Core Outcome Measures: Score Interpretation and Continuum Use
The CPG “A Core Set of Outcome Measures for Adults with Neurologic Conditions Undergoing Rehabilitation” includes nine action statements. This module review three of the action statements related to patient-stated goals, use of the core set across the continuum, and collaborative decision making. Application of the measures will be demonstrated through a patient case from acute care through home health and outpatient therapies. This case highlights some key skills including interpretation of the scores on the core measures, assessing progress across the continuum, using some important tools to assist in the process.
1. Discuss both the total score and parts of a measure with a patient.
2. State the importance of monitoring changes over time using the core set and how this applies across the continuum of care.
3 .Explain how the measure score can relate to patient-stated goals.
Course Launched June 2020
Dr. Megan Eikenberry, PT, DPT is a Board Certified Neurological Clinical Specialist and an Assistant Professor of Physical Therapy at Midwestern University in Glendale, Arizona. Dr. Eikenberry received her Doctorate of Physical Therapy degree from Bellarmine University in 2007. Prior to transitioning into full time academia, she worked primarily in the acute rehabilitation setting and served as a mentor and instructor in the Mayo Clinic Geriatric Residency Program. Her teaching responsibilities within the DPT program include coordination of neuromuscular rehabilitation courses and acute care rehabilitation. She continues to consult clinically in the inpatient hospital setting at Mayo Clinic in Arizona. She is actively engaged in clinical-based research and quality improvement initiatives examining interprofessional collaborative practice and the utilization of outcome measures of individuals with neurological disorders in the inpatient practice settings.
PT, DPT, MSCI
Dr. Marghuretta Bland PT, DPT, MSCI is a Board Certified Neurologic Clinical Specialist and an Associate Professor of Physical Therapy, Neurology, and Occupational Therapy at Washington University School of Medicine. Within her current faculty position she is actively engaged in clinical research focused on stroke rehabilitation and therapist delivery of care. She is the Course Master for the Diagnosis and Management of Neuromuscular Conditions course within the DPT program. In addition to her teaching responsibilities within the Program in Physical Therapy, she provides skilled physical therapy services in both inpatient and outpatient settings, and is actively involved in research. In 2016, Dr. Bland received the Academy of Neurologic Physical Therapy Emerging Leader Award. She is currently the Chair of the Neurologic Specialty Council and is Co-Chair of the Knowledge Translation Task Force for the Core Set of outcome measures Clinical Practice Guideline.
PT, DPT, NCS
Geneviève Olivier, PT, DPT is a Board Certified Neurologic Clinical Specialist and a doctoral candidate at the University of Utah. She earned her DPT from Boston University in 2009, graduated from the TIRR Memorial Hermann Neurologic PT Residency program in 2012, and matriculated as a PhD student in Rehabilition Sciences in 2013. Her doctoral studies and research focus on motor learning in aging and neurologically-involved populations. Dr. Olivier has worked clinically across the entire neurologic continuum of care, including acute care, inpatient rehab, outpatient rehab, outpatient communitiy reintegration, home- and community-based community reintegration, and wellness. As a clinician, she is passionate about measuring and optimizing patient outcomes.
Elizabeth "Libby" Anderl
Elizabeth “Libby” Anderl is a Board-Certified Neurologic Clinical Specialist and a full-time physical therapist at TIRR Memorial Hermann in Houston, Texas, where she specializes in inpatient brain injury and stroke rehabilitation. She graduated from the Krannert School of Physical Therapy at the University of Indianapolis in 2015 and completed the TIRR Memorial Hermann Neurologic Physical Therapy Residency Program in 2016. In addition to her responsibilities as a clinician, Libby is actively involved in program development for TIRR’s Disorders of Consciousness and Neurobehavioral programs, clinical education, and pro bono services with RSVP Texas. She is currently serving on the Specialization Academy of Content Experts (SACE) as an item writer for the neurologic certification examination and as a member of the Knowledge Translation Task Force for the Core Set of Outcome Measures Clinical Practice Guideline.
