Harkness Project Title: Measuring Patient-Centered Care through Patient Comments on the Internet
Mentor: Ashish Jha, M.D. (Harvard School of Public Health)
Placement: Harvard School of Public Health
Biography at time of Harkness Fellowship: Felix Greaves, B.M.B.Ch., M.B.A., a 2013-14 U.K. Harkness Fellow in Health Care Policy and Practice, is currently a specialty registrar in public health at the London Deanery and Imperial College. Prior to this appointment, Greaves spent half his time as a clinical advisor to the chief medical officer at the Department of Health in London, and the other half as a medical offer in the WHO’s Patient Safety Programme. Greaves is recipient of national awards including the U.K. Faculty of Public Health’s Brotherston Prize and the British Science Association’s National Media Fellowship. Greaves’ research specialties include patient centeredness and experience, and care quality. Greaves has published peer-reviewed articles in journals such as The Lancet and BMJ. He holds an M.B.A from Imperial College London, a master’s in public health from Harvard University, and a B.M.B.Ch. from Oxford University. He is currently working on his Ph.D. at Imperial College London, where his thesis is examining patients’ ratings of their care online as a measure of health care quality. His dissertation work on ‘Tripadvisor’ patient ratings has attracted the attention of the NHS, the Institute for Healthcare Improvement, BMJ, and the popular press.
Project: Greaves aims to explore new ways to measure patient experience by analyzing how patients describe their care online. He will conduct a quantitative analysis comparing patient-generated feedback data from rating websites (e.g., Yelp) with traditional quality measures drawn from existing sources, such as standardized mortality ratios and patient experience surveys. He will also conduct a qualitative study exploring the views of hospital physicians and administrators on the usefulness of the data generated from these rating websites. Finally, he will attempt to create novel techniques to use sentiment analysis of free text comments about clinical care online to create a real-time score of hospital performance.
Career Activity since Fellowship:
- Deputy Director for Science and Strategic Information in the Health and Wellbeing Directorate at Public Health England
- Honorary Clinical Senior Lecturer, Faculty of Medicine, School of Public Health, Imperial College London
Current Position: (updated 03/2015)
- Deputy Director, Health Sciences and Strategic Information, Public Health England and Honorary Clinical Senior Lecturer, Faculty of Medicine, School of Public Health, Imperial College London
E-mail: [email protected]
Selected Publications:
Hargreaves D, Greaves F, Levay C, Mitchell I, Koch U, Esch T, Denny S, Frich J, Struijs J, Sheikh A. “Comparison of healthcare experience and access between young and older adults in 11 high-income countries,” J Adolesc Health. 2015.
Greaves F, Millett C, Nuki P. “England's Experience Incorporating "Anecdotal" Reports From Consumers Into Their National Reporting System: Lessons for the United States of What to Do or Not to Do?” Med Care Res Rev. 2014.
Sheikh A, Jha A, Cresswell K, Greaves F, Bates DW. “Adoption of Electronic Health Records in UK Hospitals: Lessons from the USA,” Lancet. 2014
Greaves F, Laverty AA, Cano DR, Moilanen K, Pulman S, Darzi A, Millett C. “Tweets about hospital quality: a mixed methods study,” BMJ Qual Saf. 2014
Greaves F, Laverty AA, Millett C. "Friends and family test results only moderately associated with conventional measures of hospital quality." BMJ. 2013
Greaves F, Ramirez-Cano D, Millett C, Darzi A, Donaldson L. "Use of sentiment analysis for capturing patient experience from free-text comments posted online." J Med Internet Res. 2013