L4 Outcome Measures

Question 1

Why do we use outcome measures?

Answer 1

Track patient progress
Justify visits to insurance
Screen for problems
Discriminate among impairments
Predict future events
Show value of PT
Research

Question 2

How to select correct outcome measure

Answer 2

Meets the needs of patient
valid
reliable
responseive to MDC and MCID

Question 3

Types of measures

Answer 3

Patient reported outcome emasures–> shows patient perspective, but relies on their ability to recall

Performance: high reliability

Question 4

Outcome measure frequency

Answer 4

Acute: daily or 2-3 days
IPR: once a week
OP: once a month
Home health: once a month

Question 5

Outcome measures for neuro individuals

Answer 5

Berg
FUnctional gait
Balance confidence
10 meter walk
6 min walk
5 times sit to stand

Question 6

What is EDGE?

Answer 6

Evidence database to guide effectiveness

systematically review measurement qualities of commonly used tools

Question 7

What ICF category do the Core measures fit into?

Answer 7

Activity

Question 8

Choose from the ____ set first and supplement with other relevant ____ after

Answer 8

CORE OUTCOME
EDGE

edge includes dynamic balance, gait speed, gait endurance, patient reported outcome measure, sit to stand transfer

Question 9

Select measures on needs vs goals?

Answer 9

Select outcome measures based on their GOALS and capacity to improve

Question 10

Standardization importance?

Answer 10

standardization helps to administer and score in the same way. Ensures reliability of the measure

Question 11

Should you measure a patient that won’t do well on a test?

Answer 11

YES
it is important to assess baseline in acute and post acute even if they score a 0

low scores are useful in those with capacity for change

Question 12

Patient doesn’t want to do outcome measure…

Answer 12

Educate that measurement helps us to make decisions, see the progress, allows patient to tell family how they are doing

create things like set benchmarks or days for patient to ge ttested

as the PT, be selective and choose the ones that are the most importatn

Question 13

Writing Goals for neuro injuries

Answer 13

write for the current episode of care. Create goals that are attainable for NOW

Acute–short 1-2 days, Long 7-10 days
Sub acute–S 1 week, L 3-4 wks
OP: S 1 month, L 6-12 mo

Question 14

Goals should

Answer 14

1. address identified activity and participation limitations
2. Address goals of patient
3. Consider capacity for recovery
4. Be SMART

Question 15

Patient Specific Functional Scale

Answer 15

uses performance of an activity to measure success. Amount of assistance, distance, quality, etc are examples

It allows pt to select the activity they want to imporve
broadesn the types of activities that can be selected for POC

Question 16

Capacity vs Participation

Answer 16

Improvements in activity measured in the clinic do not translate into improvements in activity in daily activities outside of the clinc