Outcome application
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Outcome is a multi-language, multi-test application that allows the clinician to track patient outcomes on a Palm Powered handheld computer.
Rationale
Evaluating a patient's status is central to rehabilitation medicine; for example, following a patient's recovery, or determining the effectiveness of a treatment. Currently functional evaluations are also used to predict resource use and outcomes in inpatient medical rehabilitation.
However, two major obstacles prevent the widespread systematic use of outcome evaluations:
- The workload required to convert 'paper and pencil' tests into an electronic format.
- The difficulty of analyzing and interpreting test scores.
Outcome overcomes these two obstacles with one easy-to-use solution.
Available tests
Generic tests
* Abilhand
* Barthel index
* Euro Qol
* Functional Independence Measure ™
* MOS Short form 36 ™
Stroke
* Glasgow coma score
* Mini-mental state examination
* Motricity index
* NIHSS
* Rivermead behavioral memory test
* Rivermead mobility index
* Western aphasia battery
Rheumatoid arthritis
* Arthritis impact measurement scale
* Health assessment questionnaire
* RAQoL
Low back pain
* Mc Gill pain questionnaire
* Roland & Morris disability
* Oswersty questionnaire
* Backill
Multiple sclerosis
* Ambulation index
* Ashworth spasticity scale
* Kurtzke ESS et EDSS
Traumatic brain injuries
* Functional assessment measure
* Glasgow coma score
* Glasgow outcome scale
* Mini-mental state examination
* Rivermead behavioral memory test
Spinal cord lesions
* ASIA
* Ashworth spasticity scale
* Spinal cord independence measure
Outcome overview
[+] Outcome overview
Each facility has its own database. Registered handheld or desktop applications are allowed to manage the database. Facility records are periodically sent to a central web site for a free backup and to build up a regional/national database and calibrate each test. The facilities download new tests and their calibration from the central database.
Outcome features
Patient management
* Traceable medical notes of up to two A4 pages per patient.
* Up to 16 patient categories per handheld (e.g. diagnosis group, service, floor).
Evaluation management
* Supports multiple languages of the same test.
* Supports multiple versions of the same test.
* Up to 16 different evaluators per handheld.
* Multiple testing protocols: sequential, random or single item administration, Rasch-based computer adaptive testing.
* Online Help/Evaluation Guidelines available during testing.
* Different evaluators can administer different items of the same test.
* View results for completed or partial evaluations.
Outcome handheld
* Unlimited number of handhelds per facility.
* Only registered handhelds can connect to the database.
* Automatic backup of handheld data.
* Share data between users.
Outcome desktop
* Attribute rights to authorized clinicians and administrators.
* Login and password protection of data.
* Download new tests.
* Data exploitation in html or text files.
* Ready for a Rasch analysis.
Outcome benefits
Outcome benefits to the clinician
* Convenience and time savings.
* Generation of easy to interpret report.
* Elimination of data transcription errors.
* Record tracing.
* Data sharing with colleagues.
* Wireless access to patient records from anywhere in the clinic.
Outcome benefits to the administrator
* A vehicle to a systematic evaluation.
* A benchmark for personnel and procedures.
* Allocation of resources.
* Cost control.
Data analysis service
Rasch analysis is used to convert ordinal scores into linear measures in a way that is independent of the test difficulty. Supply our web-based database with your data and get our quarterly analysis report in order to:
* Maintain a national / regional reference database.
* Calibrate each test with the Rasch model.
* Follow admission and discharge statistics.
* Follow test performance across time or region.
* Examine response coherence.
* Express scores and recovery on a linear scale.
* Compare test usage among patients / evaluators / facilities / regions.
* Compare scores across patients / facilities / regions.