Occupational Therapy Benchmarks Within Orthopedic (Hip) Critical Pathways

Novalis, Sharon D; Messenger, Michele Fricke; Morris, L

doi:10.5014/ajot.54.2.155

Cited by 6 publications

(3 citation statements)

References 7 publications

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“…Occupational therapists and occupational therapy assistants can work within a multidisciplinary framework to design facility-specific best-care practice guidelines based on approaches supported by evidence. Although the therapist's clinical judgment cannot be replaced by a checklist, research has shown that uniform processes can reduce a trial-and-error approach to care, improving efficiency and positive outcomes (Novalis, Messenger, & Morris, 2000).…”

Section: Implications Of Value-based Purchasing For Occupational Therapymentioning

confidence: 99%

Implications of the Affordable Care Act for Occupational Therapy Practitioners Providing Services to Medicare Recipients

Fisher

Friesema

2013

The American Journal of Occupational Therapy

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The passage of the Patient Protection and Affordable Care Act of 2010 (ACA; Pub. L. 111-148) represents the largest expansion in government funding of health care since Medicare and Medicaid were established in 1965 (Curfman, Abel, & Landers, 2012). Although the health insurance mandate and Medicaid expansion have received the most attention as a result of legal challenges and the July 2012 Supreme Court ruling on the legality of the ACA (Henry J. Kaiser Family Foundation, 2012), other ACA initiatives may have even greater implications for occupational therapy. The ACA includes sections on improving quality and health systems performance for Medicare recipients, with some sections also applying to Medicaid recipients. Insurance companies commonly follow Medicare rules; therefore, the Medicare reforms are likely to spread across all payers, health care settings, and care recipients.

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Section: Implications Of Value-based Purchasing For Occupational Therapymentioning

confidence: 99%

Implications of the Affordable Care Act for Occupational Therapy Practitioners Providing Services to Medicare Recipients

Fisher

Friesema

2013

The American Journal of Occupational Therapy

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“…Treatment in occupational therapy, while it may include a biomechanical-rehabilitative approach, is enhanced by emphasis on occupation and functional adaptation (Jackson & Schkade, 2001). There is minimal opportunity for client-centered intervention and clinical benchmarks emphasize self-care, functional transfers, and assistive device prescription and practice during length of stay (Novalis, Messenger, & Morris, 2000).…”

Section: Function and Length Of Staymentioning

confidence: 99%

Functional Performance and Grip Strength After Total Hip Replacement

Kiefer¹,

Emery

2005

WOHC

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Objective. The progress of adults after total hip replacement (THR) was measured baseline to discharge using the Functional Independence Measure (FIM). Measures of effectiveness and efficiency were investigated. Additionally, although grip strength is frequently evaluated, its relationship to impact on functional gains after THR is unknown and was explored in this study. Method. A retrospective chart review was conducted on 41 patients' progress in acute rehabilitation following THR. Baseline and discharge FIM subscales of self-care, mobility, and locomotion were compared using paired t-tests with post hoc correction for type I error. Effectiveness and efficiency indicators on FIM subscale improvement were calculated. Grip strength was compared to expected values by age and gender using one-sample t-tests. Then, grip strength and FIM subscale scores were correlated using Pearson correlation. Results. FIM subscale scores each improved 2.1 points on average. Statistically significant improvement was made in 10 subscales of self-care, mobility, and locomotion. Grip strength was significantly less than expected norms in six of 14 subgroups after surgery; four of eight were female subgroups. There were no significant correlations between grip strength and any FIM subscale. Conclusion. Improvement in functional performance, as measured by FIM, was made on all FIM subscales. Grip strength after THR was moderately decreased from the norm. Results suggest that loss of grip strength alone may not adversely affect functional performance.

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“…While it has been used in education to help to establish comparability between teaching centres and in the setting standards and guidelines [1], there are few examples of use in clinical practice. One study has used benchmarking as a means of comparing patient performance benchmarks in orthopaedic critical pathways (Novalis et al, 2000). This study identified eight orthopaedic (hip) care pathways, of these the activities of daily living was the benchmark most frequently used within the sample, followed by functional benchmarks.…”

Section: Electronic Accessmentioning

confidence: 99%

Using benchmarking data for assessing performance in occupational therapy

Enderby

John²,

Hughes³

et al. 2003

Clinical Governance: An International Journal

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Comparing outcome data derived from patients receiving treatment in different sites can identify different practice worthy of further examination. This paper illustrates an approach to benchmarking with data collected on 1,711 patients who have received occupational therapy in nine healthcare trusts. Detailed results of 288 patients indicate that there were differences between the services in the patients referred for occupational therapy, they were discharged at different points in their recovery and different amounts of gain were achieved during the treatment period. In order to interpret the reasons for the variation meaning needs to be added to the data. While casemix is an important consideration and may account for many of these differences, it would also appear that investigation of the different processes of care in different trusts may warrant further study.

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Occupational Therapy Benchmarks Within Orthopedic (Hip) Critical Pathways

Abstract: Although these eight orthopedic (hip) critical pathways included occupational therapy benchmarks, further development and definition of the role of occupational therapy within subsequent orthopedic (hip) critical pathways is needed.

Cited by 6 publications

References 7 publications

Implications of the Affordable Care Act for Occupational Therapy Practitioners Providing Services to Medicare Recipients

Implications of the Affordable Care Act for Occupational Therapy Practitioners Providing Services to Medicare Recipients

Functional Performance and Grip Strength After Total Hip Replacement

Using benchmarking data for assessing performance in occupational therapy

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