| Grading: an annotated "pen and paper" approach to multidimensional case-mix-adjusted continuous quality improvement. | |
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MedLine Citation:
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PMID: 20826414 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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In this article, we present a simple multidimensional approach to case-mix adjustment that can be used without sophisticated statistical or computer programs. The objectives are to synthesize and offer examples of practical applications of the principles provided in the other articles in this issue of Topics in Stroke Rehabilitation. Combining case-mix adjustment concepts presented by Berlowitz and coworkers with the educate, execute, and evaluate process presented by Needham and coworkers, the approach applies functional grading to show how to evaluate the impact on patient outcomes after major changes in the structural characteristics of an integrated rehabilitation program within a large hospital-based health system. The example is based on the vignette, Maintaining Functional Outcomes in Times of Change, which appears in the article, "Unraveling the Conundrum of Quality" in this issue. |
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Authors:
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Margaret G Stineman; Jeremy Charles; Jibby E Kurichi |
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Publication Detail:
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Type: Journal Article; Research Support, U.S. Gov't, P.H.S. |
Journal Detail:
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Title: Topics in stroke rehabilitation Volume: 17 ISSN: 1074-9357 ISO Abbreviation: Top Stroke Rehabil Publication Date: 2010 Jul-Aug |
Date Detail:
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Created Date: 2010-09-09 Completed Date: 2010-12-16 Revised Date: - |
Medline Journal Info:
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Nlm Unique ID: 9439750 Medline TA: Top Stroke Rehabil Country: United States |
Other Details:
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Languages: eng Pagination: 262-70 Citation Subset: IM |
Affiliation:
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Physical Medicine and Rehabilitation and Epidemiology, University of Pennsylvania, Philadelphia, PA, USA. |
Export Citation:
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| MeSH Terms | |
Descriptor/Qualifier:
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Activities of Daily Living Diagnosis-Related Groups* Humans Models, Statistical Outcome Assessment (Health Care)* Quality Improvement* / statistics & numerical data Risk Adjustment / methods* Stroke / rehabilitation* |
| Grant Support | |
ID/Acronym/Agency:
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1-R01 HS-018540-01/HS/AHRQ HHS |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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