2014
Examining the Role of Patient Experience Surveys in Measuring Health Care Quality
Price R, Elliott MN, Zaslavsky AM, Hays RD, Lehrman WG, Rybowski L, Edgman-Levitan S, Cleary PD. Examining the Role of Patient Experience Surveys in Measuring Health Care Quality. Medical Care Research And Review 2014, 71: 522-554. PMID: 25027409, PMCID: PMC4349195, DOI: 10.1177/1077558714541480.Peer-Reviewed Original ResearchMeSH KeywordsHumansPatient CompliancePatient SafetyPatient SatisfactionQuality Assurance, Health CareQuality of Health CareSurveys and QuestionnairesTreatment OutcomeUnited StatesConceptsHealth care qualityBetter patient care experiencesLess health care utilizationCare qualityBetter clinical outcomesHealth care utilizationPatient experience surveysPatient experience measuresPatient care experiencesBetter patient safetyClinical outcomesCare utilizationExperiences SurveyPatient experienceCare experiencesPatient safetyClinical processesExperience measuresPublic reportingStandard protocolSound instrumentPerformance programsSample sizeHigh levelsHospital
2009
Associations Between Organizational Characteristics and Quality Improvement Activities of Clinics Participating in a Quality Improvement Collaborative
Deo S, McInnes K, Corbett CJ, Landon BE, Shapiro MF, Wilson IB, Cleary PD. Associations Between Organizational Characteristics and Quality Improvement Activities of Clinics Participating in a Quality Improvement Collaborative. Medical Care 2009, 47: 1026-1030. PMID: 19704356, PMCID: PMC3748716, DOI: 10.1097/mlr.0b013e31819a5937.Peer-Reviewed Original ResearchMeSH KeywordsAmbulatory Care FacilitiesChronic DiseaseCooperative BehaviorCross-Sectional StudiesHIV InfectionsHumansOrganizational CultureQuality Assurance, Health CareSurveys and QuestionnairesUnited StatesConceptsQuality improvement collaborativesPercent of interventionsClinic characteristicsIntervention activitiesPrimary care clinicsCross-sectional studyRyan White CARE ActSurvey of cliniciansQuality Improvement CollaborativeQuality of careNumber of interventionsQuality improvement activitiesHIV careCare clinicsMultidisciplinary teamClinicMore interventionsHealth care organizationsImprovement activitiesCare ActInterventionImprovement collaborativesCare organizationsIntervention choicesMonthsQuality Assessments by Sick and Healthy Beneficiaries in Traditional Medicare and Medicare Managed Care
Keenan PS, Elliott MN, Cleary PD, Zaslavsky AM, Landon BE. Quality Assessments by Sick and Healthy Beneficiaries in Traditional Medicare and Medicare Managed Care. Medical Care 2009, 47: 882-888. PMID: 19543123, DOI: 10.1097/mlr.0b013e3181a39415.Peer-Reviewed Original ResearchMeSH KeywordsAgedAged, 80 and overFemaleHealth StatusHumansMaleManaged Care ProgramsMedicaidMedicareQuality Assurance, Health CareSocioeconomic FactorsUnited StatesConceptsPreventive services measuresCare experiencesPreventive servicesMedicaid ServicesPreventive services receiptRates of immunizationCAHPS scoresExperience measuresOffice wait timeQuality of careTraditional MedicareSick groupPhysician ratingsCare plansMedicare Managed CareHealthcare providersService MedicareCAHPS measuresHealth plansService receiptConsumer AssessmentSystem surveyHealthier beneficiariesManaged CareMedicare
2008
Quality of depression care for people with coincident chronic medical conditions
Teh CF, Reynolds CF, Cleary PD. Quality of depression care for people with coincident chronic medical conditions. General Hospital Psychiatry 2008, 30: 528-535. PMID: 19061679, PMCID: PMC2598839, DOI: 10.1016/j.genhosppsych.2008.07.002.Peer-Reviewed Original ResearchMeSH KeywordsAdultAntidepressive AgentsChronic DiseaseComorbidityDepressive Disorder, MajorDysthymic DisorderFemaleHealth SurveysHumansMaleMiddle AgedPatient SatisfactionPhysician-Patient RelationsPrimary Health CareQuality Assurance, Health CareReferral and ConsultationUnited StatesUtilization ReviewConceptsChronic medical conditionsAdequate depression carePatient-provider relationshipDepression careMedical conditionsComorbid chronic medical conditionsSevere chronic medical conditionsDepression care qualityDepression recognitionContinuity of careMajor depressive disorderMental health problemsLogistic regression modelsAntidepressant medicationMedical visitsPoor outcomePatient satisfactionDepressed patientsDepressive disorderUsual sourceHealth problemsCare qualityCareProvider trustDepressionEvaluating the use of a modified CAHPS® survey to support improvements in patient‐centred care: lessons from a quality improvement collaborative
