Explanipedia

Inpatient care experiences are better in critical access hospitals than in other hospitals Open

Megan K. Beckett, Christopher W. Cohea, Paul D. Cleary, Laura A. Giordano, Marc N. Elliott · 2025

Prior studies have found that critical access hospitals (CAHs), which serve patients who would otherwise have limited access to hospitals, provide lower-quality clinical care than inpatient prospective payment system (IPPS) hospitals; evid…

A New <span>CAHPS</span> Measure of Patient Experiences With Mental Health and Substance Use Care Open

J. Lee Hargraves, Carol Cosenza, Daniel Mullin, Paul D. Cleary · 2025

Objective To examine the psychometric characteristics of a survey about the experiences of people seeking mental health care and substance use services, the CAHPS Outpatient Mental Health (MH) survey. Study Settings and Design Field tests …

Measuring Access to Mental Health Services Among Primary Care Patients Open

J. Lee Hargraves, Carol Cosenza, Paul D. Cleary · 2024

Background: The lifetime risk of mental health disorders is almost 50% and, in any year, about 25% of the population have a psychiatric disorder. Many of those people are cared for in primary care settings. Research Objective: Measure acce…

Survey Protocols, Response Rates, and Representation of Underserved Patients Open

Marc N. Elliott, Julie A. Brown, Katrin Hambarsoomian, Layla Parast, Megan K. Beckett , et al. · 2024

Importance Surveys often underrepresent certain patients, such as underserved patients. Methods that improve their response rates (RRs) would help patient surveys better represent their experiences and assess equity and equity-targeted qua…

Changes in Patient Experiences of Hospital Care During the COVID-19 Pandemic Open

Marc N. Elliott, Megan K. Beckett, Christopher W. Cohea, William G. Lehrman, Paul D. Cleary , et al. · 2023

Importance It is important to assess how the COVID-19 pandemic was adversely associated with patients’ care experiences. Objective To describe differences in 2020 to 2021 patient experiences from what would have been expected from prepande…

A Systematic Review of Strategies to Enhance Response Rates and Representativeness of Patient Experience Surveys Open

Rebecca Anhang Price, Denise D. Quigley, J. Lee Hargraves, Joann Sorra, Alejandro U. Becerra-Ornelas , et al. · 2022

Background: Data from surveys of patient care experiences are a cornerstone of public reporting and pay-for-performance initiatives. Recently, increasing concerns have been raised about survey response rates and how to promote equity by en…

2022 Reinhardt lecture: The patient's voice as signal Open

Paul D. Cleary · 2022

The hospital care experiences of older patients compared to younger patients Open

Marc N. Elliott, Megan K. Beckett, Christopher W. Cohea, William G. Lehrman, Chelsea Russ , et al. · 2022

Background Hospitals may provide less positive patient experiences for older than younger patients. Methods We used 2019 HCAHPS data from 4358 hospitals to compare patient‐mix adjusted HCAHPS Survey scores for 19 experience of care items f…

Development, methodology, and adaptation of the Medicare Consumer Assessment of Healthcare Providers and Systems (CAHPS®) patient experience survey, 2007–2019 Open

Nate Orr, Alan M. Zaslavsky, Ron D. Hays, Paul D. Cleary, Amelia M. Haviland , et al. · 2022

The Medicare Consumer Assessment of Healthcare Providers and Systems (CAHPS ® ) surveys collect standardized information about patient experiences of care from nationally representative samples of people with Medicare to support consumers’…

How responding in Spanish affects CAHPS results Open

Floyd J. Fowler, Philip S. Brenner, Carol Cosenza, Paul D. Cleary · 2022

Summary of the 2020 AHRQ research meeting on ‘advancing methods of implementing and evaluating patient experience improvement using consumer assessment of healthcare providers and systems (CAHPS®) surveys’ Open

Denise D. Quigley, Nabeel Qureshi, Lise Rybowski, Dale Shaller, Susan Edgman‐Levitan , et al. · 2022

Providers and stakeholders need to be engaged early and often, standardize QI processes, complement CAHPS data with other data, and compile dashboards of CAHPS scores to identify and track improvement. Rigorous study designs are valuable, …

Adding telephone follow‐up can improve representativeness of surveys of seriously ill people Open

Maria DeYoreo, Rebecca Anhang Price, Melissa A. Bradley, Danielle Schlang, Cheryl Montemayor , et al. · 2022

A growing population of seriously ill people in the United States receives care from community-based serious illness programs.1 Surveys of patients' experiences with these programs can help identify areas for improvement and compare care q…

Adjusting for Patient Characteristics to Compare Quality of Care Provided by Serious Illness Programs Open

Maria DeYoreo, Rebecca Anhang Price, Cheryl Montemayor, Anagha Tolpadi, Melissa A. Bradley , et al. · 2022

Background: To compare serious illness programs (SIPs) using recently developed patient experience measures, adjustment must be made for patient characteristics not under control of the programs. Objectives: To …

Reliable and Valid Survey-Based Measures to Assess Quality of Care in Home-Based Serious Illness Programs Open

Rebecca Anhang Price, Melissa A. Bradley, Feifei Ye, Danielle Schlang, Maria DeYoreo , et al. · 2021

Background: There is a pressing need for standardized measures to assess the quality of home-based serious illness care. Currently, there are no validated quality measures that are specific to home-based serious illness progr…

Comparing Web and Mail Protocols for Administering Hospital Consumer Assessment of Healthcare Providers and Systems Surveys Open

