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Arts and the Health Humanities: Intersections, Inquiry, Innovations
e34 organizational characteristics (type of facility, size, profit status, teaching, and proportion of low-income patients served) and geographic region. Results: Average Medicare margins among IRFs varied widely and by several organizational characteristics: hospital-based units had substantially lower margins relative to freestanding facilities. After controlling for organizational characteristics, we found that IRFs with lower Medicare margins had lower (i.e. better) hospital readmission rates. In contrast, we found no relationship between Medicare margins and performance on the pressure ulcer quality measure. Conclusion/Discussion: Our results suggest that IRFs that perform well on the hospital readmission measure that is publicly reported have lower Medicare margins. Understanding the relationship between Medicare margins and quality outcomes provides important information for policymakers and providers particularly as CMS programs increasingly utilize this information for public reporting and other initiatives. Key Words: Medicare, Quality, Post-Acute Care, Inpatient Rehabilitation Disclosures: None. Research Poster 296920 Arts and the Health Humanities: Intersections, Inquiry, Innovations Sarah Blanton (Emory University), Nancy Kirsch, Gail Jenson, Bruce Greenfield, Emma Goldberg Research Objectives: The goal of this effort is to broaden the understanding of the concepts of humanities in rehabilitation research and create a rich breeding ground for innovative ideas to foster collaboration between the scientist, clinician and patient. Design: The Journal of Humanities in Rehabilitation (JHR), an international, peer-reviewed, digital publication, provides the platform for robust and sustainable collaboration around issues related to critical topics in health, humanities, disability studies, and interprofessional education. Building upon current innovations in digital scholarship, JHR faculty explore how the humanities might facilitate meaningful intersections interprofessional education (IPE) and interprofessional collaborative practice (IPCP) with and about rehabilitation professionals. Setting: As a unique model of interprofessional education, students from the Emory Doctor of Physical Therapy program join with humanities graduate students affiliated with Emory’s Disability Studies Initiative and the Department of English as JHR Graduate Associate Editorial staff members. Partnering with Emory’s Center for Digital Scholarship through their Digital Scholarship Internship program, these graduate students from across disciplines have an opportunity to work with scholars in the humanities and health sciences while accumulating skills related to digital publishing and program development. This specialized internship-training program is designed to facilitate professional development of graduate students in digital competencies related to research and pedagogy. Participants: Multiple interdisciplinary stakeholders. Interventions: The complexities of health care require working together as a cohesive team, not in silos, protecting our “staked out professional territory” but collaboratively in a non-threatening environment. The humanities provide a shared neutral platform, supporting the team as they come together to reflect on tough, value-laden issues. In the current healthcare environment, the ability to see situations from multiple frames of reference, deal with uncertainty, and engage in critical self-reflection is more important than ever. The humanities offer an opportunity to explore the shared experience of the interpersonal relationship common to all disciplines. Art and literature, music and poetry, all provide avenues to delve deeply together in our search for meaning in the face of disability and suffering. A handful of journals are currently devoted to humanities in medicine and nursing. Noticeably absent from this group is a focused publication representing rehabilitation sciences where team-based care has
Research Posters a long legacy and tradition. The Journal of Humanities in Rehabilitation was developed to help fill this void and create unique opportunities to facilitate IPE and IPCP. Through transdisciplinary mentorship, faculty across programs join with graduate students in identifying and discussing key elements in the role of the humanities to facilitate IPE and IPCP and gain a greater understanding of the human experience of disability and healing. Main Outcome Measure(s): JHR subscriber rates and origins (national and international), interdisciplinary submission numbers, website analytics (number, origin and frequency of site visitors); collaborative inter- and transdisciplinary submissions; and graduate student internship participation and publications. Results: Established in 2015, JHR has published 67 articles (5 issues) from 9 disciplines, including contributions from 2 Pulitzer Prize winners and directors of award winning films related to disability and illness. The Editorial Board consists of interdisciplinary scholars recognized internationally in rehabilitation and health humanities. Nine interdisciplinary students have served as graduate editorial associates and this IPE program is expanding to include the nursing, physician assistant and rehabilitation neuropsychology students. The JHR website has over 15,000 users from 131 countries, and a subscriber list is approximately 11,000 individuals. To foster public and international accessibility, JHR is an open access publication, freely available to individuals and institutions, and submissions are at no cost to authors. Conclusion/Discussion: The dynamic environment of technology, clinical care, pedagogy, and research has come to require proficiency in digital tools and software not traditionally employed by health professionals. The use of digital scholarship as an innovative problem-solving tool to address relevant research design as well as to tailor individual patient centered care to facilitate IPE and IPCP. Key Words: Humanities, Interprofessional Education, Reflective Practice, Health Humanities Disclosures: None.
