Project

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Enhancing continuous quality improvement and supported clinical decision making by standardized reporting of functioning

English title Enhancing continuous quality improvement and supported clinical decision making by standardized reporting of functioning
Applicant Stucki Gerold
Number 167412
Funding scheme NRP 74 Smarter Health Care
Research institution Schweizer Paraplegiker-Forschung AG
Institution of higher education Swiss Paraplegic Research - SPF
Main discipline Rehabilitation
Start/End 01.04.2017 - 31.12.2022
Approved amount 428'202.00
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All Disciplines (2)

Discipline
Rehabilitation
Public Health and Health Services

Keywords (8)

psychometric methods; quality improvement; standards for health information; clinical decision support tools; outcome measures; Rehabilitation; ICF; functioning trajectories

Lay Summary (German)

Lead
Birgit Prodinger
Lay summary
The Lay Summaries have been finalized in correspondence with Manuela Oetterli via E-Mail and are published already online.
Direct link to Lay Summary Last update: 14.03.2017

Lay Summary (English)

Lead
Birgit Prodinger
Lay summary
 The lay summaries have been finalized in correspondence with Manuela Oetterli via E-Mail and are already published online.
Direct link to Lay Summary Last update: 14.03.2017

Responsible applicant and co-applicants

Employees

Publications

Publication
The potential of prediction models of functioning remains to be fully exploited: A scoping review in the field of spinal cord injury rehabilitation
Hodel Jsabel, Stucki Gerold, Prodinger Birgit (2021), The potential of prediction models of functioning remains to be fully exploited: A scoping review in the field of spinal cord injury rehabilitation, in Journal of Clinical Epidemiology, 139, 177-190.
Identification of Classes of Functioning Trajectories and Their Predictors in Individuals With Spinal Cord Injury Attending Initial Rehabilitation in Switzerland
Hodel Jsabel, Ehrmann Cristina, Scheel-Sailer Anke, Stucki Gerold, Bickenbach Jerome E., Prodinger Birgit (2021), Identification of Classes of Functioning Trajectories and Their Predictors in Individuals With Spinal Cord Injury Attending Initial Rehabilitation in Switzerland, in Archives of Rehabilitation Research and Clinical Translation, 3(2), 100121-100121.
Standardised Assessment and Reporting System for functioning information (StARS) - Erarbeitung einer Implementierungsagenda für ausgewählte Anwendungsbereiche im Schweizer Gesundheitssystem
Maritz Roxanne, Hodel Jsabel, Prodinger Birgit, Stucki Gerold (2021), Standardised Assessment and Reporting System for functioning information (StARS) - Erarbeitung einer Implementierungsagenda für ausgewählte Anwendungsbereiche im Schweizer Gesundheitssystem, Zenodo, Lucerne Open Repository.
Standardisiertes Assessment- und Berichterstattungs-System für Funktionsfähigkeit
Maritz Roxanne, Hodel Jsabel, Prodinger Birgit, Stucki Gerold (2021), Standardisiertes Assessment- und Berichterstattungs-System für Funktionsfähigkeit, in Primary and Hospital Care: Allgemeine Innere Medizin, 21(4), 118-120.
Creating a common metric based on existing activities of daily living tools to enable standardized reporting of functioning outcomes achieved during rehabilitation
MaritzRoxanne, TennantAlan, CarolinaFellinghauer, StuckiGerold, Prodinger Birgit (2020), Creating a common metric based on existing activities of daily living tools to enable standardized reporting of functioning outcomes achieved during rehabilitation, in Journal of Rehabilitaion Medicine, 52(7), jrm00085.
The influence and added value of a Standardized Assessment and Reporting System for functioning outcomes upon national rehabilitation quality reports
Maritz Roxanne, Ehrmann Cristina, Prodinger Birgit, Tennant Alan, Stucki Gerold (2020), The influence and added value of a Standardized Assessment and Reporting System for functioning outcomes upon national rehabilitation quality reports, in International Journal for Quality in Health Care, 32(6), 379-387.
Examining the complexity of functioning in persons with spinal cord injury attending first rehabilitation in Switzerland using structural equation modelling
Hodel Jsabel, Ehrmann Cristina, Stucki Gerold, Bickenbach Jerome E., Prodinger Birgit (2020), Examining the complexity of functioning in persons with spinal cord injury attending first rehabilitation in Switzerland using structural equation modelling, in Spinal Cord, 58(5), 570-580.
The Extended Barthel Index (EBI) can Be Reported as a Unidimensional Interval-Scaled Metric – A Psychometric Study
Maritz Roxanne, Tennant Alan, Fellinghauer Carolina, Stucki Gerold, Prodinger Birgit (2019), The Extended Barthel Index (EBI) can Be Reported as a Unidimensional Interval-Scaled Metric – A Psychometric Study, in Physikalische Medizin, Rehabilitationsmedizin, Kurortmedizin, eFirst, 1-7.
The Functional Independence Measure 18-item version can be reported as a unidimensional interval-scaled metric: Internal construct validity revisited
Maritz Roxanne, Tennant Alan, Fellinghauer Carolina, Stucki Gerold (2019), The Functional Independence Measure 18-item version can be reported as a unidimensional interval-scaled metric: Internal construct validity revisited, in Journal of Rehabilitaion Medicine, 13(51), 194-201.
The inconsistent ethical oversight of health care quality data in Switzerland
McLennan Stuart, Maritz Roxanne, Shaw David, Elger Bernice Simone (2018), The inconsistent ethical oversight of health care quality data in Switzerland, in Swiss Medical Weekly, w14637.

