Clinical trial NCT03441503: Child HCAHPS: Automated Day of Discharge Survey
Official title: Child HCAHPS: Day of Discharge Survey on an Electronic Interactive Patient Care System
Study type: INTERVENTIONAL
Overall status: TERMINATED
Phase: NA
Conditions: Inpatient Experience Survey Administration
Inpatient Experience Survey Response
Lead sponsor: Boston Children's Hospital
Sponsor class: OTHER
Collaborators: name: GetWellNetwork
name: Dayton Children's Hospital
First posted: 2018-02-22
Enrollment: 23578
Sex: ALL
Maximum age (years): 17
Standard ages: CHILD
Accepts healthy volunteers: yes
Allocation: RANDOMIZED
Intervention model: PARALLEL
Intervention 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.
Primary purpose: HEALTH_SERVICES_RESEARCH

Brief summary: 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: 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.

Eligibility criteria: 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

Primary outcomes:
measure: Child HCAHPS Response Rate
timeFrame: up to 1 year
Secondary outcomes:
measure: Child HCAHPS Measure Top-Box Scores
timeFrame: up to 1 year
measure: Patient and respondent characteristics
timeFrame: up to 1 year
Other outcomes:
Locations:
city: Boston
country: United States
facility: Boston Children's Hospital
state: Massachusetts
city: Dayton
country: United States
facility: Dayton Children's Hospital
state: Ohio
Study officials:
affiliation: Boston Children's Hospital, Harvard Medical School
name: Sara Toomey, MD, MPH, MPhil, MSc
role: PRINCIPAL_INVESTIGATOR
References:
citation: Toomey SL, Zaslavsky AM, Elliott MN, Gallagher PM, Fowler FJ Jr, Klein DJ, Shulman S, Ratner J, McGovern C, LeBlanc JL, Schuster MA. The Development of a Pediatric Inpatient Experience of Care Measure: Child HCAHPS. Pediatrics. 2015 Aug;136(2):360-9. doi: 10.1542/peds.2015-0966. Epub 2015 Jul 20.
citation: Toomey SL, Elliott MN, Zaslavsky AM, Klein DJ, Ndon S, Hardy S, Wu M, Schuster MA. Variation in Family Experience of Pediatric Inpatient Care As Measured by Child HCAHPS. Pediatrics. 2017 Apr;139(4):e20163372. doi: 10.1542/peds.2016-3372. Epub 2017 Mar 22.
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citation: Elliott MN, Zaslavsky AM, Goldstein E, Lehrman W, Hambarsoomians K, Beckett MK, Giordano L. Effects of survey mode, patient mix, and nonresponse on CAHPS hospital survey scores. Health Serv Res. 2009 Apr;44(2 Pt 1):501-18. doi: 10.1111/j.1475-6773.2008.00914.x.