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Capacity-Building for Collecting Patient-Reported Outcomes and Experiences (PRO) Data Across Hospitals.
Saeb, Samia; Korst, Lisa M; Fridman, Moshe; McCulloch, Jeanette; Greene, Naomi; Gregory, Kimberly D.
Afiliación
  • Saeb S; Department of Obstetrics and Gynecology, Cedars-Sinai Medical Center, Los Angeles, CA, USA.
  • Korst LM; Maternal Metrics, Inc, North Hollywood, CA, USA.
  • Fridman M; Maternal Metrics, Inc, North Hollywood, CA, USA.
  • McCulloch J; BirthSwell, Ithaca, NY, USA.
  • Greene N; Department of Obstetrics and Gynecology, Cedars-Sinai Medical Center, Los Angeles, CA, USA.
  • Gregory KD; Department of Obstetrics and Gynecology, Cedars-Sinai Medical Center, Los Angeles, CA, USA. gregory@cshs.org.
Matern Child Health J ; 27(9): 1460-1471, 2023 Sep.
Article en En | MEDLINE | ID: mdl-37347378
PURPOSE: Patient-reported outcomes and experiences (PRO) data are an integral component of health care quality measurement and PROs are now being collected by many healthcare systems. However, hospital organizational capacity-building for the collection and sharing of PROs is a complex process. We sought to identify the factors that facilitated capacity-building for PRO data collection in a nascent quality improvement learning collaborative of 16 hospitals that has the goal of improving the childbirth experience. DESCRIPTION: We used standard qualitative case study methodologies based on a conceptual framework that hypothesizes that adequate organizational incentives and capacities allow successful achievement of project milestones in a collaborative setting. The 4 project milestones considered in this study were: (1) Agreements; (2) System Design; (3) System Development and Operations; and (4) Implementation. To evaluate the success of reaching each milestone, critical incidents were logged and tracked to determine the capacities and incentives needed to resolve them. ASSESSMENT: The pace of the implementation of PRO data collection through the 4 milestones was uneven across hospitals and largely dependent on limited hospital capacities in the following 8 dimensions: (1) Incentives; (2) Leadership; (3) Policies; (4) Operating systems; (5) Information technology; (6) Legal aspects; (7) Cross-hospital collaboration; and (8) Patient engagement. From this case study, a trajectory for capacity-building in each dimension is discussed. CONCLUSION: The implementation of PRO data collection in a quality improvement learning collaborative was dependent on multiple organizational capacities for the achievement of project milestones.
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Creación de Capacidad / Hospitales Tipo de estudio: Prognostic_studies / Qualitative_research Aspecto: Implementation_research / Patient_preference Límite: Humans Idioma: En Revista: Matern Child Health J Asunto de la revista: PERINATOLOGIA Año: 2023 Tipo del documento: Article País de afiliación: Estados Unidos Pais de publicación: Estados Unidos

Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Creación de Capacidad / Hospitales Tipo de estudio: Prognostic_studies / Qualitative_research Aspecto: Implementation_research / Patient_preference Límite: Humans Idioma: En Revista: Matern Child Health J Asunto de la revista: PERINATOLOGIA Año: 2023 Tipo del documento: Article País de afiliación: Estados Unidos Pais de publicación: Estados Unidos