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

急性后期护理的标准化患者评估：机遇和挑战

• 批准号: 10609871
• 负责人: Chih-ying Li
• 金额: $ 12.62万
• 依托单位: UNIVERSITY OF TEXAS MED BR GALVESTON
• 依托单位国家: 美国
• 财政年份: 2020
• 资助国家: 美国
• 起止时间: 2020-04-01 至 2025-03-31
• 项目状态: 未结题
• 来源: https://reporter.nih.gov/project-details/10609871
• 关键词: Acute; Administrator; Admission activity; Advisory Committees; Agreement; Area; Assessment tool; Attention; Biometry; Caring; Clinical; Cognition; Collection; Communities; Community Health; Data; Data Collection; Data Element; Data Science; Data Set; Development; Doctor of Philosophy; Equation; Evaluation; Event; Funding; Future; Goals; Grant; Health Policy; Health care facility; Healthcare Systems; Home Health Agency; Impairment; Inpatients; Knowledge; Learning; Logistic Regressions; Long-Term Care; Longitudinal Studies; Measurement; Measures; Medical; Medicare; Mentored Research Scientist Development Award; Mentors; Methods; Monitor; Natural experiment; Nurses; Occupational Therapist; Occupational Therapy; Outcome; Outcome Measure; Outcomes Research; Patient-Focused Outcomes; Patients; Pattern; Performance; Persons; Policy Maker; Preventive Medicine; Productivity; Professional Organizations; Property; Provider; Public Health; Publications; Quality of Care; Rehabilitation Outcome; Rehabilitation therapy; Reporting; Research; Risk; Scientist; Self Care; Services; Skilled Nursing Facilities; Standardization; Statutes and Laws; Texas; Time; Training; United States Centers for Medicare and Medicaid Services; Universities; Walking; Writing; acute care; care systems; career; career development; comparative; data standards; experience; functional outcomes; functional status; hospital care; hospital readmission; improved; member; outcome prediction; peer coaching; professor; programs; rehabilitation science; rehabilitative care; response; service delivery; skills; statistics; success; trend

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.

总结/摘要 候选人：我是德克萨斯大学职业治疗系的助理教授 医疗分支。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， 急性期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）学习如何规范化 定义、开发和使用功能数据; 2）学习新的数据科学方法， 分析能力;以及3）从事科学和资助写作，以提高我的职业生涯和科学技能。 导师团队：导师团队包括Kenneth Ottenbacher博士，OTR（主要导师）和Yong- 方阔，博士，（共同导师）。顾问团队包括安妮多伊奇，RN，博士，CRRN，特鲁迪马林森， 博士，OTR和Brian Downer博士。Ottenbacher博士是一名职业治疗师， 康复科学和康复成果研究专家。郭博士是一名教授， 预防医学和社区卫生部和生物统计办公室主任， 大数据和定量方法的专业知识。多伊奇博士是一位护理科学家，在康复方面有着丰富的经验 卫生政策。马林森博士是人行横道开发方法方面的专家。唐纳博士（同行 导师）是NIA K01奖的PI。辅导小组将指导职业发展活动， 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（自我评估）， 护理、流动性和认知）， 目前在住院康复设施（IRF）中使用的物品。目标1：检查 当前IRF功能项目和标准化患者评估数据元素（SPADE）功能 项目.目标2.在当前的综合资源框架和SPADE功能项目之间建立一个通道。目标3：使用 目标2中确定的人行横道，使用包括的急性后护理质量指标进行比较分析 在IMPACT法案中。K01研究的结果将影响服务提供和功能成果 在急性后提供者中。目标2中开发的人行横道将支持纵向研究， 使用SPADE项目前后的功能结果。研究结果将有助于使用 急性期后护理的标准化结果测量。