EVALUATION & QUALITY CARE CONSORTIUM SCI-High Project Overview - - PowerPoint PPT Presentation

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Nov 25, 2023 276 likes •525 views

SCI IMPLEMENTATION EVALUATION & QUALITY CARE CONSORTIUM SCI-High Project Overview Objectives Review the SCI-High Mission and Aim Demonstrate national stakeholder engagement throughout our processes Share an overview of the

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EVALUATION & QUALITY

SCI IMPLEMENTATION CARE CONSORTIUM

SCI-High Project Overview

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Objectives

Review the SCI-High Mission and Aim
Demonstrate national stakeholder engagement throughout
ur processes
Share an overview of the SCI-High project methodology

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Who Are We?

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Aim

To advance SCI rehabilitation care for Canadians in the first 18 months after inpatient rehabilitation admission by 2020.

18 Months

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Mission Statement

This will be accomplished through: Consultation with relevant stakeholders including Accreditation Canada, HSO, RHI, ONF, scientists, health policy makers, leaders, administrators, health care providers and consumers.

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Indicators

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STRUCTURE PROCESS OUTCOME

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Rank the domains of rehabilitation care – Based on the priority scores calculated (Step 1) of the Hanlon Method, and feasibility score (Step 2).

Final Score = Priority Score * Feasibility Score

Hanlon Method for Ranking Rehab Priorities

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Project Infrastructure

National Content Experts External Advisory Members Minimum Data Set Committee Toronto Rehab Quality Council Project Team

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National Content Experts Working Group Processes

Developed and/or refined constructs

(based on E-Scan derived domain constructs)

Aim: intention of achieving incremental

changes within a finite time

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Driver Diagram

Cause & Effect Analysis

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Synthesis of Outcomes, Psychometric Validity and Feasibility

Acronym Measurement Tool 10MWT 10-Meter Walk Test 6MWT 6-Minute Walk Test SCIM III Spinal Cord Independence Measure III (Mobility Subscale) mTUG Modified Timed Up & Go Test WISCI II Walking Index for Spinal Cord Injury II SCI-FAP Spinal Cord Injury Functional Ambulation Profile

List of walking outcome measures

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Domain Working Group A Domain Working Group C Domain Working Group B

National

Local Working Group A Domain Working Group C Domain Working Group B

Local

Project Leader Quality Council Member(s) Local Practice Leads Program Leadership Project Leader Quality Council Member(s) Local Practice Leads Program Leadership Project Leader Quality Council Member(s) Local Practice Leads Program Leadership

Body Structure & Function Activity Participation

National and Local Interactions

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Domains

Construct Fishbone Structure Process Outcome Piloting

Urohealth Cardiometabolic Health

Community Participation & Employment

Emotional Well-Being

Reaching, Grasping & Manipulation

Tissue Integrity Self-Management Sexual Health Urinary Tract Infection Walking Wheeled Mobility

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Stakeholder Consultation Report 2017

How important is this construct for improving SCI rehabilitation care nationally? Is this construct sufficiently important to prioritize for immediate implementation?

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RANKING

Wiest MJ et al. SCI-High Project. 2017 Stakeholder Consultation Report 2017. Published at www.sci-high.ca

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Report Out Meeting Informing the First 6 Domains

Urinary Tract Infection Wheeled Mobility Emotional Well-Being Sexual Health Walking Tissue Integrity

37 Domains 17 Domains 11 Domains 6 Domains

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National Rehab Reporting System RHSCIR 3.0 Minimal Data Set Site-Specific Medical Records

Domain A Indicators Domain C Indicators Domain B Indicators

Minimum Data Set SCI-High Project Data Set

Minimal Data Set Domain-Specific Indicators