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Development and Evaluation of Candidate Standardized Patient Assessment Data Elements

其他書名	Findings from the National Beta Test. Cognitive function
出版	RAND, 2019
URL	http://books.google.com.hk/books?id=5HVRzQEACAAJ&hl=&source=gbs_api

註釋The Centers for Medicare & Medicaid Services (CMS) contracted with the RAND Corporation to evaluate candidate standardized patient assessment data elements (SPADEs) in a national field test titled the National Beta Test. The National Beta Test was conducted to evaluate the performance of candidate SPADEs in the clinical categories of (1) cognitive function and mental status; (2) special services, treatments, and interventions; (3) medical conditions and comorbidities; (4) impairments; and (5) other categories, for use in four post-acute care (PAC) settings: home health agencies, inpatient rehabilitation facilities, long-term care hospitals, and skilled nursing facilities. This is Volume 4 of the final report on the National Beta Test, which includes the identification and testing of candidate SPADEs in the cognitive status clinical category. This volume provides results and significance tests on the feasibility, reliability, validity, stability and change over time, and sensitivity to national representativeness of the candidate SPADEs. The data elements tested include the Brief Interview for Mental Status (BIMS), the Confusion Assessment Method (CAM), Expression and Understanding, and Behavioral Signs and Symptoms. All four cognitive status data elements performed reasonably well, showing feasibility, acceptable reliability, and substantial support from assessors.