Dataset Information

Multisite analysis of patient experience scores and risk of hospital admission: a retrospective cohort study.

ABSTRACT:

Background

Routinely collected patient experience scores may inform risk of patient outcomes. The objective of the study was to evaluate the risk of hospital admission within 30-days following third-party receipt of the patient experience survey and guide interventions.

Methods

In this retrospective cohort study, we analyzed Hospital Consumer Assessment of Healthcare Providers and Systems surveys, January 2016-July 2019, from an institution's 20 hospitals in four U.S. states. Surveys were routinely sent to patients using census sampling. We analyzed surveys received ≤60 days following discharge from patients living ≤60 miles of any of the institution's hospitals. The exposures were 19 survey items. The outcome was hospital admission within 30 days after third-party receipt of the survey. We evaluated the association of favorable (top-box) vs unfavorable (non-top-box) score for survey items with risk of 30-day hospital admission in models including patient and hospitalization characteristics and reported adjusted odds ratios (aOR [95% confidence interval]).

Results

Among 40,162 respondents (mean age ± standard deviation: 68.1 ± 14.0 years), 49.8% were women and 4.3% had 30-day hospital admission. Patients with 30-day hospital admission, compared to those not admitted, were more likely to be discharged from a medical service line (62.9% vs 42.3%; P < 0.001) and have a higher Elixhauser index. Favorable vs unfavorable score for hospital rating was associated with lower odds of 30-day hospital admission in the overall cohort (0.88 [0.77-0.99]; P = 0.04), medical service line (0.81 [0.70-0.94]; P = 0.007), and upper tertile of Elixhauser index (0.79 [0.67-0.92]; P = 0.003). Favorable score for recommend hospital was associated with lower odds of 30-day hospital admission in the medical service line (0.83 [0.71-0.97]; P = 0.02) but for others (e.g. cleanliness of hospital environment) showed no association.

Conclusion

In routinely collected patient experience scores, favorable hospital rating was associated with lower odds of 30-day hospital admission and may inform risk stratification and interventions. Evidence-based survey items linked to patient outcomes may also inform future surveys.

SUBMITTER: Hydoub YM

PROVIDER: S-EPMC9928911 | biostudies-literature | 2023 Feb

REPOSITORIES: biostudies-literature

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Publications

Multisite analysis of patient experience scores and risk of hospital admission: a retrospective cohort study.

Hydoub Yousif M YM Fischer Karen M KM Hanson Kristine T KT Coons Trevor J TJ Wilshusen Laurie L LL Vista Tafi L TL Colbenson Gretchen A GA Burton M Caroline MC Habermann Elizabeth B EB Dugani Sagar B SB

Hospital practice (1995) 20221124 1

<h4>Background</h4>Routinely collected patient experience scores may inform risk of patient outcomes. The objective of the study was to evaluate the risk of hospital admission within 30-days following third-party receipt of the patient experience survey and guide interventions.<h4>Methods</h4>In this retrospective cohort study, we analyzed Hospital Consumer Assessment of Healthcare Providers and Systems surveys, January 2016-July 2019, from an institution's 20 hospitals in four U.S. states. Surv ...[more]

PMID: 36326005

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Dataset Information

Multisite analysis of patient experience scores and risk of hospital admission: a retrospective cohort study.

Background

Methods

Results

Conclusion

Publications

Multisite analysis of patient experience scores and risk of hospital admission: a retrospective cohort study.

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