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PATIENT SATISFACTION 2011HHCAHPS SURVEY RESULTS
TODAY’S AGENDA
Welcome! Review of HHCAHPS Assess Performance Identify Opportunities Q&A Quiz
HANDOUT – LETS REVIEW
HHCAHPS Process Survey Questions – Categories:
Global ItemsCommunicationsCare of PatientsSpecific Care Items
GLOBAL PERFORMANCE QUESTIONS Would you recommend this agency to family and
friends?
10% said “Probably No” or “Definitely No”
What number between 0-10 would you use to rate care from this agency’s providers?
32% said rating was 0-8 (11% were 6 or below)
COMMUNICATION PERFORMANCE ITEMS Did someone tell you what care and services you would
get? 74% said “Yes”, note 23% said “Do not
remember” How often did providers keep you informed about when
they would arrive? 62% said “Always” Did providers explain things in a way that was easy to
understand? 69% said “Always” Did home health providers listen carefully to you? 70% said “Always” When you contacted the office did you get the help or
advice you needed? 68% said “Yes”, 15% said “No” How long did it take to get the help or advice you
needed? 39% said “Same day”, 36% said “1-5 days”
SPECIFIC CARE ITEMS Did someone talk with you about how to set up your home so
you can move around safely? 29% said “No” Did someone talk with you about all the medicines you were
taking? 21% said “No” Did someone ask to see all the medicines you were taking? 18% said “No” Did you and a home health provider talk about pain? 90% said “Yes” Did providers talk with you about the purpose for taking your
new or changed medicines? 41% said “No” Did providers talk with you about when to take these
medicines? 33% said “No” Did providers talk with you about the side effects of these
medicines? 43% said “No”
CARE OF PATIENTS ITEMS
Did providers seem informed and up-to-date about all the care or treatment?
37% said “Usually, Sometimes or Never”
Did providers treat you as gently as possible? 79% said “Always” Did providers treat you with courtesy and
respect? 85% said “Always” Did you have any problems with the care you
got through this agency? 12% said “Yes”
WHAT PATIENTS SAY ARE GAPS IN PERFORMANCE:CommunicationAddressing Safety Items/Specific Care Items
Demonstration of Care and Concern
Concurrent survey data shows the same results as HHCAHPS
CONCURRENT SURVEY DATA: EVERY DAY EXAMPLES GOOD – Staff who make patient feel that they
genuinely care about them and communicate with them.
BAD – Staff who make patient feel that they are in a hurry and the patient is just a number.
GOOD – Staff who inform patient of the day and approximate time that they will be there and call if going to be late. Patients get very nervous when they have to wait and wonder what is going on.
BAD - Staff who either just show up or call when they are on their way. This makes patients feel that they do not have a life and that they are just waiting for us to show up and that their day and schedule do not matter.
MORE EXAMPLES: GOOD - Staff in the office who call patients when changes
of any kind are made to their schedule. BAD - Staff in the office who do not call patients regarding
changes, including changes in who may be coming to their home. Many times they have built a relationship with the clinician and then, for whatever reason, a new person shows up and the office has not even called the patient to advise.
GOOD - Staff who return calls to patients in a timely manner.
BAD - Staff who do not return calls in a timely manner. Then patients have to make multiple calls to the office to try and get an answer.
BAD - Staff who tell patients one thing and field staff something else. The field staff almost always tell them the true story and patients say “I don’t appreciate being lied to.”
EXPECTATIONS & TOOLS TO DO THE JOB Communication Protocols
How/when staff are to call in advance of appts or when late
ALL STAFF MUST notify patients in advance of the visit. If you are running late, you must notify your patient of the change.
How/when staff are to communicate changes in scheduling
STAFF MUST notify patients of staff changes in advance.
How/when staff are to respond to phone calls STAFF who give patients their personal number must
call them back or ensure coordination with office when off work.
How/when to resolve issues at the first sign of a problem
ALL STAFF MUST follow the 7 Circles of Care
SAFETY ISSUES
How/when staff are to manage medications: SOC, ROC, Recert, Changes Full
Reconciliation is done, plus any other time it is clinically prudent
Every Visit Screen for changes, compliance, patient understanding, and provide med education
How/when to verbalize to patient about “home safety”Discuss with patient at every visit
CARE AND CONCERN Reinforce: What you need to cover with patients on
a continual basis/every visit Home Safety D/C Planning Medications Satisfaction with Care
Show Respect: Do not burden patients with personal or company
business No text messaging during visits
Report: Consistently use complaint and incident reporting systems to report/address patient and quality of care concerns Found on Nightingale Intranet Report anonymously through Mail box outside
PERFORMANCE IMPROVEMENT
TARGETS Increase Overall Satisfaction Measures through the end of
the Second Quarter Data to Goal of 95%:
Minimum 95% responders rate care 9-10/10 Minimum 95% responders would recommend agency
Example: Would you recommend this agency to family and friends?
95% should say “Probably Yes” or “Definitely Yes”
Increase Individual Care Parameters to minimum 85% falling in most favorable rating category through the end of the Second Quarter Data:
Example: When you contacted the office did you get the help or advice you needed?
85% should say “Yes”
ABOUT RESPONSIBILITY
"All I want to do is live a peaceful life, to regain my life and be happy. I pray to God each day to protect us, help us endure, and guide those other senior citizens who are also suffering".
Mickey Rooney, 2011
CONTACT INFORMATION
Jerre Coleman, RN Clinical Auditor [email protected], 1242
Brenda Tea, HHCAHPS [email protected], 1232
