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An Outcome-Weighted Network Model for Characterizing Collaboration.

Matthew B Carson1, Denise M Scholtens1, Conor N Frailey1

  • 1Department of Preventive Medicine, Feinberg School of Medicine, Northwestern University, Chicago, IL, United States of America.

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Summary
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We developed a new method to measure healthcare provider collaboration using patient satisfaction. This analysis revealed significant variations in teamwork, highlighting top performers and informing strategies for improved interdisciplinary care.

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Area of Science:

  • Healthcare Management
  • Health Informatics
  • Network Science

Background:

  • Collaborative relationships are vital for interdisciplinary healthcare teamwork.
  • Quantifying provider collaboration strength using shared patient outcomes offers insights into healthcare interactions.
  • Existing methods lack a standardized approach to measure pairwise provider collaboration effectiveness.

Purpose of the Study:

  • To introduce and evaluate the Shared Positive Outcome Ratio (SPOR) as a novel metric for quantifying pairwise healthcare provider collaboration.
  • To construct and analyze a healthcare collaboration network based on electronic health records (EHRs).
  • To identify and characterize high-performing provider collaborations based on patient satisfaction.

Main Methods:

  • Developed the Shared Positive Outcome Ratio (SPOR) to measure positive outcomes between pairs of providers.
  • Constructed a collaboration network using three years of hospital emergency department patient data from EHRs.
  • Assessed pairwise collaboration and evaluated SPOR using patient satisfaction as the primary outcome, comparing results against randomized networks.

Main Results:

  • Identified 295 (5.2%) pairwise collaborations with significantly higher patient satisfaction rates out of 5,615 relationships among 574 providers.
  • Demonstrated significant variability in collaboration strength, with extreme high- and low-scoring relationships observed.
  • Found that top-performing providers in patient satisfaction had more associated encounters and a higher percentage of positive outcomes, suggesting experience correlates with successful collaboration.

Conclusions:

  • The SPOR metric effectively quantifies pairwise provider collaboration and its impact on patient satisfaction.
  • Healthcare collaboration networks can be structurally evaluated to understand and characterize provider interactions.
  • Findings suggest that provider experience may play a role in successful collaborative outcomes, informing strategies for optimizing teamwork in healthcare settings.