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  • Measure Summary
  • NQMC:009744
  • Jul 2014

Patient satisfaction in longer-term inpatient psychiatric hospital: total score on the Menninger Quality of Care (MQOC) Survey.

The Menninger Clinic. National Quality Measures Clearinghouse (NQMC) measure submission form: Menninger Quality of Care (MQOC) Survey. 2014 Jul 1.  14 p.

This is the current release of the measure.

The measure developer reaffirmed the currency of this measure in March 2016.

Primary Measure Domain

Clinical Quality Measures: Patient Experience

Secondary Measure Domain

Does not apply to this measure

Description

This measure is used to assess the total score on the Menninger Quality of Care (MQOC) Survey.

The MQOC is a measure of patients' perception of quality of care in longer-term inpatient psychiatric settings. It has been standardized on adult patients and is administered just prior to discharge from a longer-term (6 to 8 weeks) inpatient psychiatric hospitalization.

The final MQOC measure consists of 20 items assessing broad dimensions of satisfaction with care. Patients are asked to rate each of these 20 items on a 4-point ordinal scale (1 = very dissatisfied, 2 = somewhat dissatisfied, 3 = somewhat satisfied, 4 = very satisfied). Responses from each of the items are summed to create a total score, ranging from 20 to 80.

Note: A total score is calculated in which a higher score indicated greater satisfaction with care.

Rationale

Patient satisfaction is increasingly used as an indicator of health care quality. Few measures exist that address aspects specific to longer term inpatient psychiatric care, especially satisfaction with core components of programming common to these settings, for example, the quality of the relationship with treatment providers and the quality of treatment associated with addressing difficulties with interpersonal dynamics (especially related to family).

Evidence for Rationale

Madan A, Fowler JC, Allen JG, Ellis TE, Hardesty S, Groat M, O'Malley F, Woodson H, Mahoney J, Frueh BC, Oldham J. Assessing and addressing patient satisfaction in a longer-term inpatient psychiatric hospital: preliminary findings on the Menninger Quality of Care measure and methodology. Qual Manag Health Care. 2014 Jul-Sep;23(3):178-87. PubMed External Web Site Policy

Primary Health Components

Psychiatric inpatients; patient satisfaction; quality of care

Denominator Description

All adult patients discharged from a longer-term inpatient psychiatric facility who completed the Menninger Quality of Care (MQOC) Survey

Numerator Description

Patients' total score on the Menninger Quality of Care (MQOC) Survey

Type of Evidence Supporting the Criterion of Quality for the Measure

  • Focus groups
  • One or more research studies published in a National Library of Medicine (NLM) indexed, peer-reviewed journal

Additional Information Supporting Need for the Measure

Unspecified

Extent of Measure Testing

Psychometric analyses were based on responses from 337 adult inpatients. Reliability analyses indicate that the 20 items have excellent internal consistency (Cronbach α = 0.92); Concurrent validity was established via significant correlations between Menninger Quality of Care (MQOC) total and the global assessment of overall quality (r = 0.768, P less than 0.01) and likelihood of recommending (r = 0.712, P less than 0.01). Construct validity was established via the principal components analysis, which revealed a four-factor structure that explained 66% of the variance in the MQOC 20 items. The four factors represent: (1) alliance with treatment providers, (2) family engagement, (3) discharge planning, and (4) treatment enhanced self-efficacy.

Evidence for Extent of Measure Testing

Madan A, Fowler JC, Allen JG, Ellis TE, Hardesty S, Groat M, O'Malley F, Woodson H, Mahoney J, Frueh BC, Oldham J. Assessing and addressing patient satisfaction in a longer-term inpatient psychiatric hospital: preliminary findings on the Menninger Quality of Care measure and methodology. Qual Manag Health Care. 2014 Jul-Sep;23(3):178-87. PubMed External Web Site Policy

The Menninger Clinic. National Quality Measures Clearinghouse (NQMC) measure submission form: Menninger Quality of Care (MQOC) Survey. 2014 Jul 1.  14 p.

