Benchmarking Outpatient Rehabilitation Clinics Using Functional Status Outcomes.
Objective: To utilize functional status (FS) outcomes to benchmark outpatient therapy clinics.Data Sources: Outpatient therapy data from clinics using Focus on Therapeutic Outcomes (FOTO) assessments.Study Design: Retrospective analysis of 538 clinics, involving 2,040 therapists and 90,392 patients...
| Publicado en: | Health Services Research Vol. 51; no. 2; pp. 768 - 790 |
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| Autores principales: | , , |
| Formato: | research tables/charts Journal Article |
| Publicado: |
Wiley-Blackwell
Apr2016
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| Acceso en línea: | Ver este registro en EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=113880099&site=ehost-live header: @attributes: shortDbName: ccm uiTerm: 113880099 longDbName: CINAHL Complete uiTag: AN controlInfo: bkinfo: dissinfo: jinfo: jid: 00179124 HSR jtl: Health Services Research issn: 00179124 maglogo: Y pubinfo: dt: Apr2016 vid: 51 iid: 2 pid: 480 pub: Wiley-Blackwell place: Malden, Massachusetts artinfo: ui: 113880099 113880099 NLM26251040 113880099 10.1111/1475-6773.12344 NLM26251040 PMC4799911 [Available on 04/01/17] 113880099 ppf: 768 ppct: 22 formats: tig: atl: Benchmarking Outpatient Rehabilitation Clinics Using Functional Status Outcomes. aug: au: Gozalo, Pedro L. Resnik, Linda J. Silver, Benjamin affil: Center for Gerontology and Health Care Research, School of Public Health, Brown University, Providence RI sug: subj: Outcome Assessment Methods Physical Therapy Standards Rehabilitation Centers Standards Outcome Assessment Standards Benchmarking Standards Aged, 80 and Over Middle Age Aged Sex Factors Reproducibility of Results Age Factors Adult Young Adult Length of Stay Quality of Health Care Retrospective Design Female Male Adolescence Human Aged, 80 & over Middle Aged: 45-64 years Aged: 65+ years Adult: 19-44 years Adolescent: 13-18 years Female Male ab: Objective: To utilize functional status (FS) outcomes to benchmark outpatient therapy clinics.Data Sources: Outpatient therapy data from clinics using Focus on Therapeutic Outcomes (FOTO) assessments.Study Design: Retrospective analysis of 538 clinics, involving 2,040 therapists and 90,392 patients admitted July 2006-June 2008. FS at discharge was modeled using hierarchical regression methods with patients nested within therapists within clinics. Separate models were estimated for all patients, for those with lumbar, and for those with shoulder impairments. All models risk-adjusted for intake FS, age, gender, onset, surgery count, functional comorbidity index, fear-avoidance level, and payer type. Inverse probability weighting adjusted for censoring.Data Collection Methods: Functional status was captured using computer adaptive testing at intake and at discharge.Principal Findings: Clinic and therapist effects explained 11.6 percent of variation in FS. Clinics ranked in the lowest quartile had significantly different outcomes than those in the highest quartile (p < .01). Clinics ranked similarly in lumbar and shoulder impairments (correlation = 0.54), but some clinics ranked in the highest quintile for one condition and in the lowest for the other.Conclusions: Benchmarking models based on validated FS measures clearly separated high-quality from low-quality clinics, and they could be used to inform value-based-payment policies. pubtype: Academic Journal doctype: research tables/charts Journal Article ougenre: Article language: English refInfo: holdings: @attributes: islocal: N |
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