Publications by authors named "Francis Fullam"

This study explores the relationship between inpatient unit design and patient experience and how spatial features and visibility impact patients' perception of staff responsiveness. The first part of this study is a retrospective pre-post and cross-sectional study evaluating the impacts of unit design on patient experience at the unit level. This study compares patient experiences based on Press Ganey and HCAHPS surveys in two orthopedic units (existing unit in Atrium building and new unit in Tower) with differing design features at Rush University Medical Center.

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A developing body of evidence indicates that chaplain care is associated with higher levels of patient/family satisfaction with their hospital care. We examined the association between chaplain care and patient experience among patients at Rush University Medical Center in Chicago who responded to Hospital Consumer Assessment of Healthcare Providers and Systems and Press Ganey survey items between 2011 and 2017. Information about chaplain care was taken from the inpatients' electronic medical record.

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Facility planning for healthcare organizations has become increasingly important in recent years, due primarily to the complicated needs of patient rooms and the escalating pressure to provide high-quality care to satisfy patients. Concurrently, there has been a considerable development in the field of evidence-based design (EBD) on the impact the healthcare environment has on patients and the operations of clinical staff. Although tools are being developed to assist in measuring EBD principles, they have not been universally adopted by organizations regarding how they either develop or assess healthcare facilities.

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Prior research has demonstrated poorer patient-provider communication ratings among African American compared to White patients. The quality of patient-provider communication has been shown to impact treatment outcomes among cancer patients. A secondary data analysis design was used to determine the relationship of six patient-provider communication variables on the physical health quality of life (PHQOL) and mental health quality of life (MHQOL) of African American and White cancer patients (N = 479).

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Background: Physical inactivity in midlife women is associated with increased intra-abdominal adipose tissue development. We describe an innovative multimethod study 1) to better understand barriers to physical activity (PA) and 2) to engage midlife women to product test physical activities and identify local community-based providers and sustainable and fun PA experiences.

Methods: Formative research on PA barriers from the Chicago site Study of Women's Health Across the Nation (SWAN) ancillary study of midlife women was used to develop a pilot testing measure.

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Background: Changes in reproductive hormones during menopause are associated with accumulation of intra-abdominal adipose tissue (IAAT), a subclinical indicator of cardiometabolic disease risk. Independent of reproductive hormones, unhealthy lifestyle contributes to IAAT gain. The Women in the Southside Health and Fitness (WISHFIT) Study aims to develop a lifestyle approach to slowing IAAT accumulation as women begin the menopausal transition.

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Purpose: To assess the impact of using an advanced electronic health record (EHR) on hospital quality and patient satisfaction.

Method: This retrospective, cross-sectional analysis was conducted in 2012 to evaluate the association between advanced EHR use (Healthcare Information Management Systems Society [HIMSS] Stage 6 or 7 as of December 2012) and estimated process and experience of care scores for hospitals under the Medicare Hospital Value-Based Purchasing Program, using data from the American Hospital Association for 2008 to 2010. Generalized linear regression models were fit to test the association between advanced EHR use with process of care and experience of care, controlling for hospital characteristics.

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Concerns about both the cost and quality of health care have led to a growing interest in, and call for "pay for performance." Increasingly, as well, patient satisfaction is being viewed as an essential aspect of care that should be considered in judging performance. At the same time, there are concerns about the validity of patient satisfaction as a relevant quality measure.

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This study identified themes in patient-written comments about meals served in a hospital and determined the relationship of those themes to patient food-quality satisfaction ratings among medical and surgical patients. Data from 2 years of quantitative Press Ganey patient-satisfaction ratings and qualitative comments related to meals by 1,077 patients discharged from a Midwest urban medical center were reviewed retrospectively. Themes in comments were identified.

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Purpose: Because costs associated with malpractice litigation draw substantial resources away from patient care, many health care organizations are seeking efficient methods to manage these risks. The purpose of this study was to identify methods by which commonly available patient satisfaction indicators could be used to identify potential malpractice litigation risks.

Subject And Methods: Using data from the risk management department of a large academic medical center, we combined yearly administrative records from 1998 to 2006 of malpractice-related litigation activity, with patient satisfaction scores related to attending physicians.

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