Standardized Patient Assessment across Post-Acute Care: Opportunities and Challenges

急性后期护理的标准化患者评估：机遇和挑战

基本信息

批准号：
10379958
负责人：
Chih-ying Li
金额：
$ 12.62万
依托单位：
UNIVERSITY OF TEXAS MED BR GALVESTON
依托单位国家：
美国
项目类别：
财政年份：
2020
资助国家：
美国
起止时间：
2020-04-01 至 2025-03-31
项目状态：
未结题

来源：
https://reporter.nih.gov/project-details/10379958
关键词：
Acute Address Administrator Admission activity Advisory Committees Agreement Area Assessment tool Attention Biometry Caring Clinical Cognition Collection Communities Community Health Data Data Collection Data Element Data Science Data Set Development Doctor of Philosophy Evaluation Event Funding Future Goals Grant Health Policy Health care facility Healthcare Systems Home Health Agency Impairment Inpatients Knowledge Learning Logistic Regressions Long-Term Care Longitudinal Studies Measurement Measures Medical Medicare Mentored Research Scientist Development Award Mentors Methods Monitor Natural experiment Nurses Occupational Therapist Occupational Therapy Outcome Outcome Measure Outcomes Research Patient-Focused Outcomes Patients Pattern Performance Persons Policy Maker Preventive Medicine Professional Organizations Property Provider Public Health Publications Quality of Care Rehabilitation Outcome Rehabilitation therapy Reporting Research Risk Scientist Self Care Services Skilled Nursing Facilities Standardization Statutes and Laws Texas Time Training United States Centers for Medicare and Medicaid Services Universities Writing acute care base care systems career career development comparative experience functional outcomes functional status hospital readmission improved member outcome prediction peer coaching professor programs rehabilitation science rehabilitative care response service delivery skills statistics success trend

项目摘要

SUMMARY / ABSTRACT Candidate: I am an Assistant Professor in the Department of Occupational Therapy at the University of Texas Medical Branch. My long-term career goal is to establish a funded research program based on standardized functional assessment and outcomes used in post-acute care. To accomplish this goal, I will develop skills to become the leader of an interdisciplinary team. I will complete the following training: 1) Learn how standardized functional data are defined, developed and used in post-acute care; 2) Learn new data science methods and analytical skills; and 3) Engage in scientific and grant writing to advance my career and scientific skills. Mentoring Team: The mentoring team includes Kenneth Ottenbacher, PhD, OTR, (primary mentor) and Yong- Fang Kuo, PhD, (co-mentor). The advisory team includes Anne Deutsch, RN, PhD, CRRN, Trudy Mallinson, PhD, OTR, and Brian Downer, PhD. Dr. Ottenbacher is an occupational therapist, Director of the Division of Rehabilitation Sciences, and an expert in rehabilitation outcomes research. Dr. Kuo is a Professor in the Department of Preventive Medicine and Community Health and the Director of Office of Biostatistics with expertise in large data and quantitative methods. Dr. Deutsch is a nurse scientist with expertise in rehabilitation health policy. Dr. Mallinson is an expert in methods related to crosswalk development. Dr. Downer (peer mentor) is PI for a K01 award from the NIA. The mentoring team will guide career development activities and participate in the K01 research. Research Strategy: The goal of the K01 project is to compare standardized functional assessment items (self- care, mobility and cognition) mandated by the Improving Medicare Post-Acute Care Transformation Act, to items currently used in Inpatient Rehabilitation Facilities (IRF). Aim 1: Examine response patterns between current IRF functional items and the Standardized Patient Assessment Data Elements (SPADE) functional items. Aim 2. Develop a crosswalk between current IRF and SPADE functional items. Aim 3: Using the crosswalk identified in Aim 2, conduct comparative analyses using post-acute care Quality Measures included in the IMPACT Act. Findings from the K01 research will influence service delivery and functional outcomes across post-acute providers. The crosswalk developed in Aim 2 will support longitudinal studies to compare functional outcomes pre- and post- use of SPADE items. The study findings will facilitate the use of standardized outcome measures across post-acute care.

摘要 /摘要候选人：我是德克萨斯大学职业治疗系的助理教授医疗部门。我的长期职业目标是建立基于标准化的资助研究计划急性后护理中使用的功能评估和结果。为了实现这一目标，我将发展技能成为跨学科团队的领导者。我将完成以下培训：1）了解如何标准化功能数据定义，开发和用于急性后护理； 2）学习新的数据科学方法和分析技能； 3）从事科学和赠款，以提高我的职业和科学技能。指导团队：指导团队包括Kenneth Otterbacher，PhD，OTR，（主要导师）和Yong- Fang Kuo，博士（联合主管）。咨询小组包括Anne Deutsch，RN，PhD，CRRN，Trudy Mallinson，博士，OTR和Brian Downer博士。 Ottenbacher博士是职业治疗师，部门主任康复科学和康复结果研究专家。 Kuo博士是预防医学和社区卫生部和生物统计局主任大数据和定量方法方面的专业知识。 Deutsch博士是一名护士科学家，具有康复专业知识卫生政策。 Mallinson博士是与人行横道开发有关的方法专家。 Downer博士（同行 Mentor）是NIA获得K01奖的PI。指导团队将指导职业发展活动，参加K01研究。研究策略：K01项目的目标是比较标准化功能评估项目（自我护理，流动性和认知）由《改善医疗保险后的急性护理改造法》授权，目前用于住院康复设施（IRF）的项目。目标1：检查响应模式当前的IRF功能项目和标准化的患者评估数据元素（Spade）功能项目。 AIM 2。在当前的IRF和Spade功能项目之间开发人行横道。目标3：使用在AIM 2中鉴定出的人行横道，使用急性护理后质量措施进行比较分析在《影响法》中。 K01研究的发现将影响服务交付和功能结果跨急性后提供者。 AIM 2中开发的人行横道将支持纵向研究以比较黑桃项目的功能性结果。研究发现将有助于使用跨急性后护理的标准化结果指标。