Patient Reports About Health IT (Text Version)

Slide presentation from the AHRQ 2011 conference.

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 IT

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

Outline

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

Slide 3

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.

Slide 4

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.

Slide 5

Development Process

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

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.)

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.)

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.)

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.)

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.)

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

Field Testing

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

Slide 13

Field Testing-Overview

Field Testing—Overview

 Beth Israel (BIDMC)Group Health (GHC)Kaiser Permanente (KPSC)
Site Description1 Medical Center9 outpatient clinics2 Medical Centers
Number of MDs selected192030
Patients per physician125125120
ModeInternetMailInternet, then Mail
Completes (response)1,115 ( 48%)1,631 (65% )1,896 ( 53%)

Slide 14

 Age and Gender

Age and Gender

 BIDMC (%)GHC (%)KPSC (%)
Age   
18-34 yrs987
35-44 yrs1499
45-54 yrs241618
55-64 yrs303129
65-74 yrs172323
75 or older61414
Female576257

Slide 15

 Education

Education

 BIDMC (%)GHC (%)KPSC (%)
Less than HS121
HS graduates4911
Some college162637
4-yr college graduate272222
More than 4-yr college534130

Slide 16

 Race / Ethnicity

Race / Ethnicity

 BIDMC (%)GHC (%)KPSC (%)
Hispanic128
Non-Hispanic   
    White928582
    Black233
    Asian476
    Othera131

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

Slide 17

Health Status-Self-Rating

Health Status—Self-Rating

 BIDMC (%)GHC (%)KPSC (%)
Poor222
Fair9913
Good313634
Very Good403836
Excellent191515

Slide 18

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.
Page last reviewed March 2012
Internet Citation: Patient Reports About Health IT (Text Version). March 2012. Agency for Healthcare Research and Quality, Rockville, MD. http://www.ahrq.gov/news/events/conference/2011/mcinnes/index.html