TY - JOUR A1 - Prodinger, Birgit A1 - Scheel-Sailer, A. A1 - Escorpizo, R. A1 - Stucki, G. T1 - UEMS-PRM ICF workshop moderators and rapporteurs. (2017) European initiative for the application of the International Classification of Functioning, Disability and Health: Development of Clinical Assessment Schedules for specified rehabilitation services JF - European Journal of physical and rehabilitation medicine N2 - Clinical assessment schedule (CLAS) is a core part of the ICF-based implementation of functioning reporting across health conditions and along the continuum of care. The Physical and Rehabilitation Medicine Section and Board of the European Union of Medical Specialists (UEMS PRM) workshop held in January 2016 aimed to develop and specify a CLAS within the context of rehabilitation services. UEMS PRM Workshop in Nottwil, Switzerland, January 2016.PRM physicians representatives from 12 European countries, as well as Israel and Japan, mostly delegates of UEMS PRM Section and Board, and experts with other rehabilitation professional backgrounds.Participants were divided into 6 working groups and asked to specify what functioning aspects would be essential to document using the available ICF sets for the identified rehabilitation services contained in the newly developed service classification (ICSO-R): acute, post-acute and long-term rehabilitation services. The 7 ICF Generic and 23 Rehabilitation Set categories were confirmed as well as specific health condition categories for acute rehabilitation services (mobile team), for postacute rehabilitation services (general outpatient rehabilitation, musculoskeletal and neurological rehabilitation, as well as specialized SCI rehabilitation), and for long-term rehabilitation services (day clinic and rehabilitation provided in the community). While general principles of the CLAS were defined, the need to align the CLAS for a specific service, as well as across services along the continuum of care was highlighted. All groups deliberated on this topic; however, no conclusive statement was presented yet.The groups recognized a need for a systematic effort to identify data collection tools currently used.CLASs will serve in the future to ensure that functioning information is systematically and consistently collected across services, and thus respond also to various global reports and initiatives which stress the need for improving data collection on people's functioning. KW - Outcome assessment KW - Health care KW - Rehabilitation KW - Health information systems Y1 - 2017 UR - https://doi.org/10.23736/S1973-9087.16.04438-5 VL - 53 IS - 2 SP - 319 EP - 332 ER - TY - JOUR A1 - Lustenberger, N. A1 - Prodinger, Birgit A1 - Dorjbal, D. A1 - Rubinelli, S. A1 - Schmitt, K. A1 - Scheel-Sailer, A. T1 - Compiling standardized information from clinical practice: using content analysis and ICF Linking Rules in a goal-oriented youth rehabilitation program JF - Disability and Rehabilitation N2 - Purpose: To illustrate how routinely written narrative admission and discharge reports of a rehabilitation program for eight youths with chronic neurological health conditions can be transformed to the International Classification of Functioning, Disability and Health. Methods: First, a qualitative content analysis was conducted by building meaningful units with text segments assigned of the reports to the five elements of the Rehab-Cycle®: goal; assessment; assignment; intervention; evaluation. Second, the meaningful units were then linked to the ICF using the refined ICF Linking Rules. Results: With the first step of transformation, the emphasis of the narrative reports changed to a process oriented interdisciplinary layout, revealing three thematic blocks of goals: mobility, self-care, mental, and social functions. The linked 95 unique ICF codes could be grouped in clinically meaningful goal-centered ICF codes. Between the two independent linkers, the agreement rate was improved after complementing the rules with additional agreements. Conclusions: The ICF Linking Rules can be used to compile standardized health information from narrative reports if prior structured. The process requires time and expertise. To implement the ICF into common practice, the findings provide the starting point for reporting rehabilitation that builds upon existing practice and adheres to international standards. Implications for Rehabilitation This study provides evidence that routinely collected health information from rehabilitation practice can be transformed to the International Classification of Functioning, Disability and Health by using the “ICF Linking Rules”, however, this requires time and expertise. The Rehab-Cycle®, including assessments, assignments, goal setting, interventions and goal evaluation, serves as feasible framework for structuring this rehabilitation program and ensures that the complexity of local practice is appropriately reflected. The refined “ICF Linking Rules” lead to a standardized transformation process of narrative text and thus a higher quality with increased transparency. As a next step, the resulting format of goal codes supplemented by goal-clarifying codes could be validated to strengthen the implementation of the International Classification of Functioning, Disability and Health into rehabilitation routine by respecting the variety of clinical practice. KW - Rehab-Cycle KW - Spina bifida (myelomeningocele, MMC) KW - Cerebral palsy KW - Spinal curd injury KW - Quality of health care Y1 - 2019 UR - https://doi.org/10.1080/09638288.2017.1380718 VL - 41 IS - 5 SP - 613 EP - 621 ER - TY - JOUR A1 - Dorjbal, D. A1 - Cieza, A. A1 - Gmünder, H.