Abstract
Rivara FP, Ennis SK, Mangione-Smith R, MacKenzie EJ, Jaffe KM, and the National Expert
Panel for the Development of Pediatric Rehabilitation Quality Care Indicators. Quality
of care indicators for the rehabilitation of children with traumatic brain injury.
Objective
To develop measurement tools for assessing compliance with identifiable processes
of inpatient care for children with traumatic brain injury (TBI) that are reliable,
valid, and amenable to implementation.
Design
Literature review and expert panel using the RAND/UCLA Appropriateness Method and
a Delphi technique.
Setting
Not applicable.
Participants
Children with TBI.
Interventions
Not applicable.
Main Outcome Measure
Quality of care indicators.
Results
A total of 119 indicators were developed across the domains of general management;
family-centered care; cognitive-communication, speech, language, and swallowing impairments;
gross and fine motor skill impairments; neuropsychologic, social, and behavioral impairments;
school reentry; and community integration. There was a high degree of agreement on
these indicators as valid and feasible quality measures for children with TBI.
Conclusions
These indicators are an important step toward building a better base of evidence about
the effectiveness and efficiency of the components of acute inpatient rehabilitation
for pediatric patients with TBI.
Key Words
List of Abbreviations:
ADLs (activities of daily living), CARF (Commission on Accreditation of Rehabilitation Facilities), RAM (RAND/UCLA Appropriateness Method), TBI (traumatic brain injury)To read this article in full you will need to make a payment
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Article info
Publication history
Published online: January 27, 2012
Footnotes
Supported by the Eunice Kennedy Shriver National Institute of Child Health and Human Development (grant no. R21 HD059049-01A1).
No commercial party having a direct financial interest in the results of the research supporting this article has or will confer a benefit on the authors or on any organization with which the authors are associated.
Reprints are not available from the author.
Identification
Copyright
© 2012 American Congress of Rehabilitation Medicine. Published by Elsevier Inc. All rights reserved.
ScienceDirect
Access this article on ScienceDirectLinked Article
- Invited Commentary on Quality of Care Indicators for the Rehabilitation of Children With Traumatic Brain Injury, and Quality of Care Indicators for the Structure and Organization of Inpatient Rehabilitation Care of Children With Traumatic Brain InjuryArchives of Physical Medicine and RehabilitationVol. 93Issue 3
- PreviewWhyte J. Invited commentary on quality of care indicators for the rehabilitation of children with traumatic brain injury, and quality of care indicators for the structure and organization of inpatient rehabilitation care of children with traumatic brain injury. Measures of structure and process in health care have been shown to be associated with care outcomes in prior research. Two articles in this issue propose measures of structure and process that may be relevant to pediatric traumatic brain injury rehabilitation.
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- Preview
- Can Quality of Care Indicators Measure Quality of Care?Archives of Physical Medicine and RehabilitationVol. 93Issue 11
- PreviewWe found the recent articles1,2 and commentary3 on quality of care measures in pediatric traumatic brain injury (TBI) to be informative, thought-provoking, and yet somewhat disheartening. The work of the National Expert Panel for the Development of Pediatric Quality of Care Indicators strives to advance quality in pediatric TBI with designation of quality indicators and the demonstration of meaningful variations of adherence in a subset of indicators across rehabilitation units. The work offers a foundation to study quality in this population, and from such a platform, design and implement worthwhile quality improvement (QI) initiatives.
- Full-Text
- Preview
