National Testing of the Emergency Department Patient Experience of Care Discharged to Community Survey and Implications for Adjustment in Scoring

BACKGROUND: The emergency department (ED) setting is unique and measuring quality of care in the ED requires the development of ED-specific tools. The Emergency Department Patient Experience of Care Discharged to Community Survey was designed to measure patient experience in the ED setting. OBJECTIVES: Describe results from the Emergency Department Patient Experience of Care Discharged to Community Survey including respondent characteristics and reported patient experience, and examine factors, including mode of survey administration, associated with response propensity and response patterns. RESEARCH DESIGN: In total, 16,006 discharges were sampled from 50 hospitals nationwide to receive the survey using a mode experiment design. Logistic regression modeled response propensity; linear regression examined associations between response patterns and patient characteristics and mode. SUBJECTS: In total, 3122 survey respondents. MEASURES: Measures of patient experience. RESULTS: Patients reported that hospitals consistently informed them of the purpose of any new medications (84% yes, definitely), but did not consistently explain their possible side effects (53%). Age, education, health, and arrival by ambulance were significantly associated with response patterns. There were significant differences in response rate by mode: 29% mixed mode, 22% telephone only and 14% mail only. Mode of administration was significantly associated with response patterns whereby patients surveyed using telephone-only or mixed mode tended to respond more positively than those surveyed using mail only. CONCLUSIONS: There is room for improvement in terms of patient experience in the ED setting. Effects of patient characteristics and survey mode on responses were large enough to necessitate appropriate adjustments if hospitals are to be compared in the future

Emergency department · Family medicine · Health care · Logistic regression · Medical emergency · Patient experience · Patient satisfaction · Respondent · Telephone survey · Emergency and Acute Care Studies · Emergency Medicine · Medicine · Nursing · Patient Satisfaction in Healthcare · Survey Methodology and Nonresponse

• A Systematic Review of Strategies to Enhance Response Rates and Representativeness of Patient Experience Surveys

  Open Access•Rebecca Anhang Price, Denise D Quigley et al.•Medical Care•2022

  Añadir item

• Supplemental Items Reduce HCAHPS Response Rates, but Response Rates Do Not Affect HCAHPS Scores

  Megan K Beckett, Katrin Hambarsoomian et al.•Medical Care•2025

  Añadir item

• Updated Adjustment of the HCAHPS Survey for New Modes of Survey Administration and Patient Mix

  Marc N Elliott, Megan K Beckett et al.•Medical Care•2025

  Añadir item

• Coordinating Care — A Perilous Journey through the Health Care System

  Thomas Bodenheimer•New England Journal of Medicine•2008

  Añadir item

• Referrals from an emergency room to primary care practices at an urban hospital

  John H Straus, Suezanne Tangerose Orr et al.•American Journal of Public Health•1983

  Añadir item

• Do Differential Response Rates to Patient Surveys Between Organizations Lead to Unfair Performance Comparisons

  Catherine L Saunders, Marc N Elliott et al.•Medical Care•2016

  Añadir item

• Factors Affecting Response Rates to the Consumer Assessment of Health Plans Study Survey

  Alan M Zaslavsky, Lawrence Zaborski et al.•Medical Care•2002

  Añadir item