Abstract

Patient Experience in Obstetrics in a Military Patient Experience Survey: Findings and Recommendations for Improvement

Kimberley Marshall-Aiyelawo, PhD1 and Janine Beekman2
(1)Defense Health Agency, Falls Church, VA, (2)Ipsos Public Affairs, LLC, washington, DC

APHA's 2018 Annual Meeting & Expo (Nov. 10 - Nov. 14)

Patient experience is a key fixture in the ongoing discourse on healthcare quality, not only because payments are tied to patient satisfaction, but also because positive patient experiences are associated with better health. However, inpatient experience ratings from obstetrics patients typically lag behind ratings from medical and surgical patients. By analyzing data from the Tricare Inpatient Satisfaction Survey, a large-scale survey administered by the Department of Defense (Defense Health Agency), this works seeks to (1) examine how inpatient experience ratings differ from medical and surgical inpatient experience ratings, (2) understand domains of care that drive inpatient satisfaction within this population, and (3) test whether adherence to nursing practices such as hourly rounding and nurse leader visits affect these domains of care. Findings indicate that, in the Military Health System, global inpatient satisfaction ratings for obstetrics are significantly lower than global ratings for medical and surgical product lines, though they have been improving over time. Regression-based drivers analyses examining nine measures of specific aspects of care indicate that measures around patient-provider communication and care transition are the biggest drivers of global experience ratings. Furthermore, facilities who practice hourly nurse rounding received significantly higher scores on global measures and several drivers thereof. Findings suggest that hourly nurse rounding plays an important role in obstetrics patients’ hospital care experience.

Administration, management, leadership Provision of health care to the public Public health administration or related administration