Patient Reports About Health IT (Text Version)

On September 20, 2011, Keith McInnes made this presentation at the 2011 Annual Conference. Select to access the PowerPoint® presentation (480 KB). Plugin Software Help.

Slide 1

Patient Reports about Health Information Technology (Health IT)

Developing & Field Testing Survey Questions for Outpatient Settings

Keith McInnes
Boston University School of Public Health &
VA Bedford Medical Center

Slide 2

Outline

• Background.
• Item Development.
• Illustrative Items.
• Field Testing.
  • Methods.
  • Sample descriptive statistics.

Slide 3

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.

Slide 4

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.

Slide 5

Development Process

• AHRQ stakeholder meeting 2006.
• Literature review.
• Focus groups.
• Develop item inventory.
• Expert interviews (CIOs, health IT experts, Personal Health Record (PHR) managers).
• Cognitive interviews.
• Identification of field test sites.

Slide 6

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 Web site 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.

Slide 7

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?

Slide 8

Survey Content (cont.)

Prescription Medicines:

• Health IT: In the last 12 months, did you ever use E-mail or a Web site to ask this doctor's office to refill or renew one of your prescriptions?

Slide 9

Survey Content (cont.)

Patient use of Web site 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).

Slide 10

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?

Slide 11

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 Decisionmaking:

• 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?

Slide 12

Field Testing

• Beth Israel Deaconess Medical Center, Boston.
• Group Health Cooperative, Washington State.
• Kaiser Permanente Southern California.

Slide 13

Field Testing—Overview

Slide 14

Age and Gender

Slide 15

Education

Slide 16

Race / Ethnicity

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

Slide 17

Health Status—Self-Rating

Slide 18

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.