- Stroke Rehabilitation and Recovery
- Geriatric Care and Nursing Homes
- Emergency and Acute Care Studies
- Spinal Cord Injury Research
- Healthcare Policy and Management
- Patient Satisfaction in Healthcare
- Acute Ischemic Stroke Management
- Chronic Disease Management Strategies
- Hip and Femur Fractures
- Cerebral Palsy and Movement Disorders
- Trauma and Emergency Care Studies
- Healthcare Systems and Technology
- Frailty in Older Adults
- Health Systems, Economic Evaluations, Quality of Life
- Musculoskeletal pain and rehabilitation
- Dementia and Cognitive Impairment Research
- Telemedicine and Telehealth Implementation
- Traumatic Brain Injury Research
- Geological and Geochemical Analysis
- Mobile Learning in Education
- Patient-Provider Communication in Healthcare
- Primary Care and Health Outcomes
- Healthcare innovation and challenges
- Diabetic Foot Ulcer Assessment and Management
- Magnesium in Health and Disease
Northwestern University
2016-2025
Shirley Ryan AbilityLab
2016-2025
RTI International
2016-2025
Toronto Public Health
2017-2023
Medford Radiology Group
2023
United States Department of Veterans Affairs
2022
Veterans Health Administration
2022
National Institutes of Health
2021
Weatherford College
2021
Kansas City Public Schools
2021
The Centers for Medicare & Medicaid Services recently identified 30-day readmission after discharge from inpatient rehabilitation facilities as a national quality indicator. Research is needed to determine the rates and factors related in this patient population.
To assess whether poststroke rehabilitation outcomes and reimbursement for Medicare beneficiaries differ across inpatient facilities (IRFs) skilled nursing facility (SNF) subacute programs.Clinical data were linked with claims 58,724 a recent stroke who completed treatment in 1996 or 1997 IRFs SNFs that subscribed to the Uniform Data System Medical Rehabilitation. Outcome measures discharge destination, FIM ratings Part A during institutional stay.IRF patients more likely have...
Background and Purpose— Incidence, prevalence, mortality for stroke vary by race ethnicity with higher rates blacks compared non-Hispanic whites. Little information is available regarding differences in postacute care outcomes racial ethnic groups after a stroke. Methods— A retrospective analysis was conducted of 161 692 patients from the Uniform Data System Medical Rehabilitation who received inpatient medical rehabilitation first 2002 2003. Multivariable models examined effects on length...
The purpose of this study was to develop new estimates the costs care following spinal cord injury in United States. Information from National Spinal Cord Injury Statistical Center database supplemented where necessary with a previous comprehensive lifetime updated for inflation 2009 US dollars. Overall mean first-year charges were $523,089. Mean annual over remainder life $79,759. Charges varied substantially by severity. These are considerably higher than inflation-adjusted our study.
To provide benchmarking information for a large national sample of patients receiving inpatient rehabilitation after stroke.Analysis secondary data from 893 medical facilities located in the United States and contributing to Uniform Data System Medical Rehabilitation 2000 2007.Variables analyzed included demographic (age, sex, marital status, race/ethnicity, prehospital living setting, discharge setting), hospitalization (length stay, program interruptions, payer, event onset date,...
Granger CV, Markello SJ, Graham JE, Deutsch A, Reistetter TA, Ottenbacher KJ: The Uniform Data System for Medical Rehabilitation: Report of patients with traumatic brain injury discharged from rehabilitation programs in 2000–2007. Objective: To provide benchmarking information a large national sample receiving inpatient after injury. Design: Secondary data analysis 893 medical facilities located the United States that contributed to Rehabilitation January 2000 through December 2007....
Objective The aim of this study was to present yearly aggregated summaries rehabilitation outcomes at admission, discharge, and follow-up from a national sample patients receiving inpatient medical for stroke, traumatic brain injury, lower extremity fracture, joint replacement, spinal cord or debility. Design This is an analysis secondary data more than 300 facilities in the United States that contributed Uniform Data System Medical Rehabilitation during period January 2002 through December...
Purpose To evaluate the psychometric properties of performance and patient-reported outcome measures (PROMs) for custom ankle-foot orthosis (AFOs) users.
Center for Rehabilitation Outcomes Research, Shirley Ryan AbilityLab, Chicago, IL, USA. Feinberg School of Medicine, Northwestern University, RTI International, Health Care Quality and Outcomes, Practice, Research Triangle Park, NC, Correspondence: Anne Deutsch, PhD, MS, RN, CRRN, FACRM, FARN, IL. E-mail: [email protected] Deutsch orcid.org/0000-0003-2290-7757 Cite this article as: A. (2025). Nursing Journal: Reflecting on the past looking to future. Nursing, 50 (1), 1–2. doi:...
Healthcare managers and administrators increasingly need to develop systems, structures operations capable of improving the patient experience performance their organisations or service delivery units. To systematically review effectiveness organizational management interventions on standardized measure scores. Six scientific databases, speciality journals snowballing were used identify English-language, peer-reviewed, contemporary studies (2015-2023) that examined impact as a primary...
To examine the influence of diabetes on length stay (LOS), functional status, and discharge setting in individuals with hip fracture.This work included secondary analyses 79,526 from 915 rehabilitation facilities U.S. Patients were classified into three groups using Centers for Medicare Medicaid Services comorbidity structure: without (77.0%), non-tier (18.3%), tier (4.7%).Mean age was 79.4 years (SD 9.6), mean LOS 13.3 days 5.3). Tier associated longer LOS, lower status ratings, reduced...
Information regarding the association of comorbidity indices with readmission risk for older adults receiving postacute care is limited. The purpose this study was to compare discriminatory ability five in predicting 30-day all-cause hospital following discharge community from inpatient rehabilitation facilities (IRF). sample included Medicare fee-for-service beneficiaries stroke, lower extremity joint replacement, and fracture, discharged IRF 2011 (N = 75,582). Logistic regression models...
The American Heart Association/American Stroke Association released the adult stroke rehabilitation and recovery guidelines in 2016. A working group of experts reviewed these identified a subset recommendations that were deemed suitable for creating performance measures. These 13 measures are reported here contain inclusion exclusion criteria to allow calculation rates compliance variety settings ranging from acute hospital care postacute home outpatient setting.
Background and Purpose: Patients caregivers have not typically been involved in the selection of a post–acute care (PAC) provider. In 2015, Centers for Medicare & Medicaid Services proposed need to involve patients their families during discharge planning. Engaging rehabilitation decisions encourages shared decision making among clinicians. The purpose this study was examine stroke survivors' perspectives on involvement selecting PAC provider goal setting satisfaction with stay advice...