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Feasibility of Collecting Patient-Reported Outcomes for Inpatient Rehabilitation Quality Reporting
Allen Walter Heinemann1,2, Anne Deutsch1,2, David Cella3
1Center for Rehabilitation Outcomes Research, Shirley Ryan AbilityLab, Chicago, IL.
Collecting patient-reported outcomes (PROs) in rehabilitation is feasible, with most patients completing surveys independently. Monetary incentives did not significantly impact post-discharge completion rates.
Area of Science:
- Rehabilitation Medicine
- Health Services Research
- Patient Outcomes
Background:
- Patient-reported outcomes (PROs) are crucial for evaluating rehabilitation quality.
- Assessing the feasibility and burden of PRO collection in inpatient settings is essential for implementation.
Purpose of the Study:
- To evaluate the willingness and ability of rehabilitation inpatients to complete PROs.
- To determine the burden of PRO completion on both patients and healthcare staff.
- To inform policy regarding the use of PRO data in rehabilitation quality assessment.
Main Methods:
- Study conducted in two inpatient rehabilitation facilities.
- Patients with neurological disorders were randomized to receive a monetary incentive during or after their stay.
- PROs were collected via tablet or paper, with follow-up surveys administered one month post-discharge.
Main Results:
- Out of 1,055 admissions, 74% were eligible, and 51% of eligible patients completed the survey.
- Most patients completed surveys without assistance.
- Incentive timing did not affect post-discharge completion rates.
- Half of the 285 follow-up respondents required at least two reminder calls.
Conclusions:
- Collecting PROs from rehabilitation inpatients is feasible.
- Findings support the use of PRO data for evaluating the quality of rehabilitation services.
- Strategies may be needed to optimize follow-up completion rates.
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