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MPA 504 and ►Dr. S. M. Emerson JUNE 16, 2012. Hypothesis Person-centered care improves quality of...

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Redesign of Health Services: Pilgrim Place MPA 504 and ►Dr. S. M. Emerson JUNE 16, 2012
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Page 1: MPA 504 and ►Dr. S. M. Emerson JUNE 16, 2012. Hypothesis Person-centered care improves quality of life and medical outcomes. Tyee.

Redesign of Health Services: Pilgrim

Place MPA 504 and ►Dr. S. M. Emerson

JUNE 16, 2012

Page 2: MPA 504 and ►Dr. S. M. Emerson JUNE 16, 2012. Hypothesis Person-centered care improves quality of life and medical outcomes. Tyee.

Hypothesis

Person-centered care improves quality of life and medical outcomes.

Tyee

Page 3: MPA 504 and ►Dr. S. M. Emerson JUNE 16, 2012. Hypothesis Person-centered care improves quality of life and medical outcomes. Tyee.

Research Questions

Tyee Research Agenda

How to assess the quality of life in neighborhoods?

How to compare perceptions of elders (residents) and staff?

Page 4: MPA 504 and ►Dr. S. M. Emerson JUNE 16, 2012. Hypothesis Person-centered care improves quality of life and medical outcomes. Tyee.

Scope of Research

Develop survey instrument.Conduct baseline measurement.Periodic follow-up measurements.Analyze survey data.

Kevin M

Page 5: MPA 504 and ►Dr. S. M. Emerson JUNE 16, 2012. Hypothesis Person-centered care improves quality of life and medical outcomes. Tyee.

Limits to Scope

NOT applicable for medical or ADL assessment

NOT a substitute for supervision or other research method.

Kevin M.

Page 6: MPA 504 and ►Dr. S. M. Emerson JUNE 16, 2012. Hypothesis Person-centered care improves quality of life and medical outcomes. Tyee.

Research Process

Kevin D. Steps Taken

Consultation

Survey of literature

Pre-test of instrument and Informed Consent

Analysis of instrument

Page 7: MPA 504 and ►Dr. S. M. Emerson JUNE 16, 2012. Hypothesis Person-centered care improves quality of life and medical outcomes. Tyee.

Research Process

Kevin D Steps Taken

Consultation

Survey of literature

Pre-test of instrument and Informed Consent Form (ICF)

Analysis of Instrument

Page 8: MPA 504 and ►Dr. S. M. Emerson JUNE 16, 2012. Hypothesis Person-centered care improves quality of life and medical outcomes. Tyee.

Analysis Measures

ValidityReliabilityRobustnessCriticalityDuplicates

Diana

Page 9: MPA 504 and ►Dr. S. M. Emerson JUNE 16, 2012. Hypothesis Person-centered care improves quality of life and medical outcomes. Tyee.

Analysis by Topic _ Diana

Page 10: MPA 504 and ►Dr. S. M. Emerson JUNE 16, 2012. Hypothesis Person-centered care improves quality of life and medical outcomes. Tyee.

Services Bathing and Dressing(Questions 1 – 4 & 2.1 – 2.2) Keiry

Robust but:

Amend question 2 to serve as outcome questions

Delete question 2 for

more concise instrument

Page 11: MPA 504 and ►Dr. S. M. Emerson JUNE 16, 2012. Hypothesis Person-centered care improves quality of life and medical outcomes. Tyee.

Services Food(Questions 5 – 7 & 2.4 – 2.8)

Keiry

All variables are robust with the exception of staff_food

This variable measures how polite/friendly staff are when serving food

Recommend deleting question 6

Low variability Weak reliability

Page 12: MPA 504 and ►Dr. S. M. Emerson JUNE 16, 2012. Hypothesis Person-centered care improves quality of life and medical outcomes. Tyee.

Services Mobility(Questions 8 – 10, 2.3, 2.15, 2.25, 2.31, 2.32)

Delete two questions: “Satisfaction with staff

assistance using restroom”◦ Neither robust nor reliable

“Feeling of safety when alone in the halls”◦ Zero variance

Kevin D.

