Do Patient Assessments of Hospital Quality Correlate With Kidney Transplantation Surgical Outcomes?

Chakrabarti, Apurba; Sheetz, Kyle H.; Katariya, Nitin; Singer, Andrew L.; Hewitt, Winston R.; Heilman, Raymond L.; Khamash, Hasan; Reddy, Kunam S.; Moss, Adyr; Mathur, Amit K.

doi:10.1016/j.transproceed.2016.03.038

Cited by 11 publications

(16 citation statements)

References 17 publications

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“…Length of stay 18,24,25,39,40,42,[44][45][46] No. days in the hospital from day of admission to day of discharge after transplantation, with each stay past midnight counting as a hospital day (mean or median) Functional status 35,38,40 Tolerating out of bed to chair at least 3 times/day, a minimum of 30 min each time.…”

Section: Data Synthesis and Analysismentioning

confidence: 99%

“…Early hospital readmission was the most frequently reported quality metric and was noted in 26 separate publications. 18,19,24,25,42,[44][45][46]49,51,[54][55][56][57][58][59][60][61][62][63][64][65][66][67][68][69] Patient survival was the next most frequently reported quality metric (n = 20 publications), 19,20,24,25,27,28,30,31,33,35,38,42,51,52,[71][72][73][74][75][76] followed by graft survival (n = 16 publications), 19,20,24,27,…”

Section: Frequency Of Metric Reportingmentioning

confidence: 99%

“…18 Unplanned return to the operating room 18,24,25,30,36,39,70 was reported in 7 unique publications, and an additional 3 metrics (blood pressure, graft function, and hemoglobin concentration) [77][78][79][80][81][82][83] were also reported in 7 publications, however, these were consecutive annual reports from the same agency rather than unique citations. The other commonly reported quality metrics included the following: waitlist mortality (n = 6 publications), 19,24,27,31,33,35 patient satisfaction (n = 5 publications), 24,30,35,47,48 the wait time from initial evaluation to final disposition (n = 5 publications), [18][19][20][21][22] in-hospital mortality (n = 4 publications), 45,46,51,52 acute graft rejection (n = 4 publications), 39,42,51,52 and infections (n = 4 publications). 24,25,42,51 Types of Quality Metrics…”

Section: Frequency Of Metric Reportingmentioning

confidence: 99%

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Quality Metrics in Solid Organ Transplantation

et al. 2018

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More than 300 quality metrics have been reported in transplantation but many lacked details on development and selection, were poorly defined, or had inconsistent definitions. Measures have focused on safety and effectiveness with very few addressing other quality domains, such as equity and patient-centeredness. Future research will need to focus on transparent and objective metric development with proper testing, evaluation, and implementation in practice. Patients will need to be involved to ensure that transplantation quality metrics measure what is important to them.

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Section: Data Synthesis and Analysismentioning

confidence: 99%

Section: Frequency Of Metric Reportingmentioning

confidence: 99%

Section: Frequency Of Metric Reportingmentioning

confidence: 99%

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Quality Metrics in Solid Organ Transplantation

et al. 2018

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“…When combined with the results of this study, these results suggest HCAHPS results may not be aligned with patient priorities as related to shoulder function measured by validated patient-reported outcomes scales. Non-orthopaedic literature has also shown poor association between HCAHPS and validated outcome measures after general, vascular, transplant, urologic, and trauma surgery (19)(20)(21)(22)(23)(24).…”

Section: Discussionmentioning

confidence: 99%

Hospital satisfaction does not predict functional outcome one year after total shoulder arthroplasty

