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Titre : | Measuring Inpatient Rehabilitation Facility Quality of Care: Discharge Self-Care Functional Status Quality Measure (2018) |
Auteurs : | Poonam K. Pardasaney ; Anne Deutsch ; Jeniffer Iriondo-Perez |
Type de document : | Article |
Dans : | Archives of Physical Medicine and Rehabilitation (Vol. 99, n° 6, 2018) |
Article en page(s) : | p. 1035-1041 |
Langues: | Anglais |
Descripteurs : |
HE Vinci Autosoins ; Évaluation de résultat (soins) ; Patients hospitalisés ; Qualité des soins de santé ; Rééducation et réadaptation |
Mots-clés: | Inpatients ; Outcome Assessment (Health Care) ; Quality of health care ; Self care |
Résumé : |
Objective To describe the calculation and psychometric properties of the discharge self-care functional status quality measure implemented in the Centers for Medicare & Medicaid Services' (CMS) Inpatient Rehabilitation Facility (IRF) Quality Reporting Program on October 1, 2016. Design Medicare fee-for-service (FFS) patients from 38 IRFs that participated in the CMS Post-Acute Care Payment Reform Demonstration were included in this cohort study. Data came from the Continuity Assessment Record and Evaluation Item Set, IRFPatient Assessment Instrument, and Medicare claims. For each patient, we calculated an expected discharge self-care score, risk-adjusted for demographic and baseline clinical characteristics. The performance score of each IRF equaled the percentage of patient stays where the observed discharge self-care score met or exceeded the expected score. We assessed the measure's discriminatory ability across IRFs and reliability. Setting IRFs. Participants Medicare FFS patients aged ≥21 years (N=4769). Interventions Not applicable. Main Outcome Measures Facility-level discharge self-care quality measure performance score. Results A total of 4769 patient stays were included; 57% of stays were in women, and 12.1% were in patients aged Conclusions The discharge self-care quality measure showed strong discriminatory ability and reliability, representing an important initial step in evaluation of IRF self-care outcomes. A wide range in performance scores suggested a gap in quality of care across IRFs. Future work should include testing the measure with nationwide data from all IRFs. |
Disponible en ligne : | Oui |
En ligne : | https://login.ezproxy.vinci.be/login?url=https://www.sciencedirect.com/journal/archives-of-physical-medicine-and-rehabilitation |