Overview
Creating and managing Duke and national registries for neurosurgery and spine surgery, including patient-reported outcomes
Assessing contributors to long term success of spine surgery, including impact of social risks and social determinants of health
Clinical trials and interventions to improve patient experience in clinic and with surgical experience
Creating dashboards for surgeons at Duke and nationally to improve surgeon outcomes
Selected Publications
Clinic Satisfaction Tool Improves Communication and Provides Real-Time Feedback.
Zakare-Fagbamila RT, Howell E, Choi AY, Cheng TZ, Clement M, Neely M, Gottfried ON. Neurosurgery. 2019 Apr 1.
Objective: To develop and assess the impact of a single-page Clinic Satisfaction Tool (CST) to demonstrate real-time feedback, individualized responses, interpretable and actionable feedback, improved patient satisfaction and communication scores, increased physician buy-in, and overall feasibility.
Does the number of social factors affect long-term patient-reported outcomes and satisfaction in those with cervical myelopathy? A QOD study.Park C, Shaffrey CI, Than KD, Bisson EF, Sherrod BA, Asher AL, Coric D, Potts EA, Foley KT, Wang MY, Fu KM, Virk MS, Knightly JJ, Meyer S, Park P, Upadhyaya C, Shaffrey ME, Buchholz AL, Tumialán LM, Turner JD, Agarwal N, Chan AK, Chou D, Chaudhry NS, Haid RW, Mummaneni PV, Michalopoulos GD, Bydon M, Gottfried ON.J Neurosurg Spine. 2024 Jan 19.
Objective: It is not clear whether there is an additive effect of social factors in keeping patients with cervical spondylotic myelopathy (CSM) from achieving both a minimum clinically important difference (MCID) in outcomes and satisfaction after surgery. The aim of this study was to explore the effect of multiple social factors on postoperative outcomes and satisfaction.
Park C, Bhowmick DA, Shaffrey CI, Bisson EF, Bydon M, Asher AL, Coric D, Potts EA, Foley KT, Wang MY, Fu KM, Virk MS, Knightly JJ, Meyer S, Park P, Upadhyaya C, Shaffrey ME, Schupper AJ, Uribe JS, Tumialán LM, Turner JD, Chan AK, Chou D, Haid RW, Mummaneni PV, Gottfried ON. J Neurosurg Spine. 2024 Sept.
Objective: The aim of this study was to compare the rate of achievement of the minimal clinically important difference (MCID) in patient-reported outcomes (PROs) and satisfaction between cervical spondylotic myelopathy (CSM) patients with and without class III obesity who underwent surgery.
Park C, Zakare-Fagbamila RT, Dickson W, Garcia AN, Gottfried ON. J Neurosurg. 2020 Jul 31
Objective: The Hospital Consumer Assessment of Healthcare Providers and Systems (HCAHPS) is a survey that assesses patient satisfaction, which is an important measure of the quality of hospital care and ultimately the overall hospital rating (OHR). However, the survey covers several elements of patient satisfaction beyond the patient-surgeon interaction. In this study, authors investigated which admission and experience factors had the highest impact on the OHR.
The true penalty of the waiting room: the role of wait time in patient satisfaction in a busy spine practice.
Zakare-Fagbamila RT, Park C, Dickson W, Cheng TZ, Gottfried ON. J Neurosurg Spine. 2020 Feb 21
Objective: Most clinics collect routine data on performance metrics on physicians for outpatient visits. However, the relationship of these metrics with patient experience is unclear. The goal of this study was to investigate the relationships between the Consumer Assessment of Healthcare Providers and Systems Clinician and Group Survey (CG-CAHPS), the standard patient experience survey, and clinic performance metrics to understand the determinants of patient satisfaction and identify targets for improving patient experience.
Rethorn ZD, Garcia AN, Cook CE, Gottfried ON. PLoS One. 2020 Nov 5
Objectives: Our objective was to analyze the collective effect of social determinants of health (SDoH) on lumbar spine surgery outcomes utilizing two different statistical methods of combining variables.