Scientific events

Active participation

Title Type of contribution Title of article or contribution Date Place Persons involved
Kooperationskongress Smarter Reha Poster NFP74 StARS Projekt: Standardisiertes Assessment- & Berichterstattungs- System für Funktionsfähigkeit 06.05.2021 Online, Switzerland Maritz Roxanne; Stucki Gerold; Prodinger Birgit; Hodel Jsabel;
Swiss Public Health Conference 2020 «From Evidence to Public Health Policy and Practice» Talk given at a conference “No Data No Improvement” – How data collection and integration can support quality of care in Switzerland 02.09.2020 Online, Switzerland Stucki Gerold;
International Spinal Cord Society (ISCoS) Annual Scientific Meeting Poster Functioning trajectories in persons undergoing first rehabilitation after spinal cord injury in Switzerland 06.11.2019 Nizza, France Stucki Gerold; Hodel Jsabel; Prodinger Birgit;
Global Evidence and Implementation Society (GEIS) Summit Poster Developing and implementing standardised reporting in Swiss rehabilitation quality reporting trough a stakeholder dialogue 22.10.2018 Melbourne, Australia Maritz Roxanne;
International Society of Physical and Rehabilitation Medicine (ISPRM) World Congress Poster Examining the complexity of functioning in persons with Spinal Cord Injury attending first rehabilitation in Switzerland: Preliminary Results 08.07.2018 Paris, France Prodinger Birgit; Stucki Gerold; Hodel Jsabel;
International Society of Physical and Rehabilitation Medicine (ISPRM) World Congress Poster Enhancing national rehabilitation quality development through standardised reporting of functioning in Switzerland by interval-scaling, regression modelling and stakeholder dialogue 08.07.2018 Paris, France Stucki Gerold; Prodinger Birgit; Maritz Roxanne;
Wennberg International Collaborative Spring Policy Meeting Talk given at a conference StARS - Standardized Reporting System of Functioning Information 12.04.2018 Zürich, Switzerland Hodel Jsabel; Maritz Roxanne;
WHO-FIC (WHO Family of International Classifications) Meeting Poster ICF INFO–Its application to the Swiss national rehabilitation quality management 16.10.2017 Mexico City, Mexico Prodinger Birgit; Maritz Roxanne; Hodel Jsabel; Stucki Gerold;


Self-organised

Title Date Place
EHCL Expert Visitor Grant Programme "Trusted evidence - Informed decisions - Better health - Cochrane Strategy to 2020" 29.08.2019 Nottwil, Switzerland

Knowledge transfer events

Active participation

Title Type of contribution Date Place Persons involved
ANQ Q Day Talk 18.01.2018 Bern, Switzerland Maritz Roxanne;


Self-organised

Title Date Place
NFP74 StARS Abschlussveranstaltung (online) 26.03.2021 Universität Luzern, Switzerland
NFP74 StARS Stakeholder Dialog 25.11.2019 Universität Luzern, Switzerland
NFP74 StARS Advisory Board Meeting 28.06.2019 Luzern, Switzerland

Communication with the public

Communication Title Media Place Year
New media (web, blogs, podcasts, news feeds etc.) Erfolgreiche Abschlussveranstaltung Website der Schweizer Paraplegiker-Forschung German-speaking Switzerland 2021

Abstract

Background: Health care services and systems aim to allocate resources in a transparent manner to optimize health of individuals and populations. Functioning is the primary outcome for people with chronic health conditions where cure is not achievable. Currently functioning outcomes are collected with a variety of instruments, including clinical tests and patient-reported outcome measures which can be both generic and disease-specific. However, unless standards for reporting the data are in place, data derived from various instruments has only applicability within the individual clinical encounter, but cannot be aggregated within and across institutions, thus, lacks comparability. Consequently, there is a need for a standardized reporting system to ensure that functioning information can be aggregated and compared, and thus, made available for decision making at individual, institutional and national levels. Once such a system is developed, it must be made available to various stakeholders to inform future decision making. Such a cycle contributes to a learning health system whereby outcome measurements of functioning become available for continuous improvement and innovation within health care services. Two immediate application areas are quality improvement at the institutional level, and clinical decision making at the individual level. Objective: The overall objective of this proposal is to develop strategies for implementing a multi-purpose standardised reporting system for functioning information in quality improvement (Part A) and clinical decision making (Part B) in rehabilitation services by integrating innovative statistical methods and the perspectives of relevant stakeholders.Methods: This study consists of two parts. In Part A, we build upon the existing data collected for quality measurement in Switzerland to derive a harmonized data set irrespective of the instruments used to collect functioning information based on a conceptually and psychometrically-sound system for standardized reporting of functioning outcomes. Subsequently, change in functioning status within and across health condition groups, as well as its determinants, throughout the rehabilitation process will be identified. The results will then be presented to relevant national stakeholders by conducting Stakeholder Dialogues to develop strategies of how such a system can be utilized for quality improvement in the future. In Part B, we draw upon the SwiSCI Clinical Cohort to develop functioning trajectories to serve as the foundation for a clinical decision support tool. Subsequently, health professionals and patients will be invited to focus groups to specify the aspects of a prototype for such tool to be used in rehabilitation. For both projects psychometric methods will be used to develop standardized reporting, and statistical methods to derive functioning trajectories.Expected benefit and possible application of results: This project will contribute to challenges with important implications for health services research and practice. First, this project recognizes that functioning is primary health outcome in rehabilitation care for people with chronic health conditions. Secondly, the standardized reporting system enables clinicians to maintain their existing data collection practice, while at the same time being able to aggregate and compare information. Thirdly, this project builds upon a framework of a learning system, with particular emphasis transparency and stakeholder engagement. A multi-channel dissemination strategy will be deployed to realize the wider application of the results of this project.
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