Child HCAHPS: Automated Day of Discharge Survey

Study Overview
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Brief Summary
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The goal of this study is to identify effective ways to assess the patient and family experience. Specifically, the study will examine automated administration of the Child Hospital Consumer Assessment of Healthcare Providers and Systems (HCAHPS) Survey on the day of discharge through an electronic interactive patient care system. The will be a multisite study that will take place at Boston Children's Hospital (BCH) as well as at several other hospitals across the United States.

Detailed Description
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Preliminary research conducted by BCH on alternative administration methods of Child HCAHPS has proven promising. Specifically, a pilot of administration on the day of discharge using tablet computers increased response rates, especially among hard to reach groups. To further explore modes of Child HCAHPS day of discharge administration, the Center of Excellence for Pediatric Quality Measurement (CEPQM) at BCH is collaborating with GetWellNetwork (GetWell), a company that provides interactive education material for patient televisions, to enable parents and guardians to complete Child HCAHPS on the day of discharge from the inpatient television. For this multisite study, parents of hospitalized children from BCH and participating sites will be randomized at the time of discharge to either receiving Child HCAHPS on the day of discharge on the inpatient television or standard Child HCAHPS administration via mail or email. The study will continue for up to six months at each participating site.

Official Title
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Child HCAHPS: Day of Discharge Survey on an Electronic Interactive Patient Care System

Conditions
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Inpatient Experience Survey Administration, Inpatient Experience Survey Response

Intervention / Treatment
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* Other: Child HCAHPS: Automated day-of-discharge survey


Participation Criteria
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Eligibility Criteria
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Inclusion Criteria: Their child's hospitalization includes at least one overnight stay Exclusion Criteria: Their child is aged 18 or older during the hospitalization Their child is hospitalized with a primary psychiatric diagnosis Their child dies during hospitalization Their child is in the hospital as a court/law enforcement patient Their child is a ward of the state Their child was admitted under DCF jurisdiction They are not fluent in English or Spanish

Ages Eligible for Study
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Maximum Age: 17 Years

Sexes Eligible for Study
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All

Accepts Healthy Volunteers
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Accepts Healthy Volunteers

Study Plan
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How is the study designed?
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Design Details

Primary Purpose: Health Services Research
Allocation: Randomized
Intervention Model: Parallel Assignment
Interventional Model Description: This study is a rapid cycle randomized control trial. Participating units will alternate between the intervention arm (day of discharge survey via inpatient television) and control arm (post-discharge mailed survey). Patients will be assigned to the intervention or control arm depending on the status of their discharging unit. Units will alternate arms throughout the study period.
Masking: None (Open Label)


Arms and Interventions

| Participant Group/Arm | Intervention/Treatment |
| --- | --- |
| Experimental: Child HCAHPS: Automated Administration<br>Child HCAHPS: Automated day-of-discharge survey On the day of discharge at the hospital, parents will be contacted to solicit survey responses using patient televisions (GetWell) as follows: Day 0 (Day of likely discharge): Respondent will be promoted to complete Child HCAHPS on their television as part of the routine discharge process. Respondent will also be asked for their email address to complete post-discharge items and their appropriate contact information will be collected. Days 2-42: Standard hospital protocol (i.e., mail, email, or IVR) with the post-discharge questions. | Other: Child HCAHPS: Automated day-of-discharge survey<br>* Child HCAHPS surveys will be administered on the day of discharge via an electronic interactive patient care system on inpatient televisions.<br>|
| No Intervention: Standard Administration of Child HCAHPS<br>Parents will be contacted to complete Child HCAHPS using the standard protocol for mail, email, or IVR survey administration. The surveys will be administered by the survey vendor contracted by the participating site to administer Child HCAHPS. | |

What is the study measuring?
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Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Child HCAHPS Response Rate | Change in response rate to the Child HCAHPS survey | up to 1 year | 

Secondary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Child HCAHPS Measure Top-Box Scores | Change in Child HCAHPS top-box scores (i.e., percent of respondents selecting the most positive response option [0-100%]). Higher top-box scores imply better patient/family experience. | up to 1 year | 
| Patient and respondent characteristics | Difference in patient/respondent characteristics | up to 1 year |