Davies E, Shaller D, Edgman‐Levitan S, Safran DG, Oftedahl G, Sakowski J, Cleary PD. Evaluating the use of a modified CAHPS® survey to support improvements in patient‐centred care: lessons from a quality improvement collaborative. Health Expectations 2008, 11: 160-176. PMID: 18494960, PMCID: PMC5060434, DOI: 10.1111/j.1369-7625.2007.00483.x.Peer-Reviewed Original ResearchMeSH KeywordsConsumer BehaviorCooperative BehaviorHealth Care SurveysHumansInterviews as TopicMinnesotaPatient-Centered CarePhysician-Patient RelationsQuality Assurance, Health CareConceptsPatient experienceClinical Systems ImprovementSample of patientsPatient-centered careCAHPS surveyHealthcare providersSimple interventionMedical groupConsumer AssessmentSystem surveyProcess evaluationHealthcare systemHarvard Medical SchoolQuality improvementBaseline dataCareInterventionPowerful stimulusMeasurable improvementResource manualGroupSmall improvementEngaged leadershipSuccessful groupSubsequent changes
2006
Gender differences in quality of HIV care in Ryan White CARE Act-funded clinics
Hirschhorn LR, McInnes K, Landon BE, Wilson IB, Ding L, Marsden PV, Malitz F, Cleary PD. Gender differences in quality of HIV care in Ryan White CARE Act-funded clinics. Women's Health Issues 2006, 16: 104-112. PMID: 16765286, DOI: 10.1016/j.whi.2006.02.004.Peer-Reviewed Original ResearchMeSH KeywordsAdultAgedAged, 80 and overAIDS-Related Opportunistic InfectionsAmbulatory CareAntiretroviral Therapy, Highly ActiveCohort StudiesConfidence IntervalsFemaleHealth Services AccessibilityHealth Services ResearchHumansMaleMedical RecordsMiddle AgedOdds RatioQuality Assurance, Health CareWomen's HealthConceptsRyan White CARE ActPCP prophylaxisHIV careCare ActActive antiretroviral therapy (HAART) useHepatitis C virus statusHIV primary care clinicPneumocystis jiroveci pneumonia prophylaxisC virus statusAntiretroviral therapy useHIV viral suppressionPrimary care clinicsQuality improvement studyDisease prevention effortsQuality of carePneumonia prophylaxisViral suppressionHIV infectionTherapy useCare clinicsClinic characteristicsRecord reviewPap smearVirus statusOutcome measures
2005
Hearing the patient’s voice? Factors affecting the use of patient survey data in quality improvement
Davies E, Cleary P. Hearing the patient’s voice? Factors affecting the use of patient survey data in quality improvement. BMJ Quality & Safety 2005, 14: 428. PMID: 16326789, PMCID: PMC1744097, DOI: 10.1136/qshc.2004.012955.Peer-Reviewed Original ResearchMeSH KeywordsData CollectionHealth Care SurveysHumansInterviews as TopicPatient Education as TopicPatient-Centered CarePatientsQuality Assurance, Health CareSurveys and QuestionnairesUnited KingdomUnited StatesConceptsPatient survey dataPatient-centered careQuality improvement capacitySenior health professionalsQuality improvement staffQuality improvement infrastructureClinical dataCentered careHealth professionalsMedical groupSenior physiciansSurvey dataEffective interventionsPatientsPatient interactionsPatient voiceCareImprovement infrastructureQuality improvementOrganisational barriersProfessional barriersConsequent riskPhysician Specialization and the Quality of Care for Human Immunodeficiency Virus Infection
Landon BE, Wilson IB, McInnes K, Landrum MB, Hirschhorn LR, Marsden PV, Cleary PD. Physician Specialization and the Quality of Care for Human Immunodeficiency Virus Infection. JAMA Internal Medicine 2005, 165: 1133-1139. PMID: 15911726, DOI: 10.1001/archinte.165.10.1133.Peer-Reviewed Original ResearchMeSH KeywordsAdultAntiretroviral Therapy, Highly ActiveClinical CompetenceEducation, ContinuingFamily PracticeFemaleHealth Knowledge, Attitudes, PracticeHIV InfectionsHumansMalePrimary Health CareQuality Assurance, Health CareReferral and ConsultationRegression AnalysisRetrospective StudiesUnited StatesConceptsHuman immunodeficiency virus (HIV) infectionActive antiretroviral therapyImmunodeficiency virus infectionInfectious disease physiciansAppropriate patientsQuality of careAntiretroviral therapyHIV careDisease physiciansCare measuresVirus infectionComplex chronic medical conditionsGeneral medicine physiciansObservational cohort studyInfectious disease specialistsMedical record reviewChronic medical conditionsComplex chronic illnessExpert generalistsTypes of physiciansHierarchical logistic regression modelsLow-quality careHigh-quality careLogistic regression modelsHIV physicians
2004
Effects of a quality improvement collaborative on the outcome of care of patients with HIV infection: the EQHIV study.