Floyd J. Fowler, Philip S. Brenner, J. Lee Hargraves, Paul D. Cleary · 2021

Objective: The objective of this study was to compare results of using web-based and mail (postal) Hospital Consumer Assessment of Healthcare Providers and Systems (HCAHPS) data collection protocols. Research Design: Patients who had been …

The development and evaluation of an HIV implementation science network in New England: lessons learned Open

Jacob J. van den Berg, Elaine O’Keefe, Daniel Davidson, David A. Fiellin, Trace Kershaw , et al. · 2021

Background Describe and evaluate an implementation science network focused on HIV prevention and treatment in New England. Methods In 2014, we established a partnership among university researchers and community stakeholders to stimulate a…

Is Patient–Physician Gender Concordance Related to the Quality of Patient Care Experiences? Open

Taara V. Prasad, Eugenia Buta, Paul D. Cleary · 2021

Concurrent Sexual Partnerships and Human Immunodeficiency Virus Risk Among South African Youth Open

Annie E. Steffenson, Audrey Pettifor, George R. Seage, Helen Rees, Paul D. Cleary · 2020

To estimate the prevalence of concurrency (more than 1 sex partner overlapping in time), the attitudes/behaviors of those engaged in concurrency, length of relationship overlap, and the association between concurrency and human immunodefic…

Effects of Leader Tactics on the Creativity, Implementation, and Evolution of Ideas to Improve Healthcare Delivery Open

Yuna S. H. Lee, Paul D. Cleary, Ingrid M. Nembhard · 2020

Communicating in a public health crisis Open

Hui Wang, Paul D. Cleary, Julian Little, Charles Auffray · 2020

Despite previous pandemics and reports on pandemic preparedness,1Global Preparedness Monitoring BoardA world at risk: annual report on global preparedness for health emergencies.https://apps.who.int/gpmb/assets/annual_report/GPMB_Annual_Re…

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 Open

Ingrid M. Nembhard, Eugenia Buta, Yuna S. H. Lee, Daren Anderson, Ianita Zlateva , et al. · 2020

The effects of survey version on patient experience scores and plan rankings Open

Megan K. Beckett, Marc N. Elliott, Q Burkhart, Paul D. Cleary, Nate Orr , et al. · 2019

Objective To assess the effect of changing survey questions on plan‐level patient experience measures and ratings. Data Source 2015 Medicare Advantage CAHPS Survey respondents. Study Design Ninety three randomly selected beneficiaries in e…

The effect of different sampling and recall periods in the CAHPS Clinician & Group (CG‐CAHPS) survey Open

J. Lee Hargraves, Carol Cosenza, Marc N. Elliott, Paul D. Cleary · 2019

Objective To examine the effect of changing the sampling and reference periods for the CAHPS ® Clinician & Group Survey from 12 to 6 months. Data Sources/Study Setting Adult patients with a visit in the last 12 months to New England commun…

The effect of administration mode on<span>CAHPS</span>survey response rates and results: A comparison of mail and web‐based approaches Open

Floyd J. Fowler, Carol Cosenza, Lauren A. Cripps, Susan Edgman‐Levitan, Paul D. Cleary · 2019

Objective The objective of this study was to compare response rates, respondents' characteristics, and substantive results for CAHPS surveys administered using web and mail protocols. Data Sources Patients who had one or more primary care …

Hospital quality indicators are not unidimensional: A reanalysis of Lieberthal and Comer Open

Matthew Cefalu, Marc N. Elliott, Claude Messan Setodji, Paul D. Cleary, Ron D. Hays · 2018

Objective To evaluate the dimensionality of hospital quality indicators treated as unidimensional in a prior publication. Data Source/Study Design Pooled cross‐sectional 2010‐2011 Hospital Compare data (10/1/10 and 10/1/11 archives) and th…

Association of State Access Standards With Accessibility to Specialists for Medicaid Managed Care Enrollees Open

Chima D. Ndumele, Michael S. Cohen, Paul D. Cleary · 2017

Specialty access standards did not lead to widespread improvements in access to specialist physicians. Meaningful improvements in access to specialty care for Medicaid recipients may require additional interventions.

An Adaptive Approach to Locating Mobile HIV Testing Services Open

Gregg Gonsalves, Forrest W. Crawford, Paul D. Cleary, Edward H. Kaplan, A. David Paltiel · 2017

Background. Public health agencies suggest targeting “hotspots” to identify individuals with undetected HIV infection. However, definitions of hotspots vary. Little is known about how best to target mobile HIV testing resources. Methods. W…

A Flow-Based Model of the HIV Care Continuum in the United States Open

Gregg Gonsalves, A. David Paltiel, Paul D. Cleary, M. John Gill, Mari M. Kitahata , et al. · 2017

Background: Understanding the flow of patients through the continuum of HIV care is critical to determine how best to intervene so that the proportion of HIV-infected persons who are on antiretroviral treatment and virally suppressed is as…

Chronic Obstructive Pulmonary Disease Readmissions and Other Measures of Hospital Quality Open

Seppo T. Rinne, José Luis Suárez, Peter K. Lindenauer, Paul D. Cleary, Harold L. Paz , et al. · 2017

These findings suggest there may be common organizational factors that influence multiple disease-specific outcomes. As pay-for-performance programs focus attention on individual disease outcomes, hospitals may benefit from in-depth assess…

House Staff Communication Training and Patient Experience Scores Open

Oladoyin A Oladeru, Musleehat Hamadu, Paul D. Cleary, Adam B. Hittelman, Ketan R. Bulsara , et al. · 2017

Objective: To assess whether communication training for house staff via role-playing exercises (1) is well received and (2) improves patient experience scores in house staff clinics. Methods: We conducted a pre–post study in which the hous…

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