Paul D Cleary

Biographic Data

ID262874
NAMEPaul D Cleary
GIVEN NAMESPaul D
FAMILY NAMECleary
SIGNATURECLEARY P D
AFFILIATIONSHarvard University
ORCID0000-0001-7527-4354
VERIFIEDYes
TOTAL WORKS99
TOTAL CITATIONS343
AUTHOR COUNT99
EDITOR COUNT0
FIRST PUBLICATION YEAR1980
LATEST PUBLICATION YEAR2025
H-INDEX8

  • Supplemental Items Reduce HCAHPS Response Rates, but Response Rates Do Not Affect HCAHPS Scores: A Randomized Experiment

    Megan K Beckett, Katrin Hambarsoomian et al.ARTICLEMedical Care2025References: 27

    BACKGROUND: Longer surveys can reduce response rates (RRs). Observational data suggest a positive hospital-level association between RRs and HCAHPS scores, but a negative patient-level relationship. There is no experimental evidence of whether a hospital's RR affects its HCAHPS scores. OBJECTIVES: Estimate the effect of the 59-item versus 32-item survey on RR by survey mode; assess whether any reductions in RR change HCAHPS scores. RESEARCH DESIG…

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

    Marc N Elliott, Megan K Beckett et al.ARTICLEMedical Care2025References: 19

    BACKGROUND: Web-first multimode survey protocols increase Hospital Consumer Assessment of Healthcare Providers and Systems (HCAHPS) survey response rates and representativeness but may result in different HCAHPS scores because of survey mode effects and selective email address availability. A variable absent from many patient-mix adjustment models that may result in more positive patient experiences is whether the hospital admission was planned; …

  • Survey Protocols, Response Rates, and Representation of Underserved Patients: A Randomized Clinical Trial

    Open AccessMarc N Elliott, Julie A Brown et al.ARTICLEJAMA Health Forum2024

    In this randomized clinical trial, web-first multimode survey protocols significantly improved the RR and representativeness of patient surveys. The best-performing protocol based on RR and representativeness was web-mail-phone. Web-phone performed well for young and diverse patient populations, and web-mail for older and less diverse patient populations. The US Centers for Medicare & Medicaid Services will allow hospitals to use the web-mail, we…

  • Measuring Access to Mental Health Services Among Primary Care Patients

    J Lee Hargraves, Carol Cosenza et al.ARTICLEMedical Care2024References: 15

    BACKGROUND: The lifetime risk of mental health disorders is almost 50% and, in any year, about 25% of the population have a psychiatric disorder. Many of those people are cared for in primary care settings. RESEARCH OBJECTIVE: Measure access to mental health services, such as getting counselling or prescription mental health medications, using new patient survey questions that can be added to Consumer Assessment of Healthcare Providers and System…

  • Changes in Patient Experiences of Hospital Care During the Covid-19 Pandemic

    Open AccessMarc N Elliott, Megan K Beckett et al.ARTICLEJAMA Health Forum2023

    Importance It is important to assess how the COVID-19 pandemic was adversely associated with patients’ care experiences. Objective To describe differences in 2020 to 2021 patient experiences from what would have been expected from prepandemic (2018-2019) trends and assess correlates of changes across hospitals. Design, Setting, and Participants This cohort study compared 2020 to 2021 data with 2018 to 2019 data from 3 900 887 HCAHPS respondents d…

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

    Open AccessRebecca Anhang Price, Denise D Quigley et al.ARTICLEMedical Care2022

  • Comparing Web and Mail Protocols for Administering Hospital Consumer Assessment of Healthcare Providers and Systems Surveys

    Floyd Jackson Fowler, Philip S Brenner et al.ARTICLEMedical Care2021References: 21

    OBJECTIVE: The objective of this study was to compare results of using web-based and mail (postal) Hospital Consumer Assessment of Healthcare Providers and Systems (HCAHPS) data collection protocols. RESEARCH DESIGN: Patients who had been hospitalized in a New England Hospital were surveyed about their hospital experience. Patients who provided email addresses were randomized to 1 of 3 data collection protocols: web-alone, web with postal mail fo…

  • The How Matters: How Primary Care Provider Communication With Team Relates to Patients’ Disease Management

    Yuna S H Lee, Marissa King et al.ARTICLEMedical Care2020References: 39

    BACKGROUND: Investigating primary care provider (PCP)-team communication can provide insight into how colleagues work together to become high-functioning teams more able to address an increasingly complex set of tasks associated with chronic disease management. OBJECTIVE: To assess how PCP communication with their care team relates to patients' health. RESEARCH DESIGN: Longitudinal study of how 3 aspects of PCP-care team communication-participati…

  • Dissatisfied Creators: Generating Creative Ideas Amid Negative Emotion in Health Care

