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Updated: Sep 18, 2025

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Development of a Modified High-Value Care Rounding Tool.

William A Frese1,2, Keith Hanson1,2, Yanzhi Wang1

  • 1University of Illinois, College of Medicine, Peoria, Peoria, Illinois.

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|June 25, 2025
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Summary

This study psychometrically evaluated the High-Value Care Rounding Tool (HVC-RT), reducing its domains and measures. The modified HVC-RT demonstrates acceptable reliability for assessing provider performance in high-value care during hospital rounds.

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Area of Science:

  • Healthcare Quality Improvement
  • Psychometric Evaluation
  • Hospital Operations

Background:

  • Engaging patients and families in high-value care (HVC) during hospital rounds is crucial for effective healthcare delivery.
  • The High-Value Care Rounding Tool (HVC-RT) is the sole published instrument for assessing provider performance in HVC rounding.
  • The original HVC-RT requires psychometric refinement due to its 3-domain, 10-measure structure and limited quantitative validation.

Purpose of the Study:

  • To psychometrically evaluate the existing High-Value Care Rounding Tool (HVC-RT).
  • To explore and validate a data-derived, modified structure for the HVC-RT.
  • To enhance the tool's psychometric properties and clinical utility.

Main Methods:

  • A content validation study utilizing psychometric testing on 371 HVC-RT rounding encounters from a pediatric hospitalist service.
  • Polychoric correlation analysis was employed to identify and eliminate collinear measures.
  • Exploratory Factor Analysis (EFA) was conducted to derive a new domain and measure structure, followed by reliability testing using Kuder-Richardson (KR-20).

Main Results:

  • The original 3-domain, 10-measure HVC-RT was reduced and restructured into a 2-domain, 7-measure construct via EFA.
  • The new structure comprises domains for 'cost-effective care' and 'individualized hospital care'.
  • Statistical indicators (KMO, RMS residual, factor loading, communality) demonstrated excellent psychometric properties, and KR-20 confirmed adequate domain reliability.

Conclusions:

  • Psychometric analysis supports the restructuring of the original HVC-RT.
  • The study proposes a modified HVC-RT that is shorter and psychometrically derived.
  • The modified HVC-RT exhibits acceptable reliability for assessing provider performance in high-value care.