Table 4. On-treatment analysis: Care plan concordance.
Outcome | Unadjusted analysis | Adjusted analysis b | ||||
---|---|---|---|---|---|---|
Pre, n = 55 | Post, portal users, n = 27 | p -Value | Pre, n = 55 | Post, portal users, n = 27 | p -Value b | |
Mean concordance score for overall care plan (0–100) | 62.2 | 70.0 | 0.02 | 61.9 | 70.1 | < 0.01 |
Mean concordance scores for individual care plan elements (0–100) | ||||||
Haberle recovery goal a | 31.1 | 66.7 | < 0.01 | 30.4 | 66.8 | < 0.01 |
Main reason for hospitalization | 59.0 | 81.1 | < 0.01 | 58.3 | 81.7 | < 0.01 |
Tests scheduled | 53.8 | 44.3 | 0.31 | 53.5 | 45.8 | 0.45 |
Procedures scheduled | 70.8 | 68.2 | 0.81 | 70.2 | 68.9 | 0.91 |
Medications changed | 49.1 | 54.9 | 0.52 | 49.0 | 53.7 | 0.61 |
Consults planned | 53.3 | 58.8 | 0.58 | 51.3 | 59.5 | 0.43 |
Time of discharge | 94.7 | 97.6 | 0.37 | 95.5 | 95.5 | 1.00 |
Discussion with patient or clinician | 87.3 | 79.8 | 0.30 | 88.5 | 79.2 | 0.14 |
Note: The mean concordance score for overall care plan is an average of individual concordance scores across each of the eight care plan elements: Haberle recovery goal, main reason for hospitalization, tests scheduled, procedures scheduled, medications changed, consults planned, time of discharge, and discussion with patient or clinician. p -values in bold are statistically significant.
The choices for the Haberle recovery goal are: “be cured,” “live longer,” “improve health or maintain health,” “be comfortable,” “accomplish a particular life goal,” or “other.”
Adjusted for care unit length of stay.