Arlene McCarthy, a Board Certified Clinical Specialist in Neurologic PT, is currently the director of the Kaiser Permanente(KP) Neurologic Physical Therapy Residency and serves as an Associate Professor at UCSF/SFSU Department of Physical Therapy and Rehabilitation Science. She has extensive experience in neurologic physical therapy practice, leadership, education, management, and clinical research. She has had a continuing leadership role in the redesign process within KP and is currently a member of the Core Outcome Measure CPG Knowledge Translation Task force for the Academy of Neurologic Physical Therapy. Dr. McCarthy has presented locally and nationally.
Dr. Romney is an Assistant Professor in the Department of Physical Therapy and Human Movement Science at Sacred Heart University, Fairfield, CT. She teaches courses on physical therapy examination and treatment of patients with neurological disease and dysfunction and medically complex issues. She has clinical experience in acute rehabilitation and outpatient neurological rehabilitation. In 2010, she became a neurological certified specialist (NCS) by the American Board of Physical Therapy Specialists. She continues to practice at Gaylord Specialty Care in Wallingford, CT and treats patients on a as needed basis at SHU. Dr. Romney earned her PhD from Rutgers University and her thesis work focused on knowledge translation and improving the use of outcome measures in practice. She was a co-chair of the programming committee for the CT APTA, a member of the SCI EDGE work group and Knowledge Translation Taskforce for the Outcome Measure CPG for the Academy of Neurologic Physical Therapy.
Dr. Amelia Siles, PT, DPT is a Board Certified Neurologic Clinical Specialist and a Clinical Assistant Professor at The Ohio State University, Division of Physical Therapy. She teaches coursework in neurologic physical therapy, assists in administering the clinical education program, and a teaching coordinator in the neurologic residency. She is also staff PT at Dodd Rehabilitation Hospital at The OSU Wexner Medical Center. Dr. Siles’ research interests center on implementation initiatives at the hospital, with a focus on standardizing outcome measure use across the continuum. She collaborates with leaders in the academic medical center with the vision to build a health system of learning. She is involved in Academy of Neurologic PT within the Stroke SIG and is the Co-Chair of the Knowledge Translation Task Force for the Core Set of Outcome Measures Clinical Practice Guideline.
Hallie Zeleznik is the Director of Strategic Initiatives and Professional Development for UPMC Centers for Rehab Services in Pittsburgh, PA. She is a Board-Certified Neurologic Clinical Specialist. She previously held the positions of Assistant Director of the Outpatient Neurologic/Vestibular Program for UPMC Centers for Rehab Services and Team Leader of the Inpatient Brain Injury Rehabilitation Program at UPMC Rehabilitation Institute. Hallie has 18 years of clinical experience with specific expertise in brain injury, stroke, vestibular, concussion and post-intensive care syndrome rehabilitation. Her professional roles involve clinical practice, program and quality improvement, leadership, and mentoring/teaching. She serves as a faculty member for UPMC Centers for Rehab Service’s Neurologic Residency Program and is both a Clinical and an Adjunct Faculty member in the University of Pittsburgh Department of Physical Therapy. Hallie is a committee member of the Academy of Neurologic Physical Therapy's Knowledge Translation Taskforce addressing the Clinical Practice Guideline: A Core Set of Outcome Measures for Adults with Neurologic Conditions Undergoing Physical Therapy. She is also currently serving a 4-year term on the American Board of Physical Therapy Specialties' Neurologic Specialty Council.
PT, MPH, EdD, NCS
Dr. Tracy Rice, PT, MPH, EdD is a Board Certified Neurologic Clinical Specialist and an Associate Professor at West Virginia University, Division of Physical Therapy. She teaches coursework in neurologic physical therapy, is the curriculum committee chair and assists in the program admissions process. She also provides services in the WVU PT/OT Faculty Practice Clinic. She has research interests in the areas of vestibular rehabilitation, traumatic brain injury and on implementation initiatives with a focus on standardizing outcome measure use across the continuum of care. Dr. Rice earned her EdD in Educational Psychology from West Virginia University and her dissertation work focused on concussion knowledge and awareness. She is involved in the Academy of Neurologic Physical Therapy as a member of the Vestibular Edge Taskforce and as a member of the Knowledge Translation Task Force for the Core Set of Outcome Measures Clinical Practice Guideline.
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