Patient Centered Measurement Data - The Emergency Department 2018 Survey
Date range: January 1, 2018-March 31, 2018
Data source: Patients who received Emergency Health Services from one of BC’s 108 emergency departments, urgent care centres, and diagnosis and treatment centres between January 1, 2018 and March 31, 2018 were eligible to participate in the 2018 Emergency Department Patient Survey. Data from patients in the 6 health authorities (Fraser Health, Interior Health, Island Health, Northern Health, Provincial Health Services Authority and Vancouver Coastal Health) and Providence Health Care is included. The survey was completed by 14,076 patients.
The 2018 Emergency Department Survey asked patients about their health-related quality of life and their experiences with the quality of care and services received from one of 108 emergency department facilities in British Columbia.
The Survey was coordinated by the BC Office of Patient-Centred Measurement (PCM) on behalf of the BC PCM Working Group, a group that includes representation from the BC Ministry of Health and the seven Health Authorities.
The Survey included items from the following Patient Experience Reported Measures (PREMs) and Patient Outcome Reported Measures (PROMs).
All fields from the survey are available for researcher request apart from identifiable information and data collected using the EQ-5D-5L measure. The BC PCM Working Group was given permission by the EuroQol Group to use the EQ-5D-5L as part of a side-by-side study with the VR-12 to inform decisions about a generic PROM instrument for use in the province of BC. The data collected using this instrument cannot be made available to researchers at this time.
The Emergency Department Patient Experiences with Care (EDPEC):
- EDPEC Discharged to Community Instrument (ED_DTC)
- EDPEC (Admitted Stand Along Instrument (ED_ADMIT:EDPEC_IP1 and EDPEC_IP2) (asked only if patient was admitted to acute care)
- BC Emergency Department questions (BCED)
- “Hello my name is” questions (QABED)
- Emergency Health Services questions (BCEHS)
- Patients who saw a doctor identifier (DR_SCREEN)
- BC’s Patient Safety Module
- Hand hygiene question bank
- Medication reconciliation question bank
- Office of the Seniors Advocate questions (OSA)
- BC’s Continuity Across Transitions in Care Module (CONT)
- Intravenous Vascular Access questions (IVT)
- BC Emergency Medicine Network questions (EMN)
- Veteran’s Rand 12 (VR-12) Item Health Survey
- Includes 8 principles of health domains: general health perceptions, physical functioning, role limitations due to physical problems, role limitations due to emotional problems, bodily pain, energy-fatigue, social functioning, and mental health.
- EQ-5D-5L (asked only of participations ≥13 years)
The EDPEC is a survey designed to understand patient experiences of emergency department care and was selected as the core instrument for seeking feedback from patients who made use of BC’s Emergency Health Services System, including transport by ambulance. Two versions of EDPEC were included: The EDPEC Admitted Stand Alone Instrument (ED_ADMIT), which has questions specific to patients who were admitted to the hospital following their emergency department visit; and the EDPEC Discharged to Community Instrument (ED_DTC), which has questions for those who were discharged directly to the community.
Data collection process
For the Emergency Department 2018 Survey, data was collected via the following process:
- Data submission: Twice per month for the 3-month data collection period, emergency departments securely sent the selected survey vendor records of patients discharged from their facility. The sample data elements included with every patient record is included in the Data File Submission Manual. The survey vendor generated a random sample of patients from the “universe” of eligible patient records submitted. Eligibility required that the records included valid mailing addresses and phone numbers.
- Patient notification: Prior to being contacted, patients were notified by mail within 1 week of receiving discharge records that they had been selected to receive a survey. The cover letter also provided a unique access code and URL for those who preferred to complete the survey online.
- Survey administration: The surveys were then conducted by phone as an interview or self-completed online. All phone-based surveys were completed using computer-assisted telephone interview (CATI) and used standardized interview scripts and prompts. All surveys, both online and phone, were available in the following languages: English, Chinese, Punjabi, Korean, French, Spanish, German and Vietnamese.
- Data Collation: Patient’s survey responses were entered into a secure database and collated by the survey vendor.
The survey vendor was required to demonstrate compliance with the BC Freedom of Information and Protection Privacy Act and continues to be subject to the independent oversight of the BC Information and Privacy Commissioner. A Privacy Impact Assessment for the project was completed and approved by the Health Information and Privacy Operations Committee of BC on September 10, 2017.
Further information on the data collection process is available in the Emergency Department 2018 HealthIdeas Toolkit for Data Users.