The objective of this study was to assess the feasibility of digital patien
t satisfaction outcomes collection using the Internet and interactive voice
response technology. Patients, health care providers, and industry sponsor
s were provided with incentives to participate. The participants included t
he practitioners and patients in medical and surgical practices who used Pr
oject Quality Card (patent pending) and the Practice Improvement Program. T
he study subjects were convenience samples of new and established patients
seen between September 1999 and December 2000. There were 3 different pilot
projects: QC1, QC2, and QC3. Patients were provided with a 20-minute prepa
id phone card as an incentive for completing an interactive voice response
call. Patients answered the 9-item visit rating questionnaire used to measu
re patient satisfaction. Patients responded on a 5-point scale, with 5 bein
g excellent, and responses were totaled in the categories of patient access
and physician attributes and in an overall score for the visit. A total of
998 patients from 77 physician offices participated. The activation respon
ses, or percentage of patients using the Quality Cards, ranged from 12.8% i
n group 2 (QC2) to 26.6% in group 1 (QC1) to 34.8% in group 3 (QC3). This s
tudy demonstrates that incentivized digital outcomes collection can be succ
essfully implemented in multisite community-based medical and surgical offi
ces. The use of Project Quality Card (interactive voice response technology
) and the Practice Improvement Program provides opportunities for user-frie
ndly, benchmarked, real-time data collection. The percentage of patient act
ivations is linked to provider participation in quality improvement program
s. Patient participation is improved as the frequency of contact with a pee
r-directed database increases.