    Open AccessYuna S H Lee, Ingrid M Nembhard et al.ARTICLEWork and Occupations2020Cited by: 4References: 59

    Improving performance often requires creative ideas in extreme work settings like health care. Frontline workers are promising sources of creative ideas. The authors assert that their job dissatisfaction is positively associated with creativity in health care settings because negative emotion spurs creativity when tied to engaging work and that characteristics such as shorter tenure, greater role centrality, and high boundary spanning can strengt…

  • Differences in Hospitalizations Between Fee-for-Service and Medicare Advantage Beneficiaries

    Chima D Ndumele, Marc N Elliott et al.ARTICLEMedical Care2019References: 22

    BACKGROUND: Previous studies found lower hospitalization rates for enrollees in Medicare Advantage (MA) plans than for beneficiaries with fee-for-service (FFS) coverage. MA enrollment is increasing, especially for those newly eligible for Medicare, but little is known about how service use in FFS or MA differs for new beneficiaries. OBJECTIVE: To compare differences in rates of hospitalization between MA and FFS. RESEARCH DESIGN: A retrospective …

  • Examining the Role of Patient Experience Surveys in Measuring Health Care Quality

    Open AccessRebecca Anhang Price, Marc N Elliott et al.ARTICLEMedical Care Research and Review2014

    Patient care experience surveys evaluate the degree to which care is patient-centered. This article reviews the literature on the association between patient experiences and other measures of health care quality. Research indicates that better patient care experiences are associated with higher levels of adherence to recommended prevention and treatment processes, better clinical outcomes, better patient safety within hospitals, and less health c…

  • Are Comparisons of Patient Experiences Across Hospitals Fair? A Study in Veterans Health Administration Hospitals

    Paul D Cleary, Mark Meterko et al.ARTICLEMedical Care2014References: 10

    BACKGROUND: Surveys are increasingly used to assess patient experiences with health care. Comparisons of hospital scores based on patient experience surveys should be adjusted for patient characteristics that might affect survey results. Such characteristics are commonly drawn from patient surveys that collect little, if any, clinical information. Consequently some hospitals, especially those treating particularly complex patients, have been conc…

  • Psychometric Properties of the Consumer Assessment of Healthcare Providers and Systems (CAHPS®) Clinician and Group Adult Visit Survey

    Naomi Dyer, Joann Sorra et al.ARTICLEMedical Care2012References: 8

    BACKGROUND: The Consumer Assessment of Healthcare Providers and Systems (CAHPS®) Clinician and Group Adult Visit Survey enables patients to report their experiences with outpatient medical offices. OBJECTIVE: To evaluate the factor structure and reliability of the CAHPS Clinician and Group (CG-CAHPS) Adult Visit Survey. DATA SOURCE: Data from 21,318 patients receiving care in 450 clinical practice sites collected from March 2010 to December 2010 …

  • Development of and Field Test Results for the CAHPS PCMH Survey

    Sarah Hudson Scholle, Ines Siqueira et al.ARTICLEMedical Care2012References: 7

    This study provides support for the reliability and validity of new items to supplement the CG-CAHPS 1.0 Survey to assess aspects of primary care that are important attributes of PCMHs

  • Development and Evaluation of CAHPS Questions to Assess the Impact of Health Information Technology on Patient Experiences With Ambulatory Care

    D Keith McInnes, Julie A Brown et al.ARTICLEMedical Care2012References: 28

    BACKGROUND: Little is known about whether health information technology (HIT) affects patient experiences with health care. OBJECTIVE: To develop HIT questions that assess patients care experiences not evaluated by existing ambulatory Consumer Assessment of Health Plans and Systems (CAHPS) measures. RESEARCH DESIGN: We reviewed published articles and conducted focus groups and cognitive testing to develop survey questions. We collected data, usin…

  • Improving Organizational Climate for Quality and Quality of Care: Does Membership in a Collaborative Help

    Ingrid M Nembhard, Veronika Northrup et al.ARTICLEMedical Care2012References: 25

    BACKGROUND: The lack of quality-oriented organizational climates is partly responsible for deficiencies in patient-centered care and poor quality more broadly. To improve their quality-oriented climates, several organizations have joined quality improvement collaboratives. The effectiveness of this approach is unknown. OBJECTIVE: To evaluate the impact of collaborative membership on organizational climate for quality and service quality. SUBJECTS…

  • Effects of Direct-to-Consumer Advertising and Clinical Guidelines on Appropriate Use of Human Papillomavirus DNA Tests

    Rebecca Anhang Price, Robert G Frank et al.ARTICLEMedical Care2011References: 14

    BACKGROUND: Both clinical guidelines and direct-to-consumer (DTC) advertising influence the use of new health care technologies, but little is known about their relative effects. The introduction of a cervical cancer screening test in 2000 offered a unique opportunity to assess the 2 strategies. OBJECTIVE: To evaluate the effects of clinical guidelines and a targeted DTC advertising campaign on overall and appropriate use of human papillomavirus …

