Grading: An Annotated “Pen and Paper” Approach to Multidimensional Case-Mix–Adjusted Continuous Quality Improvement.

In this article, we present a simple multidimensional approach to case-mix adjustment that can be used without sophisticated statistical or computer programs. The objectives are to synthesize and offer examples of practical applications of the principles provided in the other articles in this issue...

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Publicado en:Topics in Stroke Rehabilitation Vol. 17; no. 4; pp. 262 - 271
Autores principales: Stineman, Margaret G., Charles, Jeremy, Kurichi, Jibby E.
Formato: tables/charts Journal Article
Publicado: Taylor & Francis Ltd Jul/Aug2010
Acceso en línea:Ver este registro en EBSCOhost
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        atl: Grading: An Annotated “Pen and Paper” Approach to Multidimensional Case-Mix–Adjusted Continuous Quality Improvement.
      aug:
        au:
          Stineman, Margaret G.
          Charles, Jeremy
          Kurichi, Jibby E.
        affil: Physical Medicine and Rehabilitation and Epidemiology, University of Pennsylvania, Philadelphia, Pennsylvania
      sug:
        subj:
          Quality Assurance
          Case Mix
          Quality Improvement Methods
          Rehabilitation Centers Administration
          Patient Assessment Methods
          Functional Status
          Clinical Indicators
          Skilled Nursing Facilities
          Patient Selection
          Clinical Assessment Tools
          Functional Assessment
          Stroke Rehabilitation
      ab: In this article, we present a simple multidimensional approach to case-mix adjustment that can be used without sophisticated statistical or computer programs. The objectives are to synthesize and offer examples of practical applications of the principles provided in the other articles in this issue of Topics in Stroke Rehabilitation. Combining case-mix adjustment concepts presented by Berlowitz and coworkers with the educate, execute, and evaluate process presented by Needham and coworkers, the approach applies functional grading to show how to evaluate the impact on patient outcomes after major changes in the structural characteristics of an integrated rehabilitation program within a large hospital-based health system. The example is based on the vignette, Maintaining Functional Outcomes in Times of Change, which appears in the article, “Unraveling the Conundrum of Quality” in this issue.
      pubtype: Academic Journal
      doctype:
        tables/charts
        Journal Article
      ougenre: Article
    language: English
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