Clinical Practice (assessment, diagnosis, treatment, knowledge translation/EBP, implementation science, program development)

Measurement

Cross-Cutting

Symposium

(590438) The Hope Network Acuity Scale (HAS): Development, Validation, and Utility of a Neurorehabilitation Acuity Measure.

Presenter(s)

• 

  Martin Waalkes, PhD, ABPP, CBIST

  Director of Neuro Rehabilitation
  Hope Network Neuro Rehabilitation
  Grand Rapids, Michigan
• 

  Amy Walters, BA, LPN

  Manager of Physician Services
  Hope Network Neuro Rehabilitation
  Grand Rapids, Michigan

How do you measure the required care and supervision workload in neurorehabilitation? The Hope Network Acuity Scale (HAS), a two-factor 8-item rating of medical and neurobehavioral acuity, addresses this need. The HAS demonstrates excellent inter-rater reliability and internal consistency, and factor analysis confirms the two-factor structure. Significant correlations with functional outcome measures and supervision ratings, evidence of improvement over the course of treatment, and expected stratification of outcomes on the discharge continuum support validity. Implications for use as a placement tool, measure for efficiency, and even as a working tool for assigning resources or cost estimating will be explored.

Learning Objectives:

• Identify acuity as a variable of injury severity and complexity influencing treatment resource demands in neurorehabilitition.
• Rate acuity with the Hope Network Acuity Scale (HAS) instrument by noting patient characteristics in the context of inpatient or residential neurorehabilitation placement.
• Identify relationships of measured acuity to functional outcomes, cost and resource demands, and placement decisions.