Page 13: MPA 504 and ►Dr. S. M. Emerson JUNE 16, 2012. Hypothesis Person-centered care improves quality of life and medical outcomes. Tyee.

EnvironmentLiving Areas(Questions 11 – 16, 2.24, & 2.26 – 2.30)

Questions since robust and reliable.

Diana

Page 14: MPA 504 and ►Dr. S. M. Emerson JUNE 16, 2012. Hypothesis Person-centered care improves quality of life and medical outcomes. Tyee.

EnvironmentNoise(Questions 17 and 2.17)

Looked at four variables

All questions robust and reliable.

Kevin M

Page 15: MPA 504 and ►Dr. S. M. Emerson JUNE 16, 2012. Hypothesis Person-centered care improves quality of life and medical outcomes. Tyee.

Activities (Questions 18 – 20, 2.9 – 2.11, 2.20, 2.22, & 2.23 ii)

John B

All variables prove robust with the exception of “activities by oneself" and “confidence of abilities”

Quality of Life: Still measured by the variation in both items.

Recommend retaining all variables to provide a comprehensive instrument

Page 16: MPA 504 and ►Dr. S. M. Emerson JUNE 16, 2012. Hypothesis Person-centered care improves quality of life and medical outcomes. Tyee.

Well being and respect

Erika

We looked at 13 variables with regards to respect

Strongest variables were:◦ Encouraging elders to

chat◦ Time to get elder’s

directions◦ Listening to what elder is

saying

Highly Reliable

(Questions 21 – 23, 2.12, 2.14 – 2.16a, 2.18, 2.19, 2.23 i, 2.33, 2.34)

Page 17: MPA 504 and ►Dr. S. M. Emerson JUNE 16, 2012. Hypothesis Person-centered care improves quality of life and medical outcomes. Tyee.

Well being and respect

Erika

Weakest variable was access to friends because it lacked variability

Frequency to mental health was also weak but will retain because may serve unique need.

Challenges with survey questions

Page 18: MPA 504 and ►Dr. S. M. Emerson JUNE 16, 2012. Hypothesis Person-centered care improves quality of life and medical outcomes. Tyee.

Open Ended and Tri City Few additional

remarks

One open ended question for “other positive or negative comments”.

Parker

Delete Tri-City questions

Page 19: MPA 504 and ►Dr. S. M. Emerson JUNE 16, 2012. Hypothesis Person-centered care improves quality of life and medical outcomes. Tyee.

Management Concerns

Balancing Question Utility in Context of Regulations

Marginal utility in measuring quality of life.

Parker

Page 20: MPA 504 and ►Dr. S. M. Emerson JUNE 16, 2012. Hypothesis Person-centered care improves quality of life and medical outcomes. Tyee.

Conclusions

Revisions to survey instrumentRecommendations to survey processKeiry

Page 21: MPA 504 and ►Dr. S. M. Emerson JUNE 16, 2012. Hypothesis Person-centered care improves quality of life and medical outcomes. Tyee.

Recommendations – Cal Poly

Based on class analysis

Modify survey instrumentsModify staff survey processSummer 2012 – Survey staffFall 2012 – Survey residents

John B.

Page 22: MPA 504 and ►Dr. S. M. Emerson JUNE 16, 2012. Hypothesis Person-centered care improves quality of life and medical outcomes. Tyee.

Recommendations – Pilgrim Place

Delete regulatory and marginal QOL questionsAdd questions to Staff surveySeparate Tri-City Wellbeing surveyConduct HSC survey on rotating basis

John B.

Page 23: MPA 504 and ►Dr. S. M. Emerson JUNE 16, 2012. Hypothesis Person-centered care improves quality of life and medical outcomes. Tyee.

Questions ? _Tyee

Page 24: MPA 504 and ►Dr. S. M. Emerson JUNE 16, 2012. Hypothesis Person-centered care improves quality of life and medical outcomes. Tyee.

Dr. Emerson

Click icon to add picture

Thank you


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