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

摘要/摘要 应聘者：我是德克萨斯大学职业治疗系的助理教授 医疗科。我的长期职业目标是建立一个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，我将培养以下技能 成为跨学科团队的领导者。我将完成以下培训：1)学习如何标准化 在急性后护理中定义、开发和使用功能数据；2)学习新的数据科学方法和 分析技能；以及3)从事科学和拨款写作，以促进我的职业生涯和科学技能。 指导团队：指导团队包括Kenneth Ottenbacher，PhD，OTR，(主要导师)和Yong- 方阔，博士，(共同导师)。顾问团队包括Anne Deutsch，RN，PhD，CRRN，Trudy Mallinson， 博士和布莱恩·唐纳博士。奥滕巴赫博士是一名职业治疗师， 康复科学和康复结果研究方面的专家。郭博士是一位 预防医学和社区卫生部门和生物统计办公室主任 在大数据和量化方法方面的专业知识。多伊奇博士是一位在康复方面具有专业知识的护士科学家。 健康政策。马林森博士是人行横道开发相关方法方面的专家。唐纳博士(同辈 Mentor)是NIA颁发的K01奖的PI。指导小组将指导职业发展活动和 参与K01研究。 研究策略：K01项目的目标是比较标准化的功能评估项目(自评) 护理、流动性和认知)，由改进的医疗保险急性护理转型法案授权，以 目前在住院康复设施(IRF)使用的物品。目标1：检查两国之间的反应模式 当前IRF功能项和标准化患者评估数据元素(SPADE)功能 物品。目标2.在现有的IRF和SPADE功能项目之间开发一条人行横道。目标3：使用 目标2中确定的人行横道，使用急性后护理质量衡量标准进行比较分析，包括 在《影响法案》中。K01研究的结果将影响服务提供和功能结果 在急症后的提供者中。在AIM 2中开发的人行横道将支持纵向研究以进行比较 使用黑桃物品前后的功能结果。研究结果将有助于使用 急性后护理的标准化结果衡量标准。

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.