The HCAHPS Survey as a Potential Tool for Measuring Organizational Interprofessional Competency at American Hospitals Nationwide: A Content Analysis Study of Concept Validity

Yuri T Jadotte,Sabrina M Chase,Susan Salmond,Cheryl Holly,Rubab I Qureshi

doi:10.7710/2159-1253.1119

Yuri T Jadotte, Sabrina M Chase + Show 3 more

Open Access

https://doi.org/10.7710/2159-1253.1119

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Abstract

INTRODUCTION Interprofessionalism is grounded in a core set of guiding principles for educational and practice initiatives among healthcare professionals. It has been shown to improve proximal outcomes, such as patient satisfaction. However, the link between interprofessionalism and more distal outcomes, such as patient health outcomes, has proven difficult to demonstrate quantitatively. METHODS Our research team examined the concept validity of an existing tool to determine its feasibility to serve as a potential proxy measure of organizational interprofessional competency for use in large-scale quantitative research. We compared the Core Competencies for Interprofessional Collaborative Practice expert panel report to the Hospital Consumer Assessment of Healthcare Providers and Systems survey, using manifest content analysis. RESULTS 61% of the HCAHPS survey questions capture the domains of interprofessional competency identified in the expert panel report, and 57% reflect multiple competency domains simultaneously. CONCLUSION We recommend that the HCAHPS survey questions identified here be examined quantitatively to determine their psychometric validity as a proxy measure of organizational interprofessional competency.

Highlights

Interprofessionalism is grounded in a core set of guiding principles for educational and practice initiatives among healthcare professionals
We recommend that the HCAHPS survey questions identified here be examined quantitatively to determine their psychometric validity as a proxy measure of organizational interprofessional competency
We found that all interprofessional competencies (IPC) domains were represented within the HCAHPS survey questions, some had greater representation than others

Summary

Introduction

Interprofessionalism is grounded in a core set of guiding principles for educational and practice initiatives among healthcare professionals. It is thought to enhance workplace outcomes, such as provider satisfaction, but more importantly, to improve patient outcomes The latter includes both cognitive outcomes, such as greater satisfaction with the care received, as well clinical outcomes, such as increased quality of care and decreased morbidity and mortality. As several recent systematic reviews demonstrate, there is a causal relationship between interprofessionalism and non-clinical outcomes, such as improved patient care management infrastructures, increased collaborative team behavior, and higher patient satisfaction with care (Reeves, Perrier, Goldman, Freeth, & Zwarenstein, 2013; Reeves et al, 2008; Zwarenstein, Goldman, & Reeves, 2009), as well as better educational outcomes for healthcare professionals and improved attitudes and perceptions of interprofessional education (Lapkin, Levett-Jones, & Gilligan, 2011; Reeves et al, 2016). There is insufficient quantitative evidence to demonstrate that greater organizational IPC leads to better patient health outcomes (Brandt, 2014)

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