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Statement on the quality of spinal cord injury ...€¦ · Statement on the quality of spinal cord...

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Statement on the quality of spinal cord injury rehabilitation and management Frans Penninx London, 3 September 2012 www.escif.org
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Page 1: Statement on the quality of spinal cord injury ...€¦ · Statement on the quality of spinal cord injury rehabilitation and management Frans Penninx London, 3 September 2012

Statement on the quality of spinal cord injury

rehabilitation and management

Frans Penninx London, 3 September 2012

www.escif.org

Page 2: Statement on the quality of spinal cord injury ...€¦ · Statement on the quality of spinal cord injury rehabilitation and management Frans Penninx London, 3 September 2012

www.escif.org

Introduction and background

•  Topic of the ESCIF congress 2011

•  Logical continuation of the ‘Centralisation’ report

•  Working group: Gunilla Åhrén, Jane Horsewell

and Frans Penninx

•  Endorsed by Assembly of Delegates, May 2012

•  ‘Quality’ is defined from the perspective of people living with spinal cord injury (SCI)

Page 3: Statement on the quality of spinal cord injury ...€¦ · Statement on the quality of spinal cord injury rehabilitation and management Frans Penninx London, 3 September 2012

www.escif.org

Monitoring quality •  Organisational perspective  Spinal Cord Injury Centre

 cornerstone: patient-centred and goal-oriented

 rehabilitation outcomes measured and evaluated

•  Chronological perspective

 various “care events” from injury / diagnosis of SCI “all the way” to life-long follow-up and (self) management

 benchmarking procedure to define and describe standards

Page 4: Statement on the quality of spinal cord injury ...€¦ · Statement on the quality of spinal cord injury rehabilitation and management Frans Penninx London, 3 September 2012

www.escif.org

Accreditation and evaluation •  Accreditation of SCI units

  SCI specific

  focus on person served

•  Accreditation of SCI professionals   when are SCI professional qualified?

  (inter)national standards, audit system / visitation

  ISCoS approved / endorsed training centres

•  Patient evaluation   hospitals, wards and members of staff

Page 5: Statement on the quality of spinal cord injury ...€¦ · Statement on the quality of spinal cord injury rehabilitation and management Frans Penninx London, 3 September 2012

www.escif.org

Measuring outcomes

•  Individual level: SCIM, BobScore, life-long effort

•  Organisational level: keep it simple

•  Investment / costs: value based

•  Registries, but don’t ‘standardise rehabilitation’

to fit the registries!

Page 6: Statement on the quality of spinal cord injury ...€¦ · Statement on the quality of spinal cord injury rehabilitation and management Frans Penninx London, 3 September 2012

www.escif.org

Statement / conclusions

•  Statement consists of 12 points

•  People with SCI must have a voice, also in this

•  Statement largely grounded in earlier work

•  Not all can be implemented immediately

•  There are differences between countries

•  Contribution to (inter)national discussions

Page 7: Statement on the quality of spinal cord injury ...€¦ · Statement on the quality of spinal cord injury rehabilitation and management Frans Penninx London, 3 September 2012

www.escif.org

This ESCIF statement can be downloaded:

www.escif.org

For reactions / questions contact:

Gunilla Åhrén [email protected] Jane Horsewell [email protected] Frans Penninx [email protected]

ESCIF would like to thank Coloplast for financial support in the preparation of this report.


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