Transcript Benefits of Implementing a Pan-Canadian Patient Experience

Canadian Institute for Health Information
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Canadian Hospital Experiences Survey
February 2014
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Overview
• Several provinces approached CIHI to develop a
patient experience survey for pan-Canadian use.
• The Canadian Hospital Experiences Survey will be
ready for implementation by jurisdictions in April 2014.
• In consultation with an interjurisdictional committee of
experts, CIHI will be developing a patient experience
data collection and reporting system.
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The Need
• Understanding patient experience is integral to
providing patient-centred care.
• Currently, surveys are administered using different
tools and data collection methods.
• There is no source of comparative pan-Canadian data.
• A standard survey is key to performance
measurement and improvement through comparative
reporting.
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Goal
• To develop a standard questionnaire (in English and
French) on the patient experience for the adult acute
care inpatient population that will
– Inform quality improvement efforts at the facility
level
– Provide comparable data on the patient experience
aspect of quality of care for reporting, monitoring
and comparing performance
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Benefits for Provinces/Territories
• Access to comparable pan-Canadian data
• Improved patient-centred care
• Endorsed by Accreditation Canada
• Ability to benchmark nationally and internationally
• Developed through pan-Canadian collaboration and
rigorously tested
• Easy to implement
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Benefits of Implementing a Pan-Canadian Patient Experience Survey, Data
Collection and Reporting System
Health System
Use
Better Understanding of Patient Experience Supports Improved Patient Care and
Health System Management in Canada
Clinical Program
Management
Use of data for the management of
clinical programs, including quality
improvement and decision support
Potential Benefits
Health System
Management
Use of data to understand and
manage health system performance,
including planning, accountability
and resource allocation
Potential Benefits
Health of
Canadians
Use of data to help
understand patient
experience and inform
decisions that affect the
health of Canadians
Research
Use of data to strengthen
medical and health
research
Potential Benefits
Potential Benefits
Potential Benefits
•Provides a non-proprietary tool,
available without costs
•Enables comparison of
performance, improved
benchmarks and evaluation of
policies and programs
• Supports quality and efficiency
improvements in areas such as
coordination of care and patient
communication with doctors and
nurses
• Supports planning information
needs and provides information to
allocate resources efficiently
• Provides more comprehensive
data to assess the value and
benefits of health care services, by
combining patient experience data
with quality, access and cost data
• Enables comparability across
jurisdictions and for evaluation of
policies and programs
• Supports patient experience
surveying, which is mandatory for
accreditation purposes; an accepted
tool for the use of accreditation
• Provides a better
understanding of
patient experience and
well-being for
improved patientcentred care
• Contributes to moreinformed decisions to
improve patient
experience and
outcomes
• Yields a rich source of
information to inform
research questions. With
provision of patient
identifiers, the patient
experience data may be
linked with other panCanadian data sources.
• Allows for
international
comparability—the core
of the survey is based on
the HCAHPS, which
supports comparisons
across countries.
Survey Development
• Consultation with interjurisdictional committee of
experts, research community and stakeholders across
the country
• HCAHPS (Hospital Consumer Assessment of
Healthcare Providers and Systems) is used as a base,
with 30 items added to address key areas not currently
captured that are relevant to Canadian experience
• Cognitive testing completed to ensure that new
questions were interpreted as intended
• Pilot testing (mail and telephone) completed to ensure
that the questions performed well together
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Survey Domains
HCAHPS Domains
Additional Canadian Domains
Communication with nurses
Communication with doctors
Physical environment
Responsiveness of staff
Pain control
Communication about medications
Discharge information
Ratings:
• Rate hospital from worst to best
• Recommend to family and
friends
Admissions
Internal coordination of care
Person-centred care
Discharge and transition
Outcome
Global rating
Demographic questions (Canadian
context)
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Implementation
• Survey will be available April 2014
• Survey toolkit includes
– Survey administration manual
– Data dictionary with minimum data set
– Core set of patient experience measures
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Next Steps
• With sufficient jurisdictional support, CIHI will begin
developing a patient experience data collection and
reporting system in April 2014.
• Jurisdictions will submit data to CIHI, meeting
minimum data standards. The system is to receive
data from early adopters in spring 2015.
• Jurisdictions will continue to work with the survey
vendor of their choice.
• CIHI will provide provinces/territories access to
comparable data and information through analytic and
summary reports.
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Questions?
• Email [email protected]
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Thank You!
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