UNIT 2: WK 3: Outcomes Flashcards
What does outcomes show us
Meaningful changes
Level of success
Appropriate to the case
Relate to the goals
Types of outcome measures
Self report: patient specific functional scale
Performance based: mmt, Goni
When do you look at outcomes?
Can be daily, but at re-Evals or termination/conclusion of care
Outcome measures should be _____, _____, ______.
reliable: internal consistency, reproducibility, agreement
valid: content, construct, criterion
responsiveness: minimal detectible change (how well it can detect change)
MDC - minimal detectible change
the amount of change that has to occur so i know its not accident/error
MCID
the amt of change that needs to occur to have meaningful clinical change
Global rating of change scale
VAS
single question that asks pt to rate change w respect to a particular condition over a specific period of time
GROC MDC and MDIC
MDC: .45
MDIC 2 points
- both on 11 pt scale
Numerical pain rating scale NPRS
rate pain from 1-10
shoulder pain MSIC 2.7
goal of home health
function in the home - for those who cant leave home
goal of OP
function within in community; ADLS and optimize function
Progress notes vs Daily note
progress note is looking at change over time
daily note just looks at one session
re-examination
process of performing selected tests, measures in order to evaluate progress and/or redirect interventions (updating POC)
When to document progress
- at end of POC
- if daily notes are indicating a change
- new clinical findings, new symptoms, issues
- anytime something can significantly impact the POC
- unanticipated change in progress (WB status, recent MI)
- facility requirements
insurance (3rd party payers)
content of progress note
- info previously addressed that they cant do
- reported levels of function or compliance to HEP
- interventions, tests, and measures that were previously performed
- goals (for reexam, not so much progress note)
- plan: any new interventions needed?
