Usually, Always

survey content cont
Survey Content (cont.)

Getting Information

  • Core: In the last 12 months, when you phoned this doctor’s office during regular office hours, how often did you get an answer to your medical question the same day?
  • Health IT: In the last 12 months, when you e-mailed this doctor’s office, how often did you get an answer to your medical question as soon as you needed?
survey content cont1
Survey Content (cont.)

Prescription Medicines

  • Health IT: In the last 12 months, did you ever use email or a website to ask this doctor’s office to refill or renew one of your prescriptions?
survey content cont2
Survey Content (cont.)

Patient use of website or portal

  • Health IT: In the last 12 months, how often were these lab or other test results presented in a way that was easy to understand? (lab results)
  • Health IT: In the last 12 months, how often was the list of prescription medicines up to date?(Eprescribing)
  • Health IT: In the last 12 months, how often were the visit notes easy to understand? (After visit summary)
survey content cont3
Survey Content (cont.)

Provider use of computer

  • Health IT: During your visits in the last 12 months, did this doctor ever use a computer or handheld device to show you information?
  • Health IT: During your visits in the last 12 months, did this doctor’s use of a computer or handheld device make it harder or easier for you to talk with him or her?
survey content cont4
Survey Content (cont.)

Doctor Communication

  • Core: In the last 12 months, how often did this doctor explain things in a way that was easy to understand?

Staff

  • Core: In the last 12 months, how often did clerks and receptionists at this doctor’s office treat you with courtesy and respect?

Shared Decision Making

  • Core (supplemental): In the last 12 months, did this doctor talk with you about the pros and cons of each choice for your treatment or your health?
field testing
Field Testing
  • Beth Israel Deaconess Medical Center, Boston
  • Group Health Cooperative, Washington State
  • Kaiser Permanente Southern California
race ethnicity
Race / Ethnicity

a American Indian, Alaska Native, Native Hawaiian, or Other Pacific Islander

acknowledgements
Acknowledgements
  • AHRQ
  • BIDMC, GHC, KPSC
  • Julie A. Brown
  • Paul D. Cleary
  • Carol Cosenza
  • Lin Ding
  • Patricia Gallagher
  • John Halamka
  • Ron Hays
  • Mimi Hugh
  • Michael Kanter
  • James Ralston
  • Carl Serrato
ad