The Importance and Reality of Integrating Outcome Assessment in Clinical Practice #74

MON, 31 OCT // 1:30 PM – 5:30 PM

Primary Content Focus: Crosscutting

Secondary Content Focus: Clinical practice (assessment, diagnosis, treatment, knowledge translation/EBP)

Determining which rehabilitation outcome measure to use is challenging. Some are appropriate for a wide range of diagnostic groups and others are disease-specific. Knowing which factors are important for selecting the right outcomes measures is important for ensuring data are reliable, valid, and clinically useful. Outcome measurement is important not only for demonstrating value, but also to increase and advance clinical knowledge. The purpose of this instructional course is to provide rehabilitation providers the rationale and guidelines for choosing outcomes to use routinely in a variety of clinical settings.

LEARNING OBJECTIVES

Recognize the value and importance and outcome measures in routine clinical practice of using classification schemes
Determine outcome measure selection including interpretation of measurement properties
Evaluate, interpret and discuss strategies for integration of outcomes into clinical practice
Increase awareness of how discrete data can be synthesized into knowledge to expedite patient care

KEY WORDS

Outcomes
Rehabilitation
Measures

FACULTY

Pamela Roberts, PhD, OTR/L, SCFES, FAOTA, CPHQ, FNAP
Director of Academic and Physician Informatics and Physical Medicine and Rehabilitation, Cedars-Sinai Health System

Dr. Roberts is the Director and Professor of Physical Medicine and Rehabilitation and Neuropsychology at Cedars-Sinai Health System, Los Angeles, California. Dr. Roberts has worked throughout the continuum of care as a clinician, administrator, educator, and researcher. She has been instrumental in the development and implementation of system changes as well as rehabilitation programs across the continuum of care within a large academic medical center. She also teaches at the University of Southern California, and guest lectures at other local universities, a national FIM trainer and consultant for Uniform Data System in Buffalo, New York, and a CARF surveyor for CARF…Commission on Accreditation for Rehabilitation Facilities. She is involved in the American Congress of Rehabilitation Medicine, American Occupational Therapy Association, National Quality Forum-Membership Partnership for Post Acute Care/Long Term Care quality measures and All-Cause Admissions and Readmissions Steering Committee, past chair of the California Hospital Association Center for Medical Rehabilitation Services, and past member of the California Hospital Association Post Acute Care board. Dr. Roberts is a member and Chair Elect of the ACRM Stroke Interdisciplinary Special Interest Group and Chair of the ACRM Program Committee. Additionally, she is Chair for the Accreditation Council for Occupational Therapy Education (ACOTE). Dr. Roberts has served as principal and co-investigator on a variety of research projects and has provided a variety of workshops and consultations on rehabilitation, informatics and health services research topics regionally, nationally, and internationally.

Richard Riggs, MD
Vice President and Chief Medical Information Officer, Cedars-Sinai Health System

Dr. Riggs has been the Chairman of the Department of Physical Medicine and Rehabilitation at Cedars-Sinai Medical Center for 19 years and has also been engaged in informatics work for the last 8 years. His current position is Vice President and Chief Medical information Officer at Cedars-Sinai Health System as well as continuing as Chairman of the Department of PM&R. Dr. Riggs is Board Certified in Physiatry and also in Clinical Informatics. He has published in peer review students on clinical, administrative and quality topics in rehabilitation. He is leading a primary initiative developing research informatics structure including analytic capabilities data governance and bio-repository data warehouse integration. Dr. Riggs has collaborated and provided medical direction on a number of research studies within rehabilitation including a subcontract on an NIH funded study. Further, he has provided leadership in multiple Centers for Medicare and Medicare Services demonstration projects as well as led hospital-wide quality initiatives such as anticoagulation, venous thromboembolism and falls. Dr. Riggs has demonstrated a record of successful and productive quality and research projects and have the experience and expertise to participate in funded research.

Trudy Mallinson, PhD, OTR/L, FAOTA, NZROT
Associate Professor, The George Washington University

Dr. Mallinson is a researcher with the Department of Clinical Research and Leadership at George Washington University-Office for Clinical Practice Innovation. Dr. Mallinson has been instrumental in measurement design, research and application. She is currently the Chair of the ACRM Measurement Networking Group.

Deborah Backus, PT, PhD, FACRM
Director of Multiple Sclerosis Research, Shepherd Center

Dr. Backus is Director of Multiple Sclerosis Research at Shepherd Center in Atlanta, Georgia. Debbie received her BS in Physical Therapy in 1986, and her PhD in neuroscience in 2004. She has combined her experiences as a physical therapist, researcher and educator to empower people with neurological injury or disease, such as multiple sclerosis (MS) and spinal cord injury (SCI), to attain the highest quality of life possible. Her research in the Eula C. and Andrew C. Carlos MS Rehabilitation and Wellness Program at Shepherd Center is focused on the evaluation of rehabilitation interventions to facilitate greater function and health in people who are progressing in disability due to MS. As Director of MS Research, Debbie is also responsible for establishing the procedures for standardized outcome collection in the MS Institute at Shepherd Center in order to evaluate the system of care for people with MS. This requires a sound understanding of evaluation tools in order to choose those that will garner the most information with the least amount of burden on the clinician and the patient. Debbie works closely with clinicians to facilitate both the adoption of standardized outcome measures in the MS program and the translation of evidence related to technology and rehabilitation interventions, with the goal of advancing clinical care and contributing to the body of evidence related to MS rehabilitation. Debbie is currently funded by the National Multiple Sclerosis Society and the National Institute of Disability, Independent Living, and Rehabilitation Research.

Sarah Morrison, PT, MBA, MHA
Vice President of Clinical Services, Shepherd Center

Ms. Morrison is the Vice President for Clinical Services at Shepherd Center in Atlanta, GA. This position is responsible for the operational and financial management of all patient care departments at Shepherd Center. Other professional activities Sarah is currently involved in include being a surveyor for the Commission on Accreditation of Rehabilitation Facilities (CARF) as well as acting as the Chair of the Finance Committee for the Christopher and Dana Reeve Foundation’s NeuroRecovery Network. She received her BS degree in Physical Therapy from the University of Miami and her MBA and MHA from Georgia State University.