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Trustees of Dartmouth College
$249,937
Improving Primary Care in Response to Patient Feedback
How's Your Health is an Internet-based survey of patients' health and health care. Past Fund support enabled the creators of How's Your Health to validate the survey and diffuse it among communities and businesses, which have taken to it with enthusiasm. Physician practices, however, have been reluctant to integrate the technology into everyday practice. This project will seek to package the survey with other patient-centered technologies and, in collaboration with a Medicare Quality Improvement Organization, integrate them in up to two dozen primary care practices. The practices will be coached on how to use the patient feedback obtained from these tools to provide patient-centered care. In addition, the project team will conduct an evaluation of the dissemination model to gauge its impact on participating practices and patients.
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John H. Wasson, M.D.
Professor of Community & Family Medicine
7265 Butler Building
Hanover, NH 03755
(603) 650-1823
john.h.wasson@dartmouth.edu
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President and Fellows of Harvard College
$285,963
Developing and Testing a Pediatric Patient-Centered Care Survey for Ambulatory Care
This project will help fill a gap in data on the quality of well-child care provided in ambulatory care settings. A team led by Harvard Medical School's Paul Cleary will enhance the ambulatory care version of the Consumer Assessment of Health Plans Survey (CAHPS)-the nation's most widely used and well-respected family of surveys measuring patients' experience with care-to include questions on the preventive and developmental services delivered to children and parents by group practices and individual clinicians. The Harvard team, which will work with the American Board of Pediatrics, the American Academy of Pediatrics, and other leading organizations, will develop and field the instrument in English and Spanish.
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Paul D. Cleary, Ph.D.
Dean
Department of Health Care Policy
180 Longwood Avenue
Boston, MA 02115-5899
(617) 432-0174
cleary@hcp.med.harvard.edu
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Massachusetts General Hospital
$151,106
Case Studies of Patient Centered Care Physician Practices
Primary care practices and administrators are searching for ways to deliver primary care that meets the needs of patients, families, and clinicians. Successful models of patient-centered primary care not only can demonstrate for physicians the feasibility of delivering such care, but can provide information that is useful in developing tools that improve patients' experiences. Moreover, they can also help purchasers establish pay-for-performance standards. This project will identify and document the experiences of 12 patient-centered primary care practices through in-depth case studies. After identifying top practices through patient survey data, the investigative team will assess how various aspects of each organization-from leadership style to use of technology to quality improvement methods-affect patients' experiences with physician care.
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Susan Edgman-Levitan
Executive Director of the Stoeckle Center
15 Parkman Street, WAC 812
Boston, MA 02114-3117
(617) 667-2388
sedgmanlevitan@partners.org
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New England Medical Center Hospitals, Inc.
$101,378
Linking Patients' Experience with Health Care to Clinical Quality and Outcomes
To encourage widespread adoption of quality measurement and improvement activities designed to meet the needs of patients, health care leaders must learn more about the relationship between patient-centered care and improved clinical outcomes. This project will analyze the association between patient care experiences and clinical performance at both the individual physician and practice levels. As part of their work, the investigators will determine whether specific components of the patient experience, such as communication or trust, are more strongly associated with clinical quality, and whether the relationship between patient satisfaction and clinical performance sometimes depends on the level of patient adherence required for treatment. Results from these analyses could generate a greater commitment among health systems, purchasers, and policymakers to patient-centered care.
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Dana Gelb Safran, Sc.D.
Director, The Health Institute, Clinical Care Research
750 Washington Street, Box 345
Boston, MA 02111
(617) 636-8611
dsafran@lifespan.org
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