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Care Process Self-Evaluation Tool

The Care Process Self-Evaluation Tool (CPSET) was developed and validated in 2007. The tool assesses key characteristics of care processes/care pathways that impact the organization of these processes. It is a self-evaluation tool: the scores are based on the perceptions of (multidisciplinary) team members involved in the process. This self-evaluation can be used as input in phase 1 and 3 of the 7-phase method. It shows how the different members perceive the actual organization of the care process relative to each other, allowing for meaningful discussion on the important characteristics.

The five key characteristics of well-organized care processes which are assessed with the CPSET are:

1) coordination of the care process

2) patient-focused organization

3) communication with patients and family

4) collaboration with primary care

5) follow-up of the care process.

The CPSET consists of 29 items, arranged in these five key characteristics. The items are operationalized in 10-point Likert scales (totally disagree (1) to totally agree (10)). An average score per key characteristic (or subscale) can be calculated and visualized, e.g. in a radar plot.

The figure below shows two examples (fictitious data) of radar plots based on CPSET scores. In this example, a number of medical doctors, allied health professionals and nurses assessed a care process. The radar plot on the left shows the scores of the individual nurses, whereas the radar plot on the right shows the average scores per involved discipline. The figure shows that the scores per subscale vary. For example, nurse 6 scores relatively low on patient-focused organization (PFO). And the average score of the MD’s is higher in comparisson with the other disciplines on communication with patients and familiy (COM). Discussing these data with the team can reveal why a score from an individual or discipline might be different from other scores. Rather than trying to reach consensus on the subscales, the goal should be to explore the different visions of the team members.

Example CPSET feedback, fictitious data

PFO = patient-focused organization; COR = coordination of the care process; COM = communication with patients and family; CPC = collaboration with primary care; FU = follow-up of the care process

Vanhaecht, K., De Witte, K., Depreitere, R., Van Zelm, R., De Bleser, L., Proost, K., & Sermeus, W. (2007). Development and validation of a care process self-evaluation tool. Health Services Management Research20(3), 189-202.

Seys, D., Deneckere, S., Sermeus, W., Van Gerven, E., Panella, M., Bruyneel, L., … & Vanhaecht, K. (2013). The Care Process Self-Evaluation Tool: a valid and reliable instrument for measuring care process organization of health care teams. BMC health services research13(1), 1-7.