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HEALTH TRANSITIONS AND THE AGING POPULATION: A FRAMEWORK TO MEASURE THE VALUE OF RAPID REHABILITATION
Title
HEALTH TRANSITIONS AND THE AGING POPULATION: A FRAMEWORK TO MEASURE THE VALUE OF RAPID REHABILITATION.
Creator
Ross, Dianne, Liberman, Aaron, University of Central Florida
Abstract / Description
Healthcare services for the aging population in the United States are a complex configuration of acute healthcare organizations, and post acute nursing facilities, home healthcare, and community based services. The system encompasses all services that imply the need for clinical, medical, or professional judgment (Baldrige National Quality Program, 2006). Most Americans believe the system exists to provide preventive services, management for chronic conditions, and health care services to...
Show moreHealthcare services for the aging population in the United States are a complex configuration of acute healthcare organizations, and post acute nursing facilities, home healthcare, and community based services. The system encompasses all services that imply the need for clinical, medical, or professional judgment (Baldrige National Quality Program, 2006). Most Americans believe the system exists to provide preventive services, management for chronic conditions, and health care services to meet the needs of the people (National Committee for Quality Assurance (NCQA), 2004). However, the healthcare delivery system is fragmented across a broad array of settings (Coleman, Smith, Frank, Min, Parry, & Kramer, 2004), plagued by gaps in quality of care, and does not provide optimal care to the majority of American citizens (NCQA, 2004). As a result, national efforts are focused on the identification of quality indicators, performance measures, and the driving need for consensus standards across a multiplicity of providers, payers, and stakeholders. The overarching focus of this effort is to bridge the gaps in health care quality, and reduce documented disparities for vulnerable populations (National Quality Forum (2004). Healthcare transitions occur as patients receive a broad range of services across a multiplicity of providers, payers, and settings. Aging patients > 65 are most vulnerable during these transitions. A poorly executed transition can result in complications for the patient, duplication of tests and services, discharge delays, increased lengths of stay, early readmissions to the acute care setting, frustration for families and care givers, and dissatisfaction with overall services. Management of care and accountability across settings is limited and patients are falling through the cracks in the foundation of the healthcare system (Covinsky, 2003). The intent of this research was to examine healthcare transitions for patients > 65 admitted to a large acute healthcare system, and to identify measurable quality indicators for an innovative delivery model designed to optimize early discharge from the hospital through rapid rehabilitation. This was a quasi-experimental, cross-sectional design measured at the patient level. The research included a total sample of 250 patients representing both the intervention and the control group. The intervention group consisted of 100 patients who were rapidly discharged to a transitional care facility in the community, and 150 patients randomly selected to a control group that did not transition to rapid rehabilitation. The groups were matched as closely as possible by age, gender, race, primary diagnoses, and the complexity of case. Inefficiency was measured by 3 indicators (1) length of stay, (2) total expenses before contractual allowances, and (3) discharge delays from the hospital. Ineffectiveness was measured by 3 indicators: (1) readmission within 30 days, (2) patient safety with falls serving as the proxy, and (3) overall patient satisfaction. Descriptive analysis was performed utilizing SPSS 15.0. Path analysis was method of choice for data analysis and AMOS 7.0 was utilized for the measurement model. Descriptive analysis found a broad range of diagnosis related groups across 183 women and 67 men with a mean age of 80 for both groups. Initial analysis found the intervention group had a mean length of stay of 9.17 days, and experienced 20 readmissions. The control group had a mean length of stay of 6.77 days, and 30 readmissions. The statistical analysis suggested length of stay and cost of healthcare services are statistically significant indicators at the 0.05 or lower level and that patient safety has the potential to be developed as an indicator for effective outcomes. The identification of quality indicators, measurement of efficiency and effectiveness, and establishing predictors for successful healthcare transitions is dependent on the quality and integrity of data abstracted from hospital information systems, accuracy of information in patient records, and the consensus of standards and definitions across a multiplicity of stakeholders. Further research and collaboration is necessary to ensure that patient transition to innovative care programs such as rapid rehabilitation is based on well-defined patient selection criteria. The intent of the methodologies and quality indicators explored in this research supports the increasing need to ensure that inferences and quality measurements drawn from healthcare information is based on valid, reliable, and well defined data sources (Pan, Fergusson, Schweitzer, & Hebert, 2005). This research suggests hospitals are making steady progress to overcome challenges to safe, quality health services as outlined by the Institute of Medicine (2001) for system redesign, but finds specific implications for hospital leadership. There is a need to thread evidence based practice initiatives into hospital and clinical structures to accommodate new delivery models, processes, and case management. Health services information needs to be housed in a central repository or data warehouse to increase transparency of reportable information across systems and to ensure that valid and reliable information is utilized to draw inferences about performance of hospital systems (Selden & Sowa, 2004) and that quality measurements are established to ensure a scientific foundation for the management of healthcare services (Wan, 2002).
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Date Issued
2008
Identifier
CFE0002130, ucf:47543
Format
Document (PDF)
PURL
http://purl.flvc.org/ucf/fd/CFE0002130
Reexamining the Relationship Between Divided Government and Voter Turnout
Title
Reexamining the Relationship Between Divided Government and Voter Turnout.
Creator
Beck, Heidi, Knuckey, Jonathan, Jewett, Aubrey, Lanier, Drew, University of Central Florida
Abstract / Description
This thesis reexamines the effect of divided government on voter turnout originally posited byFranklin and Hirczy de Mi(&)#241;o (1998), which suggested that each year of exposure to dividedgovernment resulted in a cumulative negative effect on voters leading to alienation and lowerturnout. It reconsiders this argument using more recent data, given that voter turnout in U.S.presidential elections (as measured by the Voting Eligible Population) has increased since 2000,even though divided...
Show moreThis thesis reexamines the effect of divided government on voter turnout originally posited byFranklin and Hirczy de Mi(&)#241;o (1998), which suggested that each year of exposure to dividedgovernment resulted in a cumulative negative effect on voters leading to alienation and lowerturnout. It reconsiders this argument using more recent data, given that voter turnout in U.S.presidential elections (as measured by the Voting Eligible Population) has increased since 2000,even though divided government has occurred during this period.This thesis also uses new data and methods to address concerns about the original aggregatelevelresearch design. The research question is tested at the individual-level of analysis todetermine if divided government does interact with political trust to lower turnout. Previousresearch assumed this relationship since there is no aggregate-level proxy for political trust. Byusing survey data from the American National Election Studies it is now possible to test the fulltheory.The aggregate-level models show that misspecifications in the research design of Franklinand Hirczy de Mi(&)#241;o resulting in multicollinearity, and in two instances autocorrelation, whichresulted in a failure to reject the null hypothesis. The individual-level models show that dividedgovernment interacts with low levels of political trust to increase voter turnout, falsifying theargument about the effect of divided government on turnout. Overall, the thesis suggests that theimplications of an aspect of the American political system that renders it distinguishable frommost other advanced-industrial democracies(-)divided party control of the executive andlegislative branches(-)should be reassessed. More generally, the thesis demonstrates theimportance of reevaluating hypotheses in political science with the most recent data and morerobust methods in order to establish whether those original hypotheses are still supported
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Date Issued
2019
Identifier
CFE0007783, ucf:52363
Format
Document (PDF)
PURL
http://purl.flvc.org/ucf/fd/CFE0007783