Improvements In The Quality Of Hospital CareImprovements In The Quality Of Hospital Care

Patient report experiences have potential for driving improvements in the quality of hospital care, according to a new study in the Canadian Journal of Cardiology, publish by Elsevier. Investigators report on an analysis of the Canadian Patient Experience Survey responses obtain from cardiac patients in Alberta; which reveal areas that are highly rate by patients; but also report findings around areas that could be the subject of future patient center quality improvements.

The term “patient center care” is gaining currency as it places the patient first; so rather than reducing them to the sum of their symptoms or medical condition. Providing patients’ first hand reports of their care is important to help reinforce or confirm areas; so in which care is working well (from the patient perspective); as well as to guide quality improvement experts to where impactful improvements can be made.

Patient center care is often measure through surveys; specifically those that measure the patient experience. Despite the proliferation of such surveys; there is limit research in this area. Using records from the Canadian Patient Experiences Survey Inpatient Care (CPES-IC); investigators analyze the experiences of over 1,000 patients in Alberta; so who underwent coronary artery bypass graft (CABG) and/or valve replacement from April 2014 to March 2018.

“To our knowledge, this is the first study of its kind in Canada one that uses linkage; so of patient experience surveys with routinely-collect administrative data to examine the comprehensive hospital experience of a particular clinical group,” explain lead investigator Kyle A. Kemp, a Ph.D. candidate working in the Department of Community Health Sciences, Cumming School of Medicine, University of Calgary, Calgary, AB, Canada.

Quality of hospital care

“Examining the comprehensive experience of patients who have undergone cardiac procedures such as CABG and valve replacement may provide tremendous value, given the labor-intensive and costly nature of these procedures.” CPES-IC surveys are administer across 93 hospitals in Alberta using a standard script and responses to frequently ask questions. A random sample of 10% of eligible discharges is obtain from each hospital, resulting in approximately 25,000 complete surveys each year.

“Being the first Canadian study of its kind; there is an opportunity for it to serve as a baseline when examining future data from this survey; both in Alberta and from other Canadian provinces. “The study by Kemp and colleagues is a step in the right direction and is in essence the first rung on the ladder towards meeting the much sought after triple aim of healthcare in Canada,” comment Michelle M. Graham, MD.

“The investigators have in fact provide a methodology for building a Pan-Canadian patient center database require to drive improvement in various demographic, regional, and clinical cohorts in the Canadian health care system. Patients have been given a new way to speak; we just have to listen. Providing truly relevant, patient-center care is dependent on it.”