-P- A1 - Scheel-Sailer, A. A1 - Stucki, G. A1 - Üstün, T.B. A1 - Prodinger, Birgit T1 - Strengthening quality of care through standardized reporting based on the World Health Organization's reference classifications JF - International Journal of Quality in Health N2 - Quality issue Responding to person's health and related needs requires the availability of health information that reflects relevant aspects of a health condition and how this health condition impacts on a person's daily life. Initial assessment Health information is routinely collected at different time points by diverse professionals, in different settings for various purposes with varying methods. Consequently, health information is not always comparable, posing a challenge to the regular monitoring of quality. Choice of solution The World Health Organization's (WHO) International Classification of Diseases (ICD), International Classification of Functioning, Disability and Health (ICF), and International Classification of Health Interventions (ICHI; under development) are complementary and serve as meaningful reference classifications for comparing data on persons’ health and related interventions across health systems. Implementation We developed a systematic approach of translating routinely collected information into a standardized report based on the three WHO reference classifications and the Rehab-Cycle®. Subsequently, we have demonstrated its application using five random case records of individuals attending a rehabilitation program. Evaluation All identified concepts were able to be linked to WHO's reference classifications. The ICF served as a tool to standardize information on rehabilitation goals and their achievement. The ICHI served as the basis for reporting the interventions that were documented in the case records, including the intervention targets that were derived from the ICF codes. Lessons learned Our experience shows that, it is possible to translate routinely collected information into standardized reports by linking existing narrative records with WHO's reference classifications. KW - International Classification of Diseases KW - International Classification of Functioning KW - Disability and health KW - Quality improvement KW - Rehabilitation Y1 - 2016 UR - https://doi.org/10.1093/intqhc/mzw078 VL - 28 IS - 5 SP - 626 EP - 633 ER - TY - JOUR A1 - Prodinger, Birgit A1 - Ballert, C. S. A1 - Brach, M. A1 - Brinkhof, M. W. G. A1 - Cieza, A. A1 - Hug, K. A1 - Jordan, X. A1 - Post, M. W. M. A1 - Scheel-Sailer, A. A1 - Schubert, M. A1 - Tennant, A. A1 - Stucki, G. T1 - Toward standardized reporting for a cohort study on functioning: The Swiss Spinal Cord Injury Cohort Study JF - Journal of Rehabilitation Medicine N2 - Objective: Functioning is an important outcome to measure in cohort studies. Clear and operational outcomes are needed to judge the quality of a cohort study. This paper outlines guiding principles for reporting functioning in cohort studies and addresses some outstanding issues. Design: Principles of how to standardize reporting of data from a cohort study on functioning, by deriving scores that are most useful for further statistical analysis and reporting, are outlined. The Swiss Spinal Cord Injury Cohort Study Community Survey serves as a case in point to provide a practical application of these principles. Methods and Results: Development of reporting scores must be conceptually coherent and metrically sound. The International Classification of Functioning, Disability and Health (ICF) can serve as the frame of reference for this, with its categories serving as reference units for reporting. To derive a score for further statistical analysis and reporting, items measuring a single latent trait must be invariant across groups. The Rasch measurement model is well suited to test these assumptions. Conclusion: Our approach is a valuable guide for researchers and clinicians, as it fosters comparability of data, strengthens the comprehensiveness of scope, and provides invariant, interval-scaled data for further statistical analyses of functioning. KW - Comparability KW - Epidemiology KW - Health information systems KW - Informed decision-making KW - Rasch analysis Y1 - 2016 UR - https://doi.org/10.2340/16501977-2026 VL - 48 IS - 2 SP - 189 EP - 196 ER -