We thank Drs. Strasser, Falconer, and Uomoto for their letter regarding our articles,
1
,
2
and value the conversation regarding quality of care indicators for rehabilitation
care. We agree that the methods to implement care, which meet these quality standards,
are all important. All medical care is delivered by teams, and the way teams function
can dramatically affect the quality of care seen by patients and their families. The
indicators developed by the National Expert Panel for the Development of Pediatric
Rehabilitation Quality Care Indicators serve as a starting point to assess whether
the team of providers for the inpatient rehabilitation of children with traumatic
brain injuries is following evidence-based practices. We agree that hospital culture
and team function are important factors in the rehabilitation experience and may impact
functional outcomes. The work of Strasser and colleagues has shown that the methods
in which teams function are all important in achieving those goals.To read this article in full you will need to make a payment
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References
- Quality of care indicators for the rehabilitation of children with traumatic brain injury.Arch Phys Med Rehabil. 2012; 93: 381-385
- Quality of care indicators for the structure and organization of inpatient rehabilitation care of children with traumatic brain injury.Arch Phys Med Rehabil. 2012; 93: 386-393
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© 2012 American Congress of Rehabilitation Medicine. Published by Elsevier Inc. All rights reserved.
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- 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.
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