Improving Patient Experiences in a Pediatric Hospital Setting
Location
Hager-Lubbers Exhibition Hall
Description
BACKGROUND AND PURPOSE: Improved inpatient experiences are essential to providing comprehensive and optimal healthcare quality to the pediatric population. This quality improvement project sought to implement evidence-based interventions to improve pediatric inpatient experiences by increasing healthcare provider’s knowledge about the topic, narrowing the gap between the clinician’s and patient’s/family’s views of the care provided, and identifying actionable metrics for improvement. SUBJECTS: The primary population included pediatric providers consisting of hospitalists, intensivists, and associated APPs. The secondary population included hospitalized pediatric patients, along with their parents/guardians. METHODS: PREMs data questionnaires were completed by parents/guardians willing to participate. In addition, a pediatric patient experience toolkit and educational training session were delivered to pediatric providers; pre- and post-surveys were collected. Statistical analyses consisted of utilizing the Mann-Whitney U test. Pediatric inpatient experiences were also monitored via HCAHPS audits. RESULTS: Implementation of educational materials did not demonstrate a statistically significant difference between pre- and post-survey answers. Despite the lack of statistical significance, 100% of post-survey respondents reported the toolkit to be helpful to a varying degree. Educational materials also did not appear to have an impact on HCAHPS scores. Incorporation of PREMs data use into everyday clinical practice did exhibit statistical significance, however. CONCLUSIONS: Although the educational materials did not demonstrate statistical significance, they did display clinical significance. Collecting PREMs data identified actionable metrics for the improvement of inpatient experiences. The project QI interventions should be continued. HCAHPS survey modifications are also encouraged to increase response rates and more accurately capture patient experience data.
Improving Patient Experiences in a Pediatric Hospital Setting
Hager-Lubbers Exhibition Hall
BACKGROUND AND PURPOSE: Improved inpatient experiences are essential to providing comprehensive and optimal healthcare quality to the pediatric population. This quality improvement project sought to implement evidence-based interventions to improve pediatric inpatient experiences by increasing healthcare provider’s knowledge about the topic, narrowing the gap between the clinician’s and patient’s/family’s views of the care provided, and identifying actionable metrics for improvement. SUBJECTS: The primary population included pediatric providers consisting of hospitalists, intensivists, and associated APPs. The secondary population included hospitalized pediatric patients, along with their parents/guardians. METHODS: PREMs data questionnaires were completed by parents/guardians willing to participate. In addition, a pediatric patient experience toolkit and educational training session were delivered to pediatric providers; pre- and post-surveys were collected. Statistical analyses consisted of utilizing the Mann-Whitney U test. Pediatric inpatient experiences were also monitored via HCAHPS audits. RESULTS: Implementation of educational materials did not demonstrate a statistically significant difference between pre- and post-survey answers. Despite the lack of statistical significance, 100% of post-survey respondents reported the toolkit to be helpful to a varying degree. Educational materials also did not appear to have an impact on HCAHPS scores. Incorporation of PREMs data use into everyday clinical practice did exhibit statistical significance, however. CONCLUSIONS: Although the educational materials did not demonstrate statistical significance, they did display clinical significance. Collecting PREMs data identified actionable metrics for the improvement of inpatient experiences. The project QI interventions should be continued. HCAHPS survey modifications are also encouraged to increase response rates and more accurately capture patient experience data.