title: Providing Feedback on Clinical Performance to Hospitalists: Experience Using a New Metric Tool to Assess Inpatient Satisfaction With Care From Hospitalists.
abstract: BACKGROUND
  Physicians have been shown to possess limited ability for accurate self-assessment; thus, effective feedback is crucial for their professional development. This study describes providers' reflections on their data and evaluates the hospitalist physicians' impressions about receiving this feedback derived from a new survey metric specifically designed to obtain patient assessment of their treating hospitalist provider coupled with reflective sessions.
  
  
  METHODS
  Participants were 26 hospitalists from one institution. These physicians' data were used for the development and validation of a new metric, Tool to Assess Inpatient Satisfaction with Care from Hospitalists (TAISCH). Participants received a summary of ratings from patients for whom they were the primary provider. This was followed by a 15-minute semistructured telephone interview to discuss the data. Participants then completed an online survey to assess their perceptions about the data and the efficacy of the feedback. Both quantitative and qualitative results were analyzed.
  
  
  RESULTS
  All 26 providers reviewed their evaluation data, participated in the discussion of results by phone, and completed the online survey. Most (54%) agreed that TAISCH was superior to Hospital Consumer Assessment of Healthcare Providers and Systems in providing hints on how to improve the quality of the care and in providing detailed information about the performance in specific areas (62%). After stratifying hospitalists according to their performance, it was observed that those who scored better responded more favorably to the data. The two main themes that emerged from the qualitative analysis were "reflection on one's performance" and "feedback using TAISCH."
  
  
  CONCLUSIONS
  Most hospitalists in our study felt that TAISCH provided meaningful feedback.
authors.affiliation: Dr. Torok: Assistant Professor of Medicine, Division of Hospital Medicine, Johns Hopkins Bayview Medical Center, Baltimore, MD. Dr. Kotwal: Assistant Professor of Medicine, Division of Hospital Medicine, Johns Hopkins Bayview Medical Center Baltimore, MD. Dr. Landis: Research Assistant, Division of Hospital Medicine, Johns Hopkins Bayview Medical Center, Baltimore, MD. Dr. Ozumba: Physician, Miami Valley Hospital, Dayton, OH. Dr. Howell: Associate Professor of Medicine, Division of Hospital Medicine, Johns Hopkins Bayview Medical Center, Baltimore, MD. Dr. Wright: Professor of Medicine, Division of General Internal Medicine, Johns Hopkins Bayview Medical Center, Baltimore, MD.
authors.forename: Haruka
authors.initials: H
authors.lastname: Torok
authors.forename: Susrutha
authors.initials: S
authors.lastname: Kotwal
authors.forename: Regina
authors.initials: R
authors.lastname: Landis
authors.forename: Ugochunkwu
authors.initials: U
authors.lastname: Ozumba
authors.forename: Eric
authors.initials: E
authors.lastname: Howell
authors.forename: Scott
authors.initials: S
authors.lastname: Wright
mesh_terms: D000328:Adult; D002983:Clinical Competence / Q000592:standards*; D005246:Feedback; D005260:Female; D020445:Hospitalists / Q000523:psychology / Q000592:standards*; D006801:Humans; D008297:Male; D008875:Middle Aged; D017060:Patient Satisfaction / Q000706:statistics & numerical data; D011787:Quality of Health Care / Q000706:statistics & numerical data; D011795:Surveys and Questionnaires