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Interactive Findings Library: Impact of Patient-Level Risk Factors on Experience

by Deirdre Mylod, Executive Director, Institute for Innovation | Jan 16, 2015

The Institute for Innovation now offers a growing set of findings that use national data to provide insight into the complexity of the patient experience. The first set of findings includes an interactive library that allows site visitors to dig into patient-level risk factors that are associated with how patients view care. 

Three topics are available, including:
• Coordination of care - patient perception of teamwork
• Shared Decision Making- patient perception of being involved in decisions
• Drivers of Variation- patient overall ratings and likelihood to recommend 

Findings are available for Inpatient and Medical Practice populations. After selecting the topic of interest and setting, you can choose different categories of patient-level factors such as patient demographics, social determinants of health, care processes or attributes of care. Each category provides a graphic display of charts and findings from a national data set. When you find a slide or set of results that you want to share, you can print them right from the tool. There’s a lot to explore!

To get you as excited as I am about the powerful insights in these findings, I’d like to highlight one insight about maternity patients that can be gleaned from these results. Traditionally we think of maternity patients as offering relatively positive evaluations of their inpatient experience, and the national data does show that their ratings are more favorable than the medically treated group. 



However, when we consider the impact of the health of patients, we find that the higher scores for the maternity group are likely a function of the fact that they are healthier than other patients in the hospital. They are far more likely to report that their own health is Excellent or Very Good.  But when self-report of health is controlled for, maternity patients are actually less likely to rate their hospital stay as a 9 or a 10 as their medically treated peers with similar health status. 



These findings represent the first phase of analysis for the Institute work and offer descriptive patterns that help to better understand how needs are being met for different groups of patients. We’ll be building on these results in 2015 by adding national results that describe the impact of organization characteristics. The patterns in these patient-focused findings remind us that health care is complex, and our response to patients must be complex and informed by evidence. By better understanding how patients groups with similar needs experience care, we’ll be positioned to redesign process to better meet those needs. Doing so will bring greater value to the patient - and greater focus to our mission to reduce patient suffering.