Manual and Automatic Annotation of
Patients’ Values and Preferences Using
Seton HCAHPS Survey Data
Ken Fleischmann
Bo Xie
David Inouye
Byron Wallace
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thingonly
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information
to
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atchoice
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have
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to were
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the
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want
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when
a extreme
emergency
happened.
doctors
and
nurses,
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say
and some
nursesI were
“Before
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andeach
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• Patient
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tell
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Someone needs to look at the
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patient’s
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preferences
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to me.”and
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would have been much less
not
one
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directives.”
the
computer
and
find
shivering, something wrong.” howreaction.”
toout
care
forI myself.”
scary to know what services
why
was even
I would be getting billed for.”
there and that is not
good.”
Findings
Implications
• Because hospital care is typically a short-term,
intermittent experience, there is little
opportunity for health care providers to get to
know what information patients want and
what they consider important in life.
• HCAHPS reveals great insights about patients’
information preferences & values (too late)
• Hospitals should proactively ask patients
about their information preferences & values
Future
• Field research (e.g., interviews, focus groups)
with patients to design questions about
patients’ information preferences and values
to ensure that we provide value-based care
• Experimental testing to evaluate the
effectiveness of information preference and
value questions for improving outcomes
• Broad implementation of these questions as a
way to help achieve Humancare
Acknowledgements
Ken Fleischmann: [email protected]
Bo Xie: [email protected]
David Inouye: [email protected]
Byron Wallace: [email protected]