The Measure of an Outcome: Comparing Norming and Stacking to Benchmark the Effectiveness of Brain Injury Rehabilitation Services
Practitioners have a clinical, ethical, academic, and economic responsibility to dispassionately consider how effective their services are. Approaches to measure how “good” or “bad” healthcare is include clinical audit, satisfaction surveys, and routine outcome measurement. However, the process of c...
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| Format: | Article |
| Language: | English |
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MDPI AG
2023-08-01
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| Series: | Behavioral Sciences |
| Subjects: | |
| Online Access: | https://www.mdpi.com/2076-328X/13/9/705 |
| _version_ | 1827727186977619968 |
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| author | Sara D. S. Ramos Rudi Coetzer |
| author_facet | Sara D. S. Ramos Rudi Coetzer |
| author_sort | Sara D. S. Ramos |
| collection | DOAJ |
| description | Practitioners have a clinical, ethical, academic, and economic responsibility to dispassionately consider how effective their services are. Approaches to measure how “good” or “bad” healthcare is include clinical audit, satisfaction surveys, and routine outcome measurement. However, the process of comparing the clinical outcomes of a specific service against the ‘best’ services in the same specialism, also known as benchmarking, remains challenging, and it is unclear how it affects quality improvement. This paper piloted and compared two different approaches to benchmarking to assess clinical outcomes in neurorehabilitation. Norming involved comparing routine measures of clinical outcome with external validators. Stacking involved pooling and comparing internal data across several years. The analyses of routine clinical outcome data from 167 patients revealed significant differences in the patient characteristics of those admitted to the same service provider over time, but no differences in outcomes achieved when comparing with historical data or with external reference data. These findings illustrate the potential advantages and limitations of using stacking and norming to benchmark clinical outcomes, and how the results from each approach might be used to evaluate service effectiveness and inform quality improvement within the field of brain injury rehabilitation. |
| first_indexed | 2024-03-10T23:03:00Z |
| format | Article |
| id | doaj.art-e19cca1739fe4f4b9f204b7948358eef |
| institution | Directory Open Access Journal |
| issn | 2076-328X |
| language | English |
| last_indexed | 2024-03-10T23:03:00Z |
| publishDate | 2023-08-01 |
| publisher | MDPI AG |
| record_format | Article |
| series | Behavioral Sciences |
| spelling | doaj.art-e19cca1739fe4f4b9f204b7948358eef2023-11-19T09:34:38ZengMDPI AGBehavioral Sciences2076-328X2023-08-0113970510.3390/bs13090705The Measure of an Outcome: Comparing Norming and Stacking to Benchmark the Effectiveness of Brain Injury Rehabilitation ServicesSara D. S. Ramos0Rudi Coetzer1Brainkind, Wakefield WF5 9TJ, UKBrainkind, Wakefield WF5 9TJ, UKPractitioners have a clinical, ethical, academic, and economic responsibility to dispassionately consider how effective their services are. Approaches to measure how “good” or “bad” healthcare is include clinical audit, satisfaction surveys, and routine outcome measurement. However, the process of comparing the clinical outcomes of a specific service against the ‘best’ services in the same specialism, also known as benchmarking, remains challenging, and it is unclear how it affects quality improvement. This paper piloted and compared two different approaches to benchmarking to assess clinical outcomes in neurorehabilitation. Norming involved comparing routine measures of clinical outcome with external validators. Stacking involved pooling and comparing internal data across several years. The analyses of routine clinical outcome data from 167 patients revealed significant differences in the patient characteristics of those admitted to the same service provider over time, but no differences in outcomes achieved when comparing with historical data or with external reference data. These findings illustrate the potential advantages and limitations of using stacking and norming to benchmark clinical outcomes, and how the results from each approach might be used to evaluate service effectiveness and inform quality improvement within the field of brain injury rehabilitation.https://www.mdpi.com/2076-328X/13/9/705acquired brain injuryclinical evaluationholistic neurorehabilitationquality improvementservice development |
| spellingShingle | Sara D. S. Ramos Rudi Coetzer The Measure of an Outcome: Comparing Norming and Stacking to Benchmark the Effectiveness of Brain Injury Rehabilitation Services Behavioral Sciences acquired brain injury clinical evaluation holistic neurorehabilitation quality improvement service development |
| title | The Measure of an Outcome: Comparing Norming and Stacking to Benchmark the Effectiveness of Brain Injury Rehabilitation Services |
| title_full | The Measure of an Outcome: Comparing Norming and Stacking to Benchmark the Effectiveness of Brain Injury Rehabilitation Services |
| title_fullStr | The Measure of an Outcome: Comparing Norming and Stacking to Benchmark the Effectiveness of Brain Injury Rehabilitation Services |
| title_full_unstemmed | The Measure of an Outcome: Comparing Norming and Stacking to Benchmark the Effectiveness of Brain Injury Rehabilitation Services |
| title_short | The Measure of an Outcome: Comparing Norming and Stacking to Benchmark the Effectiveness of Brain Injury Rehabilitation Services |
| title_sort | measure of an outcome comparing norming and stacking to benchmark the effectiveness of brain injury rehabilitation services |
| topic | acquired brain injury clinical evaluation holistic neurorehabilitation quality improvement service development |
| url | https://www.mdpi.com/2076-328X/13/9/705 |
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