  • Effect of Depression Treatment on Chronic Pain Outcomes

    Carrie Farmer Teh, Alan M Zaslavsky et al.ARTICLEPsychosomatic Medicine2010

    OBJECTIVE: To examine the effect of depression treatment on medical and social outcomes for individuals with chronic pain and depression. People with chronic pain and depression have worse health outcomes than those with chronic pain alone. Little is known about the effectiveness of depression treatment for this population. METHODS: Propensity score-weighted analyses, using both waves (1997-1998 and 2000-2001) of the National Survey of Alcohol, D…

  • Geographic Area Variations in the Medicare Health Plan Era

    Patricia S Keenan, Paul D Cleary et al.ARTICLEMedical Care2010References: 21

    BACKGROUND: Prior research identified variations in care experiences across Medicare health plans (Medicare Advantage [MA]), but the relative amount of variation in MA and traditional fee-for-service (FFS) Medicare is unknown. OBJECTIVES: Compare variation and correlations of beneficiary reports of care experiences across geographic areas in MA and FFS. METHODS: Using the 2001 to 2004 Medicare CAHPS surveys, we analyzed 14 measures of care experi…

  • Relationship Between Use of Electronic Health Record Features and Health Care Quality: Results of a Statewide Survey

    Eric G Poon, Adam Wright et al.ARTICLEMedical Care2010References: 19

    BACKGROUND: Electronic health records (EHRs) are widely viewed as useful tools for supporting the provision of high quality healthcare. However, evidence regarding their effectiveness for this purpose is mixed, and existing studies have generally considered EHR usage a binary factor and have not considered the availability and use of specific EHR features. OBJECTIVE: To assess the relationship between the use of an EHR and the use of specific EHR…

  • Reported care quality in federal Ryan White HIV/Aids Program supported networks of HIV/Aids care

    Lisa R Hirschhorn, Stewart Landers et al.ARTICLEAIDS Care2009

    Since 1991, the US Government has funded medical and support services for people living with HIV and AIDS (PLWHA) through the Ryan White HIV/AIDS Program. The Ryan White Program supports networks of care which include medical care providers and support services for PLWHA in 51 Eligible Metropolitan Areas (EMAs). In the 2000 reauthorization of the Ryan White Program, quality management programs were required for all sites receiving funding. To fac…

  • Quality Assessments by Sick and Healthy Beneficiaries in Traditional Medicare and Medicare Managed Care

    Patricia S Keenan, Marc N Elliott et al.ARTICLEMedical Care2009References: 18

    BACKGROUND: The Centers for Medicare & Medicaid Services pays for services provided through traditional fee-for-service (FFS) Medicare and managed care plans (Medicare Advantage [MA]). It is important to understand how financing and organizational arrangements relate to quality of care. OBJECTIVES: To compare care experiences and preventive services receipt in traditional Medicare and MA for healthy and sick beneficiaries. METHODS: Randomly selec…

  • Market and Beneficiary Characteristics Associated With Enrollment in Medicare Managed Care Plans and Fee-for-Service

    Stephanie L Shimada, Arturo Menéndez Aleyxandre et al.ARTICLEMedical Care2009References: 24

    Enrollment in MMC is related to beneficiary characteristics, including health status and socioeconomic status, and is modified by MMC presence in the local market. Because vulnerable subgroups are more likely to enroll in MMC plans, the Centers for Medicare & Medicaid Services should monitor how changes to Medicare Advantage policies and payment methods may affect beneficiaries in those groups

  • Associations Between Organizational Characteristics and Quality Improvement Activities of Clinics Participating in a Quality Improvement Collaborative

    Sarang Deo, Keith McInnes et al.ARTICLEMedical Care2009References: 33

    BACKGROUND: Few studies have rigorously evaluated the associations between organizational characteristics and intervention activities of health care organizations participating in quality improvement collaboratives (QICs). OBJECTIVE: To examine the relationship between clinic characteristics and intervention activities by primary care clinics that provide HIV care and that participated in a QIC. DESIGN: Cross-sectional study of Ryan White CARE Ac…

  • Evaluating the use of a modified CAHPS® survey to support improvements in patient‐centred care: Lessons from a quality improvement collaborative

    Open AccessElizabeth Davies, Dale Shaller et al.ARTICLEHealth Expectations2008

    Objectives To evaluate the use of a modified Consumer Assessment of Healthcare Providers and Systems (CAHPS®) survey to support quality improvement in a collaborative focused on patient‐centred care, assess subsequent changes in patient experiences, and identify factors that promoted or impeded data use. Background Healthcare systems are increasingly using surveys to assess patients’ experiences of care but little is established about how to use …