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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Hypothesis
Person-centered care improves quality of life and medical outcomes.
Tyee
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Research Questions
Tyee Research Agenda
How to assess the quality of life in neighborhoods?
How to compare perceptions of elders (residents) and staff?
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Scope of Research
Develop survey instrument.Conduct baseline measurement.Periodic follow-up measurements.Analyze survey data.
Kevin M
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Limits to Scope
NOT applicable for medical or ADL assessment
NOT a substitute for supervision or other research method.
Kevin M.
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Research Process
Kevin D. Steps Taken
Consultation
Survey of literature
Pre-test of instrument and Informed Consent
Analysis of instrument
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Research Process
Kevin D Steps Taken
Consultation
Survey of literature
Pre-test of instrument and Informed Consent Form (ICF)
Analysis of Instrument
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Analysis Measures
ValidityReliabilityRobustnessCriticalityDuplicates
Diana
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Analysis by Topic _ Diana
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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
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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
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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.
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EnvironmentLiving Areas(Questions 11 – 16, 2.24, & 2.26 – 2.30)
Questions since robust and reliable.
Diana
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EnvironmentNoise(Questions 17 and 2.17)
Looked at four variables
All questions robust and reliable.
Kevin M
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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
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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)
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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
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Open Ended and Tri City Few additional
remarks
One open ended question for “other positive or negative comments”.
Parker
Delete Tri-City questions
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Management Concerns
Balancing Question Utility in Context of Regulations
Marginal utility in measuring quality of life.
Parker
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Conclusions
Revisions to survey instrumentRecommendations to survey processKeiry
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Recommendations – Cal Poly
Based on class analysis
Modify survey instrumentsModify staff survey processSummer 2012 – Survey staffFall 2012 – Survey residents
John B.
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Recommendations – Pilgrim Place
Delete regulatory and marginal QOL questionsAdd questions to Staff surveySeparate Tri-City Wellbeing surveyConduct HSC survey on rotating basis
John B.
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Questions ? _Tyee
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Dr. Emerson
Click icon to add picture
Thank you