State of Use

Current routine use

Current Use

Internal quality improvement

Monitoring and planning

Quality of care research

Measurement Setting

Behavioral Health Care

Hospital Inpatient

Hospital – Other

Professionals Involved in Delivery of Health Services

Advanced Practice Nurses

Allied Health Personnel

Clinical Administrators/Managers

Clinical Laboratory Personnel

Health Educators

Nurses

Physician Assistants

Physicians

Psychologists/Non-physician Behavioral Health Clinicians

Social Workers

Least Aggregated Level of Services Delivery Addressed

Single Health Care Delivery or Public Health Organizations

Statement of Acceptable Minimum Sample Size

Unspecified

Target Population Age

Age greater than or equal to 18 years

Target Population Gender

Either male or female

National Quality Strategy Aim

Better Care

National Quality Strategy Priority

Person- and Family-centered Care
Prevention and Treatment of Leading Causes of Mortality

IOM Care Need

Getting Better

Living with Illness

IOM Domain

Effectiveness

Patient-centeredness

Case Finding Period

Unspecified

Denominator Sampling Frame

Patients associated with provider

Denominator (Index) Event or Characteristic

Institutionalization

Patient/Individual (Consumer) Characteristic

Denominator Time Window

Does not apply to this measure

Denominator Inclusions/Exclusions

Inclusions
All adult patients discharged from a longer-term inpatient psychiatric facility who completed the Menninger Quality of Care (MQOC) Survey

Exclusions
Unspecified

Exclusions/Exceptions

Does not apply to this measure

Numerator Inclusions/Exclusions

Inclusions
Patients' total score on the Menninger Quality of Care (MQOC) Survey

Exclusions
Unspecified

Numerator Search Strategy

Fixed time period or point in time

Data Source

Patient/Individual survey

Type of Health State

Does not apply to this measure

Instruments Used and/or Associated with the Measure

Menninger Quality of Care (MQOC) Survey

Measure Specifies Disaggregation

Does not apply to this measure

Scoring

Composite/Scale

Interpretation of Score

Desired value is a higher score

Allowance for Patient or Population Factors

Unspecified

Standard of Comparison

External comparison at a point in, or interval of, time

External comparison of time trends

Internal time comparison

Original Title

Menninger Quality of Care (MQOC) Survey.

Measure Collection Name

Menninger Quality of Care (MQOC) Survey

Submitter

The Menninger Clinic - Hospital/Medical Center

Developer

The Menninger Clinic - Hospital/Medical Center

Funding Source(s)

The Menninger Clinic

Composition of the Group that Developed the Measure

  • Alok Madan, PhD, MPH
  • J. Christopher Fowler, PhD
  • Jon G. Allen, PhD
  • Thomas E. Ellis, PsyD
  • Susan Hardesty, MD
  • Michael Groat, PhD
  • Flynn O'Malley, PhD
  • Harrell Woodson, PhD
  • Jane Mahoney, PhD, RN
  • B. Christopher Frueh, PhD
  • John Oldham, MD, MS

Financial Disclosures/Other Potential Conflicts of Interest

None

Adaptation

This measure was not adapted from another source.

Date of Most Current Version in NQMC

2014 Jul

Measure Maintenance

Bi-annually

Date of Next Anticipated Revision

August 2015

Measure Status

This is the current release of the measure.

The measure developer reaffirmed the currency of this measure in March 2016.

Source(s)

The Menninger Clinic. National Quality Measures Clearinghouse (NQMC) measure submission form: Menninger Quality of Care (MQOC) Survey. 2014 Jul 1.  14 p.

Measure Availability

Source not available electronically.

For more information, contact Alok Madan, PhD, MPH at The Menninger Clinic at 12301 Main Street, Houston, TX 77035; Phone: 713-275-5000; Fax: 713-275-5107; Web site: www.menningerclinic.com External Web Site Policy; E-mail: amadan@menninger.edu.

NQMC Status

This NQMC summary was completed by ECRI Institute on January 21, 2015. This NQMC summary was verified by the measure developer on March 6, 2015.

The information was reaffirmed by the measure developer on March 24, 2016.

Copyright Statement

No copyright restrictions apply.

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