ABSTRACT
Concerned about the lack of referrals to occupational therapy for patients with activities of daily living (ADL) deficiency, the occupational therapy section of an acute-care community hospital conducted a quality assurance study. Referral standards were established by the occupational therapy department and approved by the medical staff. Initial measurements indicated that 71 percent of patients requiring a referral did not receive it. Since the staff standard for missed referrals was only 15 percent, improvement actions were implemented. After improvements were made in the referral system, missed referrals dropped from 71 to 27 percent, marking an improvement of 44 points. The study produced several other benefits, including better communication among health care providers, improved patient functional assessment, and greater staff commitment to quality assurance activities.
Subject(s)
Occupational Therapy/statistics & numerical data , Quality Assurance, Health Care , Activities of Daily Living , Aged , Female , Humans , Male , Occupational Therapy/standards , Outcome and Process Assessment, Health Care , Peer Review , Referral and Consultation/statistics & numerical data , Utilization ReviewABSTRACT
As part of a larger multidisciplinary study conducted at an acute care hospital, a three-phase study focused on an occupational therapy back conservation education program. A problem in care--limited patient education about back conservation--was identified. Because dissemination of information about underutilization of the program improