http://www.omicsonline.org/standardization-of-interdisciplinary-clinical-practice-and-assessment-in-2329-9096.1000166.pdf
Your medical team can read the complete 7 pages.
Carolyn L Kinney, Megan C
Eikenberry, Stephen F Noll, James Tompkins and Joseph Verheijde*
Department of Physical Medicine and
Rehabilitation, Mayo Clinic, 13400 E Shea Boulevard, Scottsdale, AZ, 85259, USA
*Corresponding author:
Joseph Verheijde, Department of
Physical Medicine and
Rehabilitation, Mayo Clinic, 13400 E Shea
Boulevard, Scottsdale, AZ, 85259, USA
Abstract
Medical practice has increasingly
focused on providing evidence-based interventions. We describe a process to
standardize the interdisciplinary
assessment of patients presenting for rehabilitation after stroke in a single
academic
medical center. Multiple assessment
tools and outcome measures were reviewed for validity, specificity for stroke
population, ease of administration,
and utility in research. Interdisciplinary participation in the review process
facilitated
compliance with new documentation
requirements. Measurements were incorporated into the electronic medical
record from which an
interdisciplinary database was developed for research applications. Clinically,
the electronic
medical record documentation is
accessible to all healthcare providers in our medical system. Objective data
from the
use of quantifiable outcome measures
facilitates clinical decision-making, more appropriate goal setting, and
provides
opportunities to optimize the value
of the care delivered. It creates opportunities for best practices in the
rehabilitation
of patients with stroke and
contributes to the provision of cost-effective patient care. Quantifiable
measures also result
in improved patient and caregiver
understanding of patient impairment and progress, and as we observed, increased
patient motivation in therapies.
From a research perspective, having an interdisciplinary database in place
enhances
opportunities for future
collaborative and integrated clinical studies. We posit that broad
implementation of the care
strategy outlined, and the database
resulting from it, will also facilitate multicenter clinical research
opportunities which
will ultimately benefit patients
with stroke.
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