Background: Patient safety can be increased by improving the organization of care. A tool that evaluates the
actual organization of care, as perceived by multidisciplinary teams, is the Care Process Self-Evaluation Tool
(CPSET). CPSET was developed in 2007 and includes 29 items in five subscales: (a) patient-focused organization,
(b) coordination of the care process, (c) collaboration with primary care, (d) communication with patients
and family, and (e) follow-up of the care process. The goal of the present study was to further evaluate the
psychometric properties of the CPSET at the team and hospital levels and to compile a cutoff score table.
Methods: The psychometric properties of the CPSET were assessed in a multicenter study in Belgium and
the Netherlands. In total, 3139 team members from 114 hospitals participated. Psychometric properties were
evaluated by using confirmatory factor analysis (CFA), Cronbach’s alpha, interclass correlation coefficients (ICCs),
Kruskall-Wallis test, and Mann–Whitney test. For the cutoff score table, percentiles were used. Demographic
variables were also evaluated.
Results: CFA showed a good model fit: a normed fit index of 0.93, a comparative fit index of 0.94, an adjusted
goodness-of-fit index of 0.87, and a root mean square error of approximation of 0.06. Cronbach’s alpha values
were between 0.869 and 0.950. The team-level ICCs varied between 0.127 and 0.232 and were higher than those
at the hospital level (0.071-0.151). Male team members scored significantly higher than females on 2 of the 5
subscales and on the overall CPSET. There were also significant differences among age groups. Medical doctors
scored significantly higher on 4 of the 5 subscales and on the overall CPSET. Coordinators of care processes
scored significantly lower on 2 of the 5 subscales and on the overall CPSET. Cutoff scores for all subscales and
the overall CPSET were calculated.
Conclusions: The CPSET is a valid and reliable instrument for health care teams to measure the extent care
processes are organized. The cutoff table permits teams to compare how they perceive the organization of their
care process relative to other teams.