Assessment tool items for addressing physician‐patient communication and reducing health care risk factors across multiple enterprise risk management domains

Author:

Narwal‐Kasmani Rawan1ORCID,Stausmire Julie M.2ORCID,McCarthy Kathleen A.3,Buderer Nancy4ORCID,Gutek Amanda2,Ulrich Charla A.5ORCID

Affiliation:

1. Internal Medicine Residency Program Mercy Health St Vincent Medical Center Toledo Ohio USA

2. Academic Research Mercy Health St. Vincent Medical Center Toledo Ohio USA

3. Simulation & Research Mercy Health St Vincent Medical Center Toledo Ohio USA

4. Nancy Buderer Consulting LLC Oak Harbor Ohio USA

5. Bon Secours Mercy Health Mercy Health Toledo St. Vincent Toledo Ohio USA

Abstract

AbstractExpertise in physician‐patient communication is a primary outcome measure for physicians. We evaluated residents’ communication behaviors with clinic patients following an educational intervention as measured by the Communication Assessment Tool (CAT). Thirty‐five internal medicine residents were assessed by patients using the CAT for 3 months before and after the educational intervention. The intervention included a simulated, videotaped patient encounter, mock CAT, and preceptor coaching during video review. The primary outcome was the percentage of CAT items receiving an “excellent” rating from patients before and after the intervention. Research results were compared to previously published CAT studies. Within‐resident improvement in the percentage of excellent ratings was small with median changes between 0 and 3 percentage points. Compared to previously published studies, similar results were found for the highest and lowest‐scored communication items. Many clinical encounters are time‐limited, and physicians do not pursue time‐consuming conversations that could reduce health care risk. This data and other published studies suggest seven communication items taking the most time to complete (i.e., shared decision‐making) were items demonstrating little or no improvement. This study identified clinical performance risk factors applicable to the Enterprise Risk Management Framework that could impact complication and readmission rates if addressed by changes in physician‐patient communication.

Publisher

Wiley

Reference23 articles.

1. Measuring patient views of physician communication skills: Development and testing of the Communication Assessment Tool

2. American Society for Health Care Risk Management.2020version.Enterprise Risk Management: Implementing ERM. A Framework for Success White Paper. Accessed March 4 2024.https://www.ashrm.org/system/files/media/file/2020/12/ERM‐Implementing‐ERM‐for‐Success‐White‐Paper_FINAL.pdf

3. Patient Satisfaction With Providers: Do Patient Surveys Give Enough Information to Help Providers Improve Specific Behaviors

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