Short-form activity measure for post-acute care

2004 ◽  
Vol 85 (4) ◽  
pp. 649-660 ◽  
Author(s):  
Stephen M Haley ◽  
Patricia L Andres ◽  
Wendy J Coster ◽  
Mark Kosinski ◽  
Pengsheng Ni ◽  
...  
Keyword(s):  
Acute Care ◽  
Short Form ◽  
Activity Measure ◽  
Post Acute Care

Use of the Activity Measure for Post-Acute Care “6 Clicks” Basic Mobility Inpatient Short Form and National Institutes of Health Stroke Scale to Predict Hospital Discharge Disposition After Stroke

2020 ◽  
Vol 100 (9) ◽  
pp. 1423-1433
Author(s):  
Stephanie Covert ◽  
Joshua K Johnson ◽  
Mary Stilphen ◽  
Sandra Passek ◽  
Nicolas R Thompson ◽  
...  
Keyword(s):  
Hospital Discharge ◽  
Acute Care ◽  
Short Form ◽  
Predictive Ability ◽  
National Institutes Of Health ◽  
Nihss Score ◽  
Discharge Disposition ◽  
Activity Measure ◽  
Mobility Score ◽  
Post Acute Care

Abstract Objective Therapists in the hospital are charged with making timely discharge recommendations to improve access to rehabilitation after stroke. The objective of this study was to identify the predictive ability of the Activity Measure for Post-Acute Care “6 Clicks” Basic Mobility Inpatient Short Form (6 Clicks mobility) score and the National Institutes of Health Stroke Scale (NIHSS) score for actual hospital discharge disposition after stroke. Methods In this retrospective cohort study, data were collected from an academic hospital in the United States for 1543 patients with acute stroke and a 6 Clicks mobility score. Discharge to home, a skilled nursing facility (SNF), or an inpatient rehabilitation facility (IRF) was the primary outcome. Associations among these outcomes and 6 Clicks mobility and NIHSS scores, alone or together, were tested using multinomial logistic regression, and the predictive ability of these scores was calculated using concordance statistics. Results A higher 6 Clicks mobility score alone was associated with a decreased odds of actual discharge to an IRF or an SNF. The 6 Clicks mobility score alone was a strong predictor of discharge to home versus an IRF or an SNF. However, predicting discharge to an IRF versus an SNF was stronger when the 6 Clicks mobility score was considered in combination with the NIHSS score, age, sex, and race. Conclusion The 6 Clicks mobility score alone can guide discharge decision making after stroke, particularly for discharge to home versus an SNF or an IRF. Determining discharge to an SNF versus an IRF could be improved by also considering the NIHSS score, age, sex, and race. Future studies should seek to identify which additional characteristics improve predictability for these separate discharge destinations. Impact The use of outcome measures can improve therapist confidence in making discharge recommendations for people with stroke, can enhance hospital throughput, and can expedite access to rehabilitation, ultimately affecting functional outcomes.

scholarly journals From hospital to post-acute care organizations: the relationship between patient experience and health recovery

2020 ◽  
Vol 32 (9) ◽  
pp. 585-590
Author(s):  
Generosa Do Nascimento ◽  
Francisco Guilherme Nunes ◽  
Janet E Anderson
Keyword(s):  
Mental Health ◽  
Health Status ◽  
Acute Care ◽  
Patient Experience ◽  
Short Form ◽  
Mental Health Status ◽  
Patient Questionnaire ◽  
Discharge Process ◽  
Physical And Mental Health ◽  
Post Acute Care

Abstract Objective To determine to what extent patient health status and recovery in post-acute care organizations (PACO) is related to patient experience of the discharge process from hospital and to patient experience while staying in these facilities. Design Longitudinal study of patients discharged from hospitals to PACO. Setting 12 hospitals and 14 PACO Portuguese organizations. Participants 181 patients participated in the both stages of data gathering. Main Outcome Measures Patients’ physical and mental health status was measured through the 36-item short form health survey scale. The experience of transition from hospital to PACO was measured with the Care Transition Measure. The Picker Adult In-Patient Questionnaire was used to measure patients’ experience in these organizations. Results Patients reporting better physical condition in PACO had a better experience on discharge [b = 0.21, 95% confidence interval, CI (0.10, 0.31)] and perceive fewer problems inside facilities [b = − 0.19, 95% CI (−0.31, 0.08)]. The experience in PACO is significantly related to patients’ mental health status [b = − 0.47, 95% CI (−0.59, − 0.36)]. Patients showing higher levels of physical recovery had a better experience on discharge [b = − 0.18, 95% CI (0.08, 0.28)], while those registering better mental recovery experienced fewer problems during their stay [b = − 0.41, 95% CI (−0.52, − 0.30)]. Conclusions PACO play a key role in maintaining and promoting patients’ health, and this goal is influenced by their experience both in the transition from hospitals to PACO and while staying in these facilities.

scholarly journals Reduced version of the Activity Measure for Post-Acute Care (AM-PAC) for inpatients, “6-clicks”: Brazilian-Portuguese cross-cultural adaptation and measurement properties

2020 ◽  
Vol 24 (3) ◽  
pp. 231-239
Author(s):  
Pollyana Ruggio Tristão Borges ◽  
Rosana Ferreira Sampaio ◽  
Renata Noce Kirkwood ◽  
Mariana Angélica Peixoto de Souza ◽  
Marisa Cotta Mancini ◽  
...  
Keyword(s):  
Acute Care ◽  
Cultural Adaptation ◽  
Brazilian Portuguese ◽  
Cross Cultural ◽  
Measurement Properties ◽  
Cross Cultural Adaptation ◽  
Activity Measure ◽  
Post Acute Care

Adaptation of the Activity Measure Post-Acute Care (AM-PAC) from English to Mandarin using the dual-panel translation approach

2017 ◽  
Vol 40 (21) ◽  
pp. 2571-2576 ◽  
Author(s):  
Feng-Hang Chang ◽  
Tsan-Hon Liou ◽  
John Brodersen ◽  
Jonathan D. Comins
Keyword(s):  
Acute Care ◽  
Activity Measure ◽  
Post Acute Care

Poster 3 Evaluation of Patient and Proxy Responses on the Activity Measure for Post-Acute Care

2011 ◽  
Vol 92 (10) ◽  
pp. 1694
Author(s):  
Alan Jette ◽  
Pengsheng Ni ◽  
Elizabeth Rasch ◽  
Jed Appelman ◽  
M. Elizabeth Sandel ◽  
...  
Keyword(s):  
Acute Care ◽  
Proxy Responses ◽  
Activity Measure ◽  
Post Acute Care

A Review of the Activity Measure for Post-Acute Care—"6 Clicks" (AM-PAC— "6-Clicks")

2018 ◽  
Vol 30 (4) ◽  
pp. 297-301
Author(s):  
Sujoy Bose ◽  
Brittany Brunty ◽  
Timothy Spurrier ◽  
Amanda Herron
Keyword(s):  
Acute Care ◽  
Activity Measure ◽  
Post Acute Care
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