Wojahn¹,

Atencio²,

Sefko³

et al. 2021

J Hosp Manag Health Policy

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Background: Healthcare is shifting to value-based payment models. Two percent of Medicare reimbursements are currently linked to value measures including the Hospital Consumer Assessment of Healthcare Providers and Systems (HCAHPS) hospital satisfaction survey. The purpose of this study was to determine if HCAHPS survey results are correlated with validated legacy outcome measures after total shoulder arthroplasty. Methods: A prospective observational study was conducted in 84 patients undergoing elective total shoulder arthroplasty. Baseline 12-item Short-Form Health Survey (SF-12), American Shoulder and Elbow Surgeons (ASES), and Western Ontario Osteoarthritis of the Shoulder Index (WOOS) questionnaires were completed at the time of enrollment. ASES and WOOS scores were collected at 3-months and 1-year postoperatively. Patients were contacted to complete the HCAHPS survey postoperatively. HCAHPS results and baseline functional scores were evaluated for an association with improvements in legacy outcome measures after surgery.Results: HCAHPS scores were higher among males than females (P=0.04). Age, SF-12 physical component scores, SF-12 mental component scores, and pre-operative symptom severity were not associated with HCAHPS results. HCAHPS scores were not correlated with ASES (r=0.09, P=0.44) or WOOS scores (r=−0.17, P=0.13) at one year after surgery. HCAHPS was also not correlated with the absolute improvement in ASES (r=−0.02, P=0.85) or WOOS scores (r=−0.08, P=0.48) from pre-to one year post-operatively. Conclusions:The HCAHPS score, a measure of satisfaction and a determinant of Medicare quality-based reimbursement, showed no correlation with functional outcome measures at one year after total shoulder arthroplasty. Thus, HCAHPS patient satisfaction survey may not be aligned with functional outcomes valued by patients. Further consideration is warranted regarding the assessment of quality, and in turn reimbursements, with survey results.

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“…Several studies failed to show an association of patient experience with postoperative complications after kidney transplant and lumbar spine surgery. 21,22 Prolonged hospitalization, conversely, has been associated with HCAHPS after other cancer-directed surgeries, including gynecologic and colorectal procedures. 23,24 Shorter LOS was also associated with better HCAHPS scores after orthopedic surgery, including domains for doctors' and nurses' communication.…”

Section: Commentmentioning

confidence: 99%

Patient Satisfaction After Lung Cancer Surgery: Do Clinical Outcomes Affect Hospital Consumer Assessment of Health Care Providers and Systems Scores?

Singer

Merritt

D’Souza

et al. 2019

The Annals of Thoracic Surgery

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Background. Little is known about patients' hospital experience and satisfaction after lung cancer surgery. We sought to determine how length of hospital stay (LOS) and postoperative complications affect hospital consumer assessment of health care providers and systems (HCAHPS) scores.Methods. Patients undergoing lung resection for cancer at a single academic cancer center between years 2014 and 2018 were analyzed. Clinical data were derived from The Society of Thoracic Surgeons institutional database and supplemented with HCAHPS survey data. Endpoints were "top-box" satisfaction scores and domain-specific scores for physicians and nurses communication.Results. In total, 181 of 478 patients (38%) who underwent pulmonary resection for lung cancer completed HCAHPS surveys. Median age was 65 years, and most patients underwent lobectomy (94%). The top-box rating for the overall hospital experience, physician communication, and nurse communication were 92%, 84%, and 69%, respectively. Overall and major complication rates were 43% and 3%, and were not associated with top-box HCAHPS scores. Increasing length of stay was associated with worse satisfaction with provider communication. Adjusted for patient factors, increasing length of stay was associated with worse patient satisfaction in the domains of communication with physicians and nurses. Patients with length of stay more than 6 days were less likely to endorse that doctors gave understandable explanations (odds ratio 0.15, 95% confidence interval, 0.04 to 0.56) and that nurses listened carefully (odds ratio 0.11, 95% confidence interval, 0.06 to 0.69).Conclusions. Overall HCAHPS satisfaction scores after lung resection for cancer were high and were negatively associated with increasing length of stay. Patient satisfaction may be affected more by the perception of effective communication during prolonged hospitalizations than by complications.

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Do Patient Assessments of Hospital Quality Correlate With Kidney Transplantation Surgical Outcomes?

Cited by 11 publications

References 17 publications

Quality Metrics in Solid Organ Transplantation

Quality Metrics in Solid Organ Transplantation

Hospital satisfaction does not predict functional outcome one year after total shoulder arthroplasty

Patient Satisfaction After Lung Cancer Surgery: Do Clinical Outcomes Affect Hospital Consumer Assessment of Health Care Providers and Systems Scores?

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