American Health Care Association and National Center for Assisted Living (AHCA/NCAL)
Targeted Priorities:
- Improving efficiency in improving rate to achieve functional outcomes for SNF short-stay residents
- Workforce issues impacting care delivery in nursing centers and/or assisted living communities
- Effectiveness of technology improvements (e.g., EHR, telehealth, remote patient monitoring) in nursing centers and/or assisted living communities
- Effective follow-up programs after discharge home or back to the community from a SNF short-stay to improve likelihood of successful discharges (reduce 30-day readmission rates)
Priority Topics:
- Evidence-based fall prevention programs in nursing centers (short- or long-stays)and/or assisted living communities that do not negatively impact resident mobility/freedom
- Impact of an embedded Nurse Practitioner on SNF hospital readmissions (all residents), length of SNF short-term stay, or likelihood of a community dwelling person to return to community from a short-term SNF stay
- Evidence-based clinical and functional care approaches for long Covid in nursing centers and/or assisted living communities
- Effective transitions of care models across the continuum impacting nursing centers and/or assisted living communities
BAYADA Home Health Care
Targeted Priorities:
- Disease specific best practice reviews to enhance patient outcomes
Priority Topics:
- Interdisciplinary Care Coordination and Episode Visit optimization through a huddle process
- PDSA for optimal outcomes in both CMS VBP Total Performance Scores, and STARS
- Micro learning for both field and office staff with a focus on both best practices as well as clinician safety
Boston Medical Center (BMC)
Targeted Priority:
- Optimizing utilization of Rehabilitation therapy services in acute care
The Cleveland Clinic
Targeted Priority:
- Targeting rehabilitation interventions to facilitate discharge from the hospital to home
Priority Topics:
- Transitions of care across the continuum, particularly from the acute hospital to home health care
- Effectiveness of pre-habilitation in surgical care
- Using patient-reported outcomes to evaluate and improve outpatient rehabilitation
- Disparities in access, quality, and outcomes of rehabilitation
- Novel modalities for virtual rehabilitation and remote monitoring
View our current LeaRRn Scholar.
Intermountain Health
Targeted Priority:
- Transitions of care across the continuum
Priority Topics:
- Value-based care pathways
- Health equity
- Effectiveness of rehabilitation for high-need / high-cost patients
- Team-based models of care, care coordination
- Telehealth for triage and treatment
- Integrating evidence-based decision support into an EHR
- Use of technology to improve care delivery
View our current LeaRRn Scholar.
Ivy Rehab Network
Pediatric-Focused Priority Topics:
An organizational priority across both Ivy Rehab Physical Therapy (Adult Ortho) and Ivy Rehab for Kids is:
- The use of Ivy’s advanced data ecosystem to apply advanced/predictive analytics and Machine Learning/AI to develop smart data products & reporting to improve patient outcomes and operational efficiency and effectiveness across Ivy Rehab Network ( Adult & Pediatric populations)
Ivy’s Pediatric Focused Research Priorities (Behavior, Occupational, Physical, and Speech Therapy)
- Impact of pediatric-residency trained clinicians on patient outcomes and care delivery
- Internal quality improvement initiatives related to care quality and operational efficiencies
Adult-Ortho Focused Priority Topics:
- Impact of Residency Trained clinicians on patient outcomes and care delivery
- Effectiveness of digital-health technologies (RTM, TH, hybrid) integrated into outpatient rehabilitation care plans on patient outcomes and healthcare spend
- Effectiveness of PT-first care models on patient outcomes
- Determination of key characteristics and criteria for admittance into a residency program
Johns Hopkins Medicine, Physical Medicine and Rehabilitation (PMR)
Targeted Priorities:
- Implementation of systematic approach to mobility in the acute care hospital inclusive of pediatrics.
- Precision Rehabilitation: Using high information content measurement to personalize rehabilitation interventions across the healthcare continuum
- Development of rehabilitation models of care to reduce skilled nursing facility utilization
Priority Topics:
- Use of remote monitoring as part of a learning health system
- Effectiveness of innovative care delivery models prior to surgery especially for geriatric populations
- Development of Pediatric Activity and Mobility Promotion effort for the Acute Hospital including development of standardized tools and implementation of the JH-AMP framework adapted to pediatrics.
- Implementation of systematic approach to mobility in the acute care hospital inclusive of pediatrics.
Spaulding Rehabilitation Network
Targeted Priorities:
- Disparities in access, quality, and outcomes of rehabilitation
- Traumatic Injuries as a chronic condition
- Assessing the clinical & cost effectiveness of a Trauma Survivorship Clinic
- Development of a Chronic Care Model for Traumatic Conditions
- Risk of chronic disease after trauma
Priority Topics:
- Standardizing clinical care for real-time visualization and application of EHR data
- Maximizing outcomes and discharge to the community
- Evaluating alternative nursing workflows to maximize patient outcomes
UPMC's Center for Assistive Technology (UPMC CAT)
Priority Topics:
- Evaluation and development of a telehealth protocol for assistive technology
- Implementation of a streamlined data collection process (on assistive technology) in clinical practice
- Development of a new wheelchair prescription policy for seating and mobility clinics
UPMC Rehabilitation Institute
Priority Topics:
- Using outcome measures in acute care to identify at risk patients post-acutely
- Transitions of care across the continuum
- Effectiveness of rehabilitation for high-need / high-cost patients
- Adherence to clinical practice guideline recommendations and associated clinical outcomes
View our first LeaRRn Scholar.
View our second LeaRRn Scholar.
UPMC’s Innovative Homecare Solutions (UIHS)
Priority Topics:
- Efficient use of rehabilitation services in the home health setting
- Use of technology in the home health setting to augment or as a substitute for nurse and/or therapist care
- Moving traditionally hospital based care into the home setting