Allen W Heinemann1,2, Stefania Fatone1,3, Sherri L LaVela1,4, Billie C S Slater5, Anne Deutsch1,2,6, Michelle Peterson7, Nicole T Soltys2, Vari McPherson2. 1. Department of Physical Medicine and Rehabilitation, Northwestern University, Chicago, Illinois, USA. 2. Center for Rehabilitation Outcomes Research, The Shirley Ryan Ability Lab, Chicago, Illinois, USA. 3. Prosthetics-Orthotics Center, Northwestern University, Chicago, Illinois, USA. 4. Department of Veterans Affairs, Center of Innovation for Complex Chronic Healthcare (CINCCH), Health Services Research & Development, Hines, Illinois, USA. 5. Minneapolis Adaptive Design and Engineering (MADE), Minneapolis VAHealth Care System, Minneapolis, Minnesota, USA. 6. RTI International, Chicago, Illinois, USA. 7. Physical Medicine and Rehabilitation Department, Polytrauma Rehabilitation Center, Minneapolis VA Health Care System, Minneapolis, Minnesota, USA.
Abstract
Purpose: To describe the priorities of orthotists and physical therapists about quality measurement themes, and the feasibility and utility of collecting data from persons using custom AFOs that could inform quality measure development.Materials and Methods: Online survey assessed respondents' perspectives and experiences. An Advisory Committee representing professional, organizational, and accreditor groups distributed survey invitations. Results: 461 orthotists and 153 physical therapists completed part or all of the survey; 60% rated 9 quality themes and 20 quality of care topics as extremely important, and 12 standard instruments as feasible and good to use for quality measurement. Patients were the preferred source of information for ease of scheduling, device weight, ease of donning and doffing, adherence to device use, beneficial effects, activity level and independence, and quality of life. Clinicians were the preferred source for material quality, device modifiability, and joint range of motion. Facility records were the preferred source for timeliness of device delivery and clinician follow-up. Respondents reported that gait speed and walking endurance were best obtained by patient performance.Conclusions: Results provide insight on the topics orthotists and physical therapists regard as priorities for defining healthcare quality for persons using custom ankle-foot orthoses and instruments for data collection.
Purpose: To describe the priorities of orthotists and physical therapists about quality measurement themes, and the feasibility and utility of collecting data from persons using custom AFOs that could inform quality measure development.Materials and Methods: Online survey assessed respondents' perspectives and experiences. An Advisory Committee representing professional, organizational, and accreditor groups distributed survey invitations. Results: 461 orthotists and 153 physical therapists completed part or all of the survey; 60% rated 9 quality themes and 20 quality of care topics as extremely important, and 12 standard instruments as feasible and good to use for quality measurement. Patients were the preferred source of information for ease of scheduling, device weight, ease of donning and doffing, adherence to device use, beneficial effects, activity level and independence, and quality of life. Clinicians were the preferred source for material quality, device modifiability, and joint range of motion. Facility records were the preferred source for timeliness of device delivery and clinician follow-up. Respondents reported that gait speed and walking endurance were best obtained by patient performance.Conclusions: Results provide insight on the topics orthotists and physical therapists regard as priorities for defining healthcare quality for persons using custom ankle-foot orthoses and instruments for data collection.
Entities:
Keywords:
assessment; orthotics; outcomes; policy and legislation
Authors: Ayisha Z Bashir; Danae M Dinkel; Iraklis I Pipinos; Jason M Johanning; Sara A Myers Journal: J Manipulative Physiol Ther Date: 2022-06-24 Impact factor: 1.300
Authors: Ayisha Z Bashir; Danae M Dinkel; Ganesh M Bapat; Holly Despiegelaere; Mahdi Hassan; Jason M Johanning; Iraklis I Pipinos; Sara A Myers Journal: Arch Rehabil Res Clin Transl Date: 2021-01-05