Landon BE, Wilson IB, McInnes K, Landrum MB, Hirschhorn L, Marsden PV, Gustafson D, Cleary PD. Effects of a quality improvement collaborative on the outcome of care of patients with HIV infection: the EQHIV study. Annals Of Internal Medicine 2004, 140: 887-96. PMID: 15172903, DOI: 10.7326/0003-4819-140-11-200406010-00010.Peer-Reviewed Original ResearchMeSH KeywordsAIDS-Related Opportunistic InfectionsData CollectionHIV InfectionsHumansMass ScreeningProgram EvaluationProspective StudiesQuality Assurance, Health CareQuality Indicators, Health CareViral LoadConceptsQuality of careQuality Improvement ProgramRyan White Comprehensive AIDS Resources Emergency (CARE) ActCollaborative quality improvement programProportion of patientsAppropriate screening testsOutcomes of careAntiretroviral therapyControl patientsQuality improvement strategiesHIV infectionIntervention clinicsStudy clinicRandomized trialsViral loadClinic typePostintervention studyCare measuresMedical recordsIntervention groupControl clinicsPatientsControl groupScreening testSociodemographic characteristics
2003
Physician Specialization and Antiretroviral Therapy for HIV
Landon BE, Wilson IB, Cohn SE, Fichtenbaum CJ, Wong MD, Wenger NS, Bozzette SA, Shapiro MF, Cleary PD. Physician Specialization and Antiretroviral Therapy for HIV. Journal Of General Internal Medicine 2003, 18: 233-241. PMID: 12709089, PMCID: PMC1494839, DOI: 10.1046/j.1525-1497.2003.20705.x.Peer-Reviewed Original ResearchMeSH KeywordsAdultAntiretroviral Therapy, Highly ActiveClinical CompetenceCohort StudiesEducation, MedicalFemaleHIV InfectionsHumansMaleMedicineMiddle AgedMultivariate AnalysisPractice Patterns, Physicians'Primary Health CareQuality Assurance, Health CareReferral and ConsultationSpecializationSurveys and QuestionnairesTime FactorsUnited StatesConceptsGeneral medicine physiciansCare of HIVLow-volume physiciansFirst protease inhibitorHAART therapyHIV infectionMedicine physiciansAntiretroviral therapyHAART useID physiciansInfectious diseasesActive antiretroviral therapyObservational cohort studyServices Utilization StudyHigh-volume physiciansExpert generalistsMajority of physiciansTypes of physiciansProtease inhibitorsTreatment of personsHIV caseloadHIV careCohort studyHIV CostHIV disease
2002
Quality collaboratives: lessons from research
Øvretveit J, Bate P, Cleary P, Cretin S, Gustafson D, McInnes K, McLeod H, Molfenter T, Plsek P, Robert G, Shortell S, Wilson T. Quality collaboratives: lessons from research. BMJ Quality & Safety 2002, 11: 345. PMID: 12468695, DOI: 10.1136/qhc.11.4.345.Peer-Reviewed Original ResearchDimensions of Plan Performance for Sick and Healthy Members on the Consumer Assessments of Health Plans Study 2.0 Survey
Zaslavsky AM, Cleary PD. Dimensions of Plan Performance for Sick and Healthy Members on the Consumer Assessments of Health Plans Study 2.0 Survey. Medical Care 2002, 40: 951-964. PMID: 12395028, DOI: 10.1097/00005650-200210000-00012.Peer-Reviewed Original ResearchConceptsHealthy membersReport itemsConsumer AssessmentSmoking cessation adviceGeneral health statusHealth plan qualityMedicare Managed Care Consumer AssessmentHealth Plans SurveyQuality improvement effortsPlan performanceCessation advicePlan careCare beneficiariesHealth statusPatient careSick membersPoor healthMedical servicesPlans SurveyCarePlan qualitySubgroupsPlan scoresReportDoctorsSpecialty Training and Specialization Among Physicians Who Treat HIV/AIDS in the United States