Research Poster 287989 Assessing a Task Oriented Training Program in the Home with Mixed Methods Veronica Rowe (University of Central Arkansas) Research Objectives: To determine the effectiveness and structure of a task oriented training program administered at home for people with stroke related hemiparesis. Design: Mixed methods. Quantitative, experimental design with standardized assessments administered pre-test, post-test, and one-month follow-up. Qualitative, phenomenological design assessing field notes to more fully describe the essence of the intervention. Setting: All evaluation and intervention sessions were conducted in the participant’s home. Participants: Four volunteers who were 3-12 months post their first CVA and had completed all prescribed occupational therapy. Participants exhibited mild to moderate upper extremity hemiparesis. Interventions: Thirty sessions of task oriented training involved activities salient to the participant. The training was modeled after the ASAP protocol outlined in Winstein, 2013, and guided by Lang and Birkenmeier’s (2014) manual. Main Outcome Measure(s): Quantitative, standardized assessments included: Canadian Occupational Performance Measure, Motor Activity Log, Fugl-Meyer Assessment for the upper extremity, Stroke Impact Scale recovery question, and Functional Test for the Hemiparetic Upper Extremity. Qualitative data was derived through content analysis of field notes taken throughout the intervention.
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Research Posters a long legacy and tradition. The Journal of Humanities in Rehabilitation was developed to help fill this void and create unique opportunities to facilitate IPE and IPCP. Through transdisciplinary mentorship, faculty across programs join with graduate students in identifying and discussing key elements in the role of the humanities to facilitate IPE and IPCP and gain a greater understanding of the human experience of disability and healing. Main Outcome Measure(s): JHR subscriber rates and origins (national and international), interdisciplinary submission numbers, website analytics (number, origin and frequency of site visitors); collaborative inter- and transdisciplinary submissions; and graduate student internship participation and publications. Results: Established in 2015, JHR has published 67 articles (5 issues) from 9 disciplines, including contributions from 2 Pulitzer Prize winners and directors of award winning films related to disability and illness. The Editorial Board consists of interdisciplinary scholars recognized internationally in rehabilitation and health humanities. Nine interdisciplinary students have served as graduate editorial associates and this IPE program is expanding to include the nursing, physician assistant and rehabilitation neuropsychology students. The JHR website has over 15,000 users from 131 countries, and a subscriber list is approximately 11,000 individuals. To foster public and international accessibility, JHR is an open access publication, freely available to individuals and institutions, and submissions are at no cost to authors. Conclusion/Discussion: The dynamic environment of technology, clinical care, pedagogy, and research has come to require proficiency in digital tools and software not traditionally employed by health professionals. The use of digital scholarship as an innovative problem-solving tool to address relevant research design as well as to tailor individual patient centered care to facilitate IPE and IPCP. Key Words: Humanities, Interprofessional Education, Reflective Practice, Health Humanities Disclosures: None.
Research Poster 287989 Assessing a Task Oriented Training Program in the Home with Mixed Methods Veronica Rowe (University of Central Arkansas) Research Objectives: To determine the effectiveness and structure of a task oriented training program administered at home for people with stroke related hemiparesis. Design: Mixed methods. Quantitative, experimental design with standardized assessments administered pre-test, post-test, and one-month follow-up. Qualitative, phenomenological design assessing field notes to more fully describe the essence of the intervention. Setting: All evaluation and intervention sessions were conducted in the participant’s home. Participants: Four volunteers who were 3-12 months post their first CVA and had completed all prescribed occupational therapy. Participants exhibited mild to moderate upper extremity hemiparesis. Interventions: Thirty sessions of task oriented training involved activities salient to the participant. The training was modeled after the ASAP protocol outlined in Winstein, 2013, and guided by Lang and Birkenmeier’s (2014) manual. Main Outcome Measure(s): Quantitative, standardized assessments included: Canadian Occupational Performance Measure, Motor Activity Log, Fugl-Meyer Assessment for the upper extremity, Stroke Impact Scale recovery question, and Functional Test for the Hemiparetic Upper Extremity. Qualitative data was derived through content analysis of field notes taken throughout the intervention.
www.archives-pmr.org