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Acute IP 2016-2017 Technical Report

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Acute IP 2016-2017 Technical Report This report was prepared by R.A. Malatest & Associates Ltd. for the 2016/17 Acute Inpatient Sector Survey. Table of Contents SECTION 1: INTRODUCTION ....................................................................................................... 1 1.1 INTRODUCTION ....................................................................................................................... 1 1.2 BACKGROUND ......................................................................................................................... 1 1.3 PURPOSE AND STRUCTURE OF THE TECHNICAL REPORT ..................................................................... 2 1.4 PURPOSE AND SCOPE OF THE SURVEY ........................................................................................... 2 1.5 PARTICIPATING HEALTH AUTHORITIES AND FACILITIES ...................................................................... 2 1.6 THE SURVEY INSTRUMENT ......................................................................................................... 5 1.6.1 PATIENT-REPORTED EXPERIENCES OF CARE (PREMS) ...........................................................................5 1.6.2 PATIENT-REPORTED OUTCOME MEASURES (PROMS) ..........................................................................5 1.6.3 DEMOGRAPHIC, SPIRITUALITY AND ABORIGINAL PATIENT LIAISON QUESTIONS ..........................................6 1.6.4 SURVEY VARIATIONS ........................................................................................................................7 1.6.5 OPEN-ENDED QUESTION CODING ......................................................................................................7 SECTION 2: SURVEY METHODOLOGY ......................................................................................... 8 2.1 PARTICIPANT RECRUITMENT ....................................................................................................... 8 2.1.1 BACK SAMPLE .................................................................................................................................8 2.1.2 EXCLUSION CRITERIA ........................................................................................................................9 2.1.3 NOTIFICATION LETTERS.....................................................................................................................9 2.1.4 PATIENT REQUESTS FOR REMOVAL .................................................................................................. 10 2.2 DATA HANDLING (QUALITY CHECKS) .......................................................................................... 11 2.3 SAMPLE DESIGN .................................................................................................................... 11 2.4 SAMPLE SELECTION ................................................................................................................ 12 2.5 SURVEY ADMINISTRATION SCHEDULE ......................................................................................... 12 2.6 SURVEY ADMINISTRATION TIME ................................................................................................ 14 2.7 SURVEY ADMINISTRATION PLATFORM (CALLWEB) ......................................................................... 15 2.8 PROJECT FLOWCHART ............................................................................................................. 17 SECTION 3: ANALYSIS AND REPORTING .................................................................................... 18 3.1 DRIVER ANALYSIS .................................................................................................................. 18 3.2 TOP-BOX CALCULATIONS ......................................................................................................... 19 3.3 COMPLETION AND RESPONSE RATE CALCULATIONS ........................................................................ 19 3.3.1 COMPLETIONS ............................................................................................................................. 19 3.3.2 RESPONSE RATE CALCULATIONS ...................................................................................................... 21 3.3.3 PEER GROUPS .............................................................................................................................. 21 3.4 SURVEY WEIGHTING ............................................................................................................... 23 3.5 FINAL REPORTS ..................................................................................................................... 25 3.6 DYNAMIC ANALYSIS AND REPORTING TOOL (DART) ...................................................................... 35 SECTION 4: LIMITATIONS AND RECOMMENDATIONS ............................................................... 37 4.1 DE-DUPLICATION ADJUSTMENT ................................................................................................. 37 4.2 BACK SAMPLING .................................................................................................................... 37 4.3 SAMPLE RECONCILIATION ........................................................................................................ 37 4.3.1 CENSUS SAMPLING ....................................................................................................................... 38 4.3.2 OVERSAMPLING OF SAME PROGRAM UNITS...................................................................................... 38 4.3.3 REHABILITATION MODULE ............................................................................................................. 38 4.4 MODE OF SURVEY ADMINISTRATION ....................................................................................... 38 Tables and Figures TABLE 1-1: Participating Acute Care Centres and Freestanding Rehabilitation Hospitals 3 TABLE 1-2: 2016/17 Acute Inpatient Sector Survey Questions 6 TABLE 2-1: Data Submission Schedule 8 TABLE 2-2: Survey Administration Schedule 13 TABLE 2-3: Telephone Call Attempts 14 TABLE 2-4: Average Survey Administration Time 15 TABLE 3-1: Key Drivers for the 2016/17 Acute Inpatient Sector Survey 18 TABLE 3-2: Participant Volumes after Administration of Different Survey Sections 20 TABLE 3-3: Facility-Level Peer Groups 21 TABLE 3-4: Unit-Level Peer Groups 21 TABLE 3-5: Acute Inpatient Reports and Application of Data Weighting 24 TABLE 3-6: 2016/17 Acute Inpatient Sector Survey Final Reports 25 TABLE 4-1: Rehabilitation Units with Accurate Service Indicator Information 38 FIGURE 2-1: Invitation for Non-English Speakers 10 FIGURE 2-2: Survey Participation by Mode 16 FIGURE 3-1: Acute Inpatient Sector Survey Levels of Reporting and Applicable Weights 23 FIGURE 3-2: DART Landing Page 35 APPENDIX A: Coding Scheme For Open Ended Questions ................................................................... 41 APPENDIX B: 2016/17 Acute Inpatient Sector Survey Instrument ....................................................... 48 APPENDIX C: 2016/17 Acute Inpatient Sector Survey Codebook ......................................................... 93 APPENDIX D: Health Authorities/Facilities That Experienced Back Sampling ................................... 132 APPENDIX E: Survey Notification Letter Template (Adult & Youth) .................................................. 135 APPENDIX F: Patient Removal Request Form (Fax) ........................................................................... 138 APPENDIX G: Survey Disposition Results ........................................................................................... 140 APPENDIX H: Project Flowchart ......................................................................................................... 161 APPENDIX I: Driver Analysis Results ................................................................................................... 165 APPENDIX J: Data Weighting Code .................................................................................................... 171 1 SECTION 1: INTRODUCTION 1.1 Introduction Acute inpatient care is an integral component of the continuum of health services in Canada. It provides short-term treatment for severe injuries or episodes of illness, urgent medical conditions, and during recovery from surgery. In 2015–2016, there were almost 3 million acute inpatient hospitalizations in Canada (CIHI, 20171). Within British Columbia, these cases included admissions to hospitals ranging from the large, tertiary care facilities, to small local hospitals in remote areas of the province. Understanding the experiences of people who use healthcare services is a key priority for Canadian health systems. In British Columbia, measurement of patient experiences and patient outcomes in healthcare is a provincial strategic objective, and provides a means to evaluate progress made towards providing patient-centred care. BC’s provincially coordinated measurement strategy, spearheaded by the BC Patient Centred Measurement Steering Committee, builds on 13 years of continuous improvement in patient-centred data collection, reporting and action based on feedback from BC’s patients and families, which constitutes their assessment of the quality of the healthcare services received and the system of care in the province. 1.2 Background With an aim to enhance public accountability and support quality improvement, the BC Patient Centred Measurement Steering Committee has co-ordinated province-wide surveys across
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