Article Text

PDF
Physician and other healthcare personnel responses to hospital stroke quality of care performance feedback: a qualitative study
  1. Joseph S Ross1,
  2. Linda Williams2,3,
  3. Teresa M Damush4,5,
  4. Marianne Matthias4
  1. 1Internal Medicine, Yale University School of Medicine, New Haven, Connecticut, USA
  2. 2HSRD, Roudeubush VAMC, Indianapolis, Indiana, USA
  3. 3Neurology, Indiana University School of Medicine, Indianapolis, Indiana, USA
  4. 4Neurology, Roudebush VAMC, Indianapolis, Indiana, USA
  5. 5Neurology, Regenstrief Institute, Inc., Indianapolis, Indiana, USA
  1. Correspondence to Dr Joseph S Ross, Internal Medicine, Yale University School of Medicine, New Haven, CT 06520-8093, USA; joseph.ross{at}yale.edu

Abstract

Background Understanding how physicians and other healthcare personnel respond to hospital performance feedback initiatives may have important implications for quality improvement efforts. Our objective was to explore responses to the inaugural feedback of hospital performance on stroke quality of care measures among relevant physicians and personnel at the US Department of Veterans Health Administration (VHA) hospitals.

Methods Qualitative interviews with hospital administrators, physicians, nurses and quality managers at 12 VHA hospitals in the USA after the inaugural national release of the report on quality of acute stroke care processes. Interview transcripts were analysed using an immersion/crystallisation approach to identify recurrent themes.

Results Interviews were completed with 41 individuals at 12 VHA hospitals from diverse regions of the USA; the majority were clinicians, either physicians or nurses, and nearly all had 20 years of experience or more. Interviewees described general perceptions of internal performance feedback that were both positive and negative, such as the notion that performance feedback could provide value to clinicians and hospitals, but at the same time voiced concerns about being inundated with such data. Interviewees also expressed scepticism about public reporting of performance data, citing numerous concerns and limitations. However, when interviewees described specific experiences with performance feedback, nearly all reactions were positive, including excitement, interest and feeling validated about a job well done.

Discussion Physicians and other healthcare personnel described hospital performance feedback on stroke quality of care measures to be broadly valuable but identified areas of concern related to the measurement process and public reporting.

  • Qualitative research
  • Performance measures
  • Quality measurement
  • Healthcare quality improvement

Statistics from Altmetric.com

Request permissions

If you wish to reuse any or all of this article please use the link below which will take you to the Copyright Clearance Center’s RightsLink service. You will be able to get a quick price and instant permission to reuse the content in many different ways.