Week 14 - Outcome Measures & Safety

Question 1

name 3 types of outcome measures.

Answer 1

• quality measures
• patient goal setting measures
• patient rated outcome measures

Question 2

the degree to which health services for individuals and populations increases the likelihood of desired health outcomes and are consistent with current professional knowledge

Answer 2

quality of care

Question 3

name the 7 aims of high quality care.

Answer 3

• safe
• effective
• patient-centered
• timely
• efficient
• equitable

Question 4

name 3 types of quality measures.

Answer 4

• structure
• process
• outcomes

Question 5

• not just concerned with organization of clinic or hospital but also with policies that affect care
• characteristics of setting: physicians and hospitals, personnel, policies related to care delivery

Answer 5

structure quality measures

Question 6

• did the pt. receive what is known to be good care?
• includes characteristics of pt./health care provider encounter
• interpersonal process
• was pt. involved in decision making?

Answer 6

process quality measures

Question 7

-how did patient’s health status change resulting from medical care provided

Answer 7

outcomes quality measures

Question 8

contains items that measure physical, psychological, and psycho-social functioning; gives a multidimensional view of the patient’s functional capacities and can be used to present a nursing home’s profile

Answer 8

minimum data set

Question 9

name a common outcome measure tool.

Answer 9

SF-36

Question 10

one of the most widely used generic measures of health-related quality of life and has been shown to discriminate between subjects with different chronic conditions and between subjects with different severity levels of the same disease; demonstrated sensitivity to significant treatment effects in a variety of pt. populations.

Answer 10

SF-36

Question 11

name the 8 domains of the SF-36.

Answer 11

• vitality
• physical functioning
• bodily pain
• general health perceptions
• physical role functioning
• emotional role functioning
• social role functioning
• mental health

Question 12

• uniform system of measurement based on international classification of impairment, disability, and handicaps
• helps determine the type of assistance needed - cognitive, motor

Answer 12

functional independence measure (FIM)

Question 13

measurement instruments that support, monitor goal setting process

Answer 13

goal setting measures

Question 14

name an example of a goal setting measure.

Answer 14

COPM

Question 15

• how is the pt. doing in treatment

- are they reaching their goals

Answer 15

patient reported outcome measures (PROMS)

Question 16

• focus on outcomes unique to disease entity

- usually of interest to pts. and treating clinicians

Answer 16

disease specific measures

Question 17

which measures demonstrate depth but not breadth?

Answer 17

disease specific measures

Question 18

• focus on pts. performance associated with specific activities
• measures give providers standardized criteria for assessing patient performance

Answer 18

functional status measures

Question 19

• gold standard of UL pt. rated outcome measures
• focuses solely on injured UL functional status - can person do task with affected side or hold item with affected side while doing task with unaffected

Answer 19

DASH

Question 20

gold standard of PROMS

Answer 20

DASH

Question 21

• 6 categories
• overall hand function
• hand-related ADLs
• pain
• work performance
• aesthetics
• patient satisfaction with hand function

Answer 21

michigan hand outcomes questionnaire (MHQ)

Question 22

-doesn’t look at specific disability, instead looks at overall function

Answer 22

upper limb functional index

Question 23

name 2 sources of medical errors that can involve occupational therapy.

Answer 23

• equipment failure

- misrepresentation of medical orders

Question 24

injury cause by medical management rather than underlying disease or condition of the pt.

Answer 24

adverse event

Question 25

what does OSHA regulate?

Answer 25

safety at the workplace

Question 26

what does HIPAA regulate?

Answer 26

patient privacy rights

Question 27

• enacted into response to growing concern about patient safety
• goal is to improve pt. safety by encouraging voluntary and confidential reporting of events that adversely affect patients.

Answer 27

patient safety and quality improvement act of 2005