Related Literature
Jette A, Haley S, Tao W, Ni P, Meyers D, Zurek M. Prospective evaluation of the AM-PAC-CAT in outpatient rehabilitation settings. Phys Ther. 2007; 87(4):385-398. The purpose of this study was to prospectively evaluate the practical and psychometric adequacy of the Activity Measure for Post-Acute Care (AM-PAC) "item bank" and computerized adaptive testing (CAT) assessment platform (AM-PAC-CAT) when applied within orthopedic outpatient physical therapy settings.
Jette A, Haley S. Contemporary measurement techniques for rehabilitation outcome assessment. J Rehab Med. 2005; 37(6):339-345. In this article, we review the limitations of traditional rehabilitation functional outcome instruments currently in use within the rehabilitation field to assess Activity and Participation domains as defined by the International Classification of Function, Disability, and Health. These include a narrow scope of functional outcomes, data incompatibility across instruments, and the precision vs feasibility dilemma. Following this, we illustrate how contemporary measurement techniques, such as item response theory methods combined with computer adaptive testing methodology, can be applied in rehabilitation to design functional outcome instruments that are comprehensive in scope, accurate, allow for compatibility across instruments, and are sensitive to clinically important change without sacrificing their feasibility. Finally, we present some of the pressing challenges that need to be overcome to provide effective dissemination and training assistance to ensure that current and future generations of rehabilitation professionals are familiar with and skilled in the application of contemporary outcomes measurement.
Jette A, Tao W, Haley S. Blending activity and participation sub-domains of the ICF. Disabil Rehabil. 2007; 29(22):1742-1750. The objective of the study was to test the supposition that distinct Activity and Participation sub-domains of the International Classification of Functioning, Disability, and Health (ICF) could be identified using physical function questionnaire items drawn from the Activity and Participation Measures for Post Acute Care.
Jette A, Tao W, Norweg A, Haley S. Interpreting rehabilitation outcome measurements. J Rehabil Med. 2007; 39(8):585-90. With the increased use of standardized outcome instruments in rehabilitation, questions frequently arise as to how to interpret the scores that are derived from these standardized outcome instruments. This article uses examples drawn from the Activity Measure for Post Acute Care to illustrate 4 different data analysis and presentation strategies that can be used to yield meaningful outcome data for use in rehabilitation research and practice.
Jette AM, Haley SM, Ni P, Moed R. Toward functional outcome assessment across post-acute care settings. Am J Phys Med Rehabil. In press, 2008. Abstract not available
Jette AM, Haley SM, Ni P, Moed R. Adaptive short-forms for outpatient rehabilitation outcome assessment. Am J Phys Med Rehabil. 2008; 87(10):842-52. To develop outpatient Adaptive Short Forms for the Activity Measure for Post-Acute Care item bank for use in outpatient therapy settings.
Jette AM, Haley SM. Achieving Uniformity in Functional Status Monitoring across PAC Settings. Centers for Medicare and Medicaid. 2006. Abstract not available .
Jette AM, Haley SM. Longitudinal outcome monitoring across Post-acute care (PAC) settings. In: Uniform Patient Assessment for Post-acute Care. Final Report. Division of Health Care Policy and Research, University of Colorado , 2006, p 100-120. The purpose of this chapter is to introduce the reader to contemporary methods for developing and evaluating outcomes measures which, we believe, provide the CMS with a methodology that can be implemented to track outcomes and quality of care provided across entire episodes of PAC. In the first section of this chapter we will summarize the major limitations in traditional methodology for assessing health outcomes. We will then briefly introduce contemporary measurement concepts of Item Response Theory (IRT) and Computer Adaptive Testing (CAT) methods as alternatives to the traditional approaches used to assess and monitor PAC outcomes. Finally, we will explain how contemporary techniques for measuring outcomes can be used as a strategy to achieve episode-wide assessment in PAC and discuss some recommendations to CMS for implementing episode-wide outcomes assessment and monitoring in PAC.