| Titre : | A Postacute Care Function Process Quality Measure for the Collection of Standardized Self-Care and Mobility Data: Development, Implementation, and Quality Measure Scores (2022) |
| Auteurs : | Anne Deutsch ; Lauren Palmer ; Tara McMullen ; Tri Le ; Matt Toth ; Molly E. Marino ; Molly Vaughan ; Carole Schwartz ; Alrick Edwards |
| Type de document : | Article |
| Dans : | Archives of Physical Medicine and Rehabilitation (Vol. 103, n° 6, 2022) |
| Article en page(s) : | p. 1061-1069 |
| Note générale : | https://doi.org/10.1016/j.apmr.2022.01.148 |
| Langues: | Anglais |
| Descripteurs : |
HE Vinci Activités de la vie quotidienne ; Établissements de soins qualifiés ; Hôpitaux ; Indicateurs qualité santé ; Organismes de prise en charge à domicile ; Réadaptation ; Soins de longue durée ; Soins de santé primaires ; Soins de suite |
| Résumé : |
Objective
To describe the development of and quality measure scores for the cross-setting postacute care function process quality measure that requires the collection of standardized self-care and mobility data at admission and discharge and at least 1 function goal. Design Description of the development and implementation of the quality measure and the associated standardized self-care and mobility data elements. Descriptive analyses of quality measure scores for the first calendar year using data from the Minimum Data Set, the Inpatient Rehabilitation Facility Patient Assessment Instrument, the Long-Term Care Hospitals (LTCH) Continuity Assessment Record and Evaluation Data Set, and Outcome and Assessment Information Set. Setting 15,127 skilled nursing facilities (SNFs), 1129 inpatient rehabilitation facilities (IRFs), 414 LTCHs, and 10,352 home health agencies (HHAs) in the United States. Participants In total there were 9,216,943 stays/quality episodes (N = 9,216,943), including 2,084,774 SNF Medicare fee-for-service patient stays, 493,209 IRF Medicare patient stays, 161,714 patient stays, and 6,477,246 Medicare and Medicaid quality episodes. Interventions Not applicable. Main Outcome Measures Scores for the cross-setting postacute care function process quality measure. Results The mean process quality measure scores for SNFs, IRFs, LTCHs, and HHAs were 95.5%, 99.7%, 99.1%, and 95.8, respectively. The 10th percentile scores for SNFs, IRFs, LTCHs, and HHAs were 88.5%, 99.3%, 98.4%, and 89.4, respectively, indicating that at least 90% of postacute care providers submitted the standardized data for a large proportion of their patients. Mean quality measure scores did not vary by provider characteristics. Conclusions Most SNFs, IRFs, LTCHs, and HHAs submitted the self-care and mobility data, resulting in high quality measure scores during the first year of implementation. The availability of the standardized self-care and mobility data across postacute care settings offers the opportunity to compare the characteristics and functional outcomes of patients treated in postacute care. |
| Disponible en ligne : | Oui |
| En ligne : | https://login.ezproxy.vinci.be/login?url=https://www.sciencedirect.com/science/article/pii/S0003999322002064#! |
Bibliothèques HE Vinci
