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Improving measurement of health care transitions through key stakeholders' eyes
Investigator (PI): Kiefe, Catarina
Past Investigator: Anatchkova, Milena
Performing Organization (PO): (Current): University of Massachusetts, Medical School, Department of Population and Quantitative Health Sciences / (508) 856-8999
Supporting Agency (SA): Patient-Centered Outcomes Research Institute (PCORI)
Initial Year: 2014
Final Year: 2019
Record Source/Award ID: PCORI/ME-1310-07682
Funding: Total Award Amount: $1,100,731
Award Type: Contract
Award Information: PCORI: More information and project results (when completed)
Abstract: Transitional care happens as patients transfer from setting to setting (such as from the hospital to home) and from one to another health care provider. Poor transitions lead to poor outcomes such as patients dissatisfied with their care, repeat hospitalizations that might have been avoided, and other health issues. There is evidence that the quality of care transitions can be improved, resulting in better care and outcomes. On the other hand, there is no evidence on which of the approaches to improve transitional care works the best. To compare the performance of different ways to improve transitional care, we need to measure the patients' experience in a consistent and accurate way that is easy to interpret. Measures using what patients report can assess care transition quality and other outcomes important to patients. Patients often provide input in the early stage of development of such measures, yet they are rarely included as collaborators in the process. Such measures can be used by many different stakeholders (patients, caregivers, health care providers, hospital administrators) with the goal of improving care. These stakeholders' perspectives are important in the development of the measures, to make sure that measures actually capture what matters to the stakeholder. Yet stakeholders are rarely included in development of measures and little is known about this approach. The Care Transitions Measure (CTM) is one reliable patient measure of care transition quality that has been developed with patient input. Yet there are clear gaps in the content and performance of the measure, and no guidelines on the meaning of CTM scores exist. This seriously limits the ability of clinicians, patients, and researchers to interpret the measure and to use it effectively in improving quality of care and related outcomes that are important to patients. We propose to take into account the perspectives of multiple stakeholders, including patients, caregivers, and clinicians, and improve the methods used to develop a measure. We will develop a measure of care transitions quality with detailed information on how the measures' scores should be interpreted. This information can be disseminated relatively quickly into current research and practice, promoting effective patient transitions and allowing us to compare different approaches for improving care transition quality. Ultimately, we wish to evaluate a more inclusive approach to measurement development and improve measurement of care transitions to promote better patient-centered care.
MeSH Terms:
  • Caregivers
  • * Continuity of Patient Care
  • Health Services Research
  • Humans
  • Outcome Assessment, Health Care
  • Patient Participation
  • Patient Satisfaction
  • Patient-Centered Care /organization & administration
  • Program Development
  • * Quality Indicators, Health Care
  • Quality of Health Care
Country: United States
State: Massachusetts
Zip Code: 01605
UI: 20152280
Project Status: Completed
Record History: ('2017: Project extended to 2019.',)