Landon BE, Wilson IB, Wenger NS, Cohn SE, Fichtenbaum CJ, Bozzette SA, Shapiro MF, Cleary PD. Specialty Training and Specialization Among Physicians Who Treat HIV/AIDS in the United States. Journal Of General Internal Medicine 2002, 17: 12-22. PMID: 11903771, PMCID: PMC1495004, DOI: 10.1046/j.1525-1497.2002.10401.x.Peer-Reviewed Original ResearchMeSH KeywordsAcquired Immunodeficiency SyndromeAdultClinical CompetenceCross-Sectional StudiesEducation, Medical, ContinuingFemaleHealth Knowledge, Attitudes, PracticeHIV InfectionsHumansLogistic ModelsMaleMiddle AgedMultivariate AnalysisPractice Patterns, Physicians'Quality Assurance, Health CareReferral and ConsultationSurveys and QuestionnairesUnited StatesConceptsHIV caseloadReferral patternsReferral practicesSpecialty trainingGeneralist physiciansServices Utilization StudyID ExpertEffect of specialtyCross-sectional surveyHigher knowledge scoresHIV/AIDSInfectious disease trainingHIV careHIV CostHIV diseaseID physiciansEligible physiciansHIV expertsMultivariable modelPhysician reportsMedian caseloadDiseases TrainingClinical experienceUtilization studiesKnowledge score
2001
National Quality Monitoring of Medicare Health Plans
Schneider E, Zaslavsky A, Landon B, Lied T, Sheingold S, Cleary P. National Quality Monitoring of Medicare Health Plans. Medical Care 2001, 39: 1313-1325. PMID: 11717573, DOI: 10.1097/00005650-200112000-00007.Peer-Reviewed Original ResearchConceptsMedicare health plansHealth plansClinical qualityHEDIS performanceCAHPS surveyHealth Plans Study (CAHPS) surveyHealth Plan Employer DataBeta-blocker useMental health hospitalizationsObservational cohort studyProportion of enrolleesHealth plan qualityGood clinical careRates of mammographyClinical quality measuresComposite measurePlan careCohort studyEye examMultivariable analysisMyocardial infarctionPersonal doctorClinical careEmployer DataConsumer Assessment
2000
Impact of Sociodemographic Case Mix on the HEDIS Measures of Health Plan Quality
Zaslavsky A, Hochheimer J, Schneider E, Cleary P, Seidman J, McGlynn E, Thompson J, Sennett C, Epstein A. Impact of Sociodemographic Case Mix on the HEDIS Measures of Health Plan Quality. Medical Care 2000, 38: 981-992. PMID: 11021671, DOI: 10.1097/00005650-200010000-00002.Peer-Reviewed Original ResearchMeSH KeywordsAdolescentAdultAgedChildChild, PreschoolDiagnosis-Related GroupsFemaleHealth Benefit Plans, EmployeeHealth Maintenance OrganizationsHumansInfantInfant, NewbornLogistic ModelsMaleMiddle AgedMultivariate AnalysisPregnancyPreventive Health ServicesQuality Assurance, Health CareQuality Indicators, Health CareSocioeconomic FactorsUnited StatesConceptsHEDIS measuresSociodemographic characteristicsHealth Plan Employer DataPatients' sociodemographic characteristicsHealth plan membersImmunization of adolescentsHealth plan qualityInformation Set (HEDIS) measuresMeasures of screeningRetinal examPreventive servicesHEDIS dataEmployer DataCase mixPlan membersLogistic regressionMost plansPercent collegeResidential area characteristicsPercentage pointsPercent AsianPlan qualityPublic assistanceSet measuresArea characteristicsProviding Consumers with Information About the Quality of Health Plans: The Consumer Assessment of Health Plans Demonstration in Washington State
Guadagnoli E, Epstein A, Zaslavsky A, Shaul J, Veroff D, Fowler F, Cleary P. Providing Consumers with Information About the Quality of Health Plans: The Consumer Assessment of Health Plans Demonstration in Washington State. The Joint Commission Journal On Quality And Patient Safety 2000, 26: 410-420. PMID: 10897458, DOI: 10.1016/s1070-3241(00)26034-3.Peer-Reviewed Original ResearchIs the Professional Satisfaction of General Internists Associated with Patient Satisfaction?
