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PATIENT ASSESSMENTS SHOW EXCELLENT RESULTS IN HCA PSYCHIATRIC COMPANY STUDY

 PATIENT ASSESSMENTS SHOW EXCELLENT RESULTS
 IN HCA PSYCHIATRIC COMPANY STUDY
 NASHVILLE, Tenn., Sept. 9 /PRNewswire/ -- A comprehensive, two-year study of more than 8,000 HCA Psychiatric Company patients shows 90 percent rate their overall hospital stays from good to excellent.
 It also reports significant improvement in patients' emotional condition as a result of treatment.
 "The study is the first in the psychiatric hospital industry to simultaneously track patients' judgments of their own mental health, a clinical assessment of the patient's ability to function outside the hospital after treatment, and the patients' judgments of hospital quality," said Paul S. Redelheim, Ed.D., who directs the HCA Psychiatric Company quality improvement effort.
 "We believe our 'triple-track' approach is unique," Redelheim said, "and it has been extremely valuable at the individual hospital level as a management tool for continuous quality improvement, in every area from admissions to food service."
 George R. Bone and Edward A. Stack, presidents of HCA Psychiatric Company's eastern and western group operations, respectively, said the current psychiatric hospital environment -- with marketing and treatment practices of some providers being questioned -- makes these study results even more significant, both in terms of customer attitudes about treatment, as well as treatment efficacy.
 The study included 8,279 patients from 32 HCA-affiliated psychiatric hospitals nationwide who were discharged during a 26-month period which ended in November 1991. The patients were adult psychiatric and chemical dependency patients.
 The patient ratings of their hospital stays were collected at discharge, and included 13 factors: admissions, daily care, information received, nursing care, physician care, therapy, family care, housekeeping, food service, other hospital staff, hospital environment, discharge, and the patients' ranking of the total process.
 The most consistently high rankings -- 90 percent or more of the patient rankings good to excellent -- paralleled those areas which had the most direct contact with the patients during treatment, Redelheim said.
 Patients' evaluation of their own conditions were collected at admission and discharge and included assessments of emotional condition, physical condition and quality of life during the treatment process.
 The study shows that patients' emotional condition improved 69 percent from admission to discharge, their physical condition improved 15 percent and their quality of life improved 36 percent.
 "Improved quality of life is one of the key outcomes associated with successful psychiatric treatment. It suggests an overall improvement in patients' abilities to function at the highest level, and to be less affected by their illness," Redelheim said.
 Another element of the study was a clinical measurement of patients' social and psychological function using the widely accepted Global Assessment of Functioning scale. Significant improvements in patients' conditions were noted from admission to discharge.
 Experts from HCA, Harvard Community Health Plan, Dartmouth Medical School and the Rand Corporation were involved in the development of the questionnaire used in the study.
 HCA Psychiatric Company and its affiliates own and operate 48 hospitals throughout the United States. The company is a leader in behavioral health care delivery.
 -0- 9/9/92
 /CONTACT: David McFadden, Corporate Relations of HCA - Hospital Corporation of America, 615-327-9551/ CO: HCA Psychiatric Company ST: Tennessee IN: HEA SU:


EA-BR -- AT009 -- 7591 09/09/92 14:45 EDT
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Publication:PR Newswire
Date:Sep 9, 1992
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