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Rehab MATRIX: Content Validity of a Nursing-Led Patient Assignment Algorithm.

Nneka L Ifejika1, Munachi N Okpala2, Hope A Moser3

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Rehab MATRIX is a nursing-led tool that equitably assigns patients based on acuity, addressing care inequities. This approach ensures fair patient distribution, aiming to improve nursing satisfaction and reduce burnout.

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Area of Science:

  • Nursing Care Quality
  • Healthcare Management
  • Patient Assignment Systems

Background:

  • Standardization in patient assignment is crucial for equitable healthcare delivery.
  • Lack of standardized tools can lead to inequities in nursing care.
  • Rehab MATRIX was developed to address these standardization gaps.

Purpose of the Study:

  • To introduce Rehab MATRIX, a nursing-led tool for equitable patient assignment.
  • To identify key medical interventions influencing nursing care effort.
  • To establish a standardized method for patient allocation in an inpatient rehabilitation facility.

Main Methods:

  • Focus groups of 19 registered nurses and 8 patient care assistants identified nursing effort variables.
  • A 24-bed inpatient rehabilitation facility (IRF) served as the study setting.
  • The Rehab MATRIX tool utilized 13 acuity variables for patient categorization (red, yellow, green).

Main Results:

  • Rehab MATRIX objectively assigned patients based on acuity levels (red, yellow, green).
  • Nursing staff received an equitable distribution of patients across acuity levels per shift.
  • The tool was implemented during nursing report for new admissions.

Conclusions:

  • Nursing staff developed Rehab MATRIX, an equitable patient assignment tool reflecting nursing effort.
  • The tool ensures quality care by standardizing patient allocation.
  • Implementation at a wide-ranging IRF demonstrated its practical utility.