Haas J, Cook E, Puopolo A, Burstin H, Cleary P, Brennan T. Is the Professional Satisfaction of General Internists Associated with Patient Satisfaction? Journal Of General Internal Medicine 2000, 15: 122-128. PMID: 10672116, PMCID: PMC1495336, DOI: 10.1046/j.1525-1497.2000.02219.x.Peer-Reviewed Original ResearchConceptsRecent physician visitPatients of physiciansPhysician visitsPhysician satisfactionGeneral internal medicine practiceBetter overall health statusOverall satisfactionProfessional satisfactionHealth careInternal medicine practicePatients' overall satisfactionOverall health statusCross-sectional surveyLower overall satisfactionYounger patientsHigher professional satisfactionPatient satisfactionMinority patientsGeneral internistsPhysician professional satisfactionPatientsHealth statusMedicine practicePhysiciansCareDimensions of Consumer-Assessed Quality of Medicare Managed-Care Health Plans
Zaslavsky A, Beaulieu N, Landon B, Cleary P. Dimensions of Consumer-Assessed Quality of Medicare Managed-Care Health Plans. Medical Care 2000, 38: 162-174. PMID: 10659690, DOI: 10.1097/00005650-200002000-00006.Peer-Reviewed Original ResearchMeSH KeywordsAdultAgedAged, 80 and overConsumer BehaviorDiagnosis-Related GroupsFactor Analysis, StatisticalFemaleHealth Care SurveysHealth Services AccessibilityHealth StatusHumansMaleManaged Care ProgramsMedicareMiddle AgedPatient Education as TopicQuality Assurance, Health CareRegression AnalysisSocioeconomic FactorsUnited StatesConceptsManaged care health planHealth plansHealth plan levelDelivery of careHealth-promoting activitiesHealth Plans SurveySpecialist careMedicare beneficiariesOverall ratingDoctor's officeConsumer AssessmentGlobal ratingCareMedical servicesPlans SurveyReport itemsCAHPSReportSurvey itemsPlan variabilityConsumer ReportsCorresponding groupMembers' ratingsDeliveryGroup
1999
Benchmarking and quality improvement: the Harvard Emergency Department Quality Study∗∗Access the “Journal Club” discussion of this paper at http://www.elsevier.com/locate/ajmselect/
Burstin H, Conn A, Setnik G, Rucker D, Cleary P, O’Neil A, Orav E, Sox C, Brennan T, Investigators T. Benchmarking and quality improvement: the Harvard Emergency Department Quality Study∗∗Access the “Journal Club” discussion of this paper at http://www.elsevier.com/locate/ajmselect/. The American Journal Of Medicine 1999, 107: 437-449. PMID: 10569298, DOI: 10.1016/s0002-9343(99)00269-7.Peer-Reviewed Original ResearchConceptsPatient-reported problemsEmergency department careCare guidelinesMedical recordsPatient ratingsChief complaintEmergency departmentHospital emergency departmentQuality improvement interventionsPatient-reported measuresEmergency department directorsPatient-based measuresEmergency department (ED) qualityQuality improvement effortsEligible patientsPatient questionnairePreintervention periodPostintervention periodPatient reportsPatientsImprovement interventionsMultivariate analysisPercent complianceStudy periodCare
1998
A Conceptual Model of the Effects of Health Care Organizations on the Quality of Medical Care
Landon B, Wilson I, Cleary P. A Conceptual Model of the Effects of Health Care Organizations on the Quality of Medical Care. JAMA 1998, 279: 1377-1382. PMID: 9582046, DOI: 10.1001/jama.279.17.1377.Peer-Reviewed Original Research