Development and Evaluation of Candidate Standardized Patient Assessment Data Elements: Findings from the National Beta Test (Volume 2: Background and Methods)
Nov 15, 2019
The Improving Medicare Post-Acute Care Transformation Act of 2014 mandates that the Centers for Medicare & Medicaid Services (CMS) use standardized patient assessment data elements across post-acute care settings. RAND was tasked by CMS with developing and testing the data elements. This report, Volume 1 of a series, summarizes the material presented in the other seven volumes.
The Centers for Medicare & Medicaid Services (CMS) contracted with the RAND Corporation to evaluate candidate standardized patient assessment data elements (SPADEs) in a national field test titled the National Beta Test. The National Beta Test was conducted to evaluate the performance of candidate SPADEs in the clinical categories of (1) cognitive function and mental status; (2) special services, treatments, and interventions; (3) medical conditions and comorbidities; (4) impairments; and (5) other categories, for use in four post-acute care (PAC) settings: home health agencies, inpatient rehabilitation facilities, long-term care hospitals, and skilled nursing facilities.
This is Volume 1 of the final report on the National Beta Test. It summarizes the material presented in the other seven volumes, including background; methods and sample; basic feasibility and reliability results for each of the candidate SPADEs; results across SPADEs pertaining to evaluation of validity, look-back differences (Day 3, 5, 7 repeat assessment and Day 1, 3, 5, 7 chart review), and stability/change from admission to discharge; and a summary evaluation of the candidate SPADEs in terms of feasibility for use in PAC, psychometric performance, potential for improving quality, and utility for describing case mix.