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Use of Outcomes Information in Acute Inpatient Rehabilitation

Beatty, Phillip W., MA; Neri, Melinda T., BA; Bell, Kianda, BA; DeJong, Gerben, PhD

American Journal of Physical Medicine & Rehabilitation: June 2004 - Volume 83 - Issue 6 - p 468-478
Research Survey: Outcomes
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Beatty PW, Neri MT, Bell K, DeJong G: Use of outcomes information in acute inpatient rehabilitation. Am J Phys Med Rehabil 2004;83:468–478.

Objective: To describe the ways in which rehabilitation outcomes information is used in the acute inpatient rehabilitation industry and the industry's views on the topic of public disclosure of rehabilitation outcomes information.

Design: A mixed-methods approach, featuring data from 39 informational telephone interviews with rehabilitation industry stakeholders followed by a survey of 95 randomly sampled acute inpatient rehabilitation provider organizations.

Results: Both the informational interviews and survey findings revealed that there is currently little stakeholder demand for functional outcomes information. Outcomes information is primarily used within provider organizations to track the effectiveness of rehabilitation services. There is general consensus among rehabilitation provider organizations in favor of public disclosure of outcomes information.

Conclusions: Outcomes information is not routinely shared with rehabilitation stakeholders (i.e., payers and consumers). Rehabilitation providers and industry stakeholders generally express favorable attitudes toward public disclosure of outcomes information. Stakeholders' perceptions of current barriers and facilitators of outcomes information provide insight into the steps that can be taken toward greater transparency in the rehabilitation industry.

From the National Institute on Disability and Rehabilitation Research, U.S. Department of Education, Washington, DC (PWB); the National Rehabilitation Hospital Center for Health and Disability Research, Washington, DC (MTN, KB); and the Brooks Center for Rehabilitation Studies, Department of Health Services Administration, College of Health Professions, University of Florida, Gainesville, Florida (GD).

Disclosures:

Supported, in part, by a grant from the National Institute on Disability and Rehabilitation Research: Rehabilitation Research and Training Center on Measuring Rehabilitation Outcomes, grant H133B990005.

These contents do not necessarily represent the policy of the Department of Education, and no endorsement by the Federal government should be assumed.

This article was written while the primary author (P. W. Beatty) was employed with the National Rehabilitation Hospital Center for Health and Disability Research.

FIM™ is a trademark of the Uniform Data System for Medical Rehabilitation, a division of UB Foundation Activities, Inc.

Correspondence:

All correspondence and requests for reprints should be addressed to Melinda T. Neri, BA, National Rehabilitation Hospital Center for Health and Disability Research, 1016 16th Street NW, Suite 400, Washington, DC 20036-5750.

© 2004 Lippincott Williams & Wilkins, Inc.