Module 1: Outcome Measures

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individual barriers to using outcome measures 1. ____: to search, administer, score, interpret 2. ____: to select, interpret 3. ____: too few, to many, difficult to set up, equipment required, unclear instructions, difficult to interpret 4. ____: education, routine, experience 5. ____: belief that outcome measures are unnecessary, skepticism, overwhelmed

1. time 2. knowledge 3. resources 4. competence 5. attitude

organizational barriers to using outcome measures: 1. ____: investment required, no compensation 2. ____: lack of; poor adherence/compliance 3. ____: congruence/conflict at micro and macro levels 4. ____: no guidance from professional or advocacy groups

1. time and cost 2. policy 3. culture 4. lack of consensus

vital signs: normal respiration (breaths per min)

12-18 breaths per min

vital signs: normal pulse (bpm)

60-100 bpm

vital signs: normal blood pressure (mmHg)

90/60 mmHg to 120/80 mmHg

vital signs: normal oxygen saturation (%)

95-100%

vital signs: normal body temperature (F)

97.8-99.1 F, with an average of 98.6 F

refers to the minimum amount of change, outside of error, that reflects the true change by a client between two time points (other than a variation in measurement)

The Minimal Detectable Change (MDC)

Clinical Utility includes which of the following considerations? a. Ensuring consistency with measurement administration b. Time required to train clinical staff to use the measure c. Ease of compatibility of electronic medical record d. Financial implications

a, b, & d

Which of the following is an example of a performance-based outcome measure? a. Mini Mental State Examination (MMSE) b. The Community Participation Indicators (CPI) c. Stroke Specific Quality of Life Scale (SS-QOL) d. Disabilities of the Arm, Shoulder, and Hand (DASH)

a. Mini Mental State Examination (MMSE)

Which of the following is NOT a proposed barrier of using outcome measures? a. Patients unwillingness to participate in outcome measure administration b. Limited time to administer, score, and interpret the outcome measure c. Clinic culture that doesn't promote the use of outcome measures Lack of competence in administering the outcome measure

a. Patients unwillingness to participate in outcome measure administration

Which of the following is NOT a benefit of using outcome measures? a. They assist clinical directors in determining patient satisfaction with OT services b. They assist OT's in making clinical decisions (i.e. continue treatment vs. readiness vs for d/c). c. They assist patients in understanding their progress and facilitate engagement d. They assist insurers in making claim decisions

a. They assist clinical directors in determining patient satisfaction with OT services

Which of the following is not a primary purpose for measuring patient characteristics using a standardized outcome measure? a. allows us to collect data for research purposes whether or not the patient provides written consent b. tracks patient progress over time c. informs insurance companies of patient progress and justifies reimbursement for ongoing treatment d. establishes a patient's baseline

a. allows us to collect data for research purposes whether or not the patient provides written consent

Which of the following is an example of a patient-reported outcomes (PRO) measure? a. Executive Function Performance Test (EFPT) b. Activities Balance Confidence (ABC) scale c. Dynamic Gait Index (DGI) d. Berg Balance Scale (BBS)

b. Activities Balance Confidence (ABC) scale

Outcome measures are "intended to quantify a patient's performance or health status based on standardized evaluation protocols or closed-ended questions". Which of the following is NOT an example of an outcome measure? a. FIM b. Occupational Profile c. Goniometric Measurement d. Quality of Life Scale

b. Occupational Profile

In the ICF's "Activities and Participation", what area is an OT most likely to address through an outcome measure when working in an inpatient setting? a. Interpersonal Interactions and Relationships b. Self-Care c. Communication d. Community, Social, and Civic Life

b. Self-Care

Which of the following is NOT an actual outcome measure database publicly available online? a. NIH PROMIS b. NIH Toolbox c. Therapy Measures Database d. Stroke Engine

c. Therapy Measures Database

Client-reported (interview-based) or performance-based: Activities Specific Balance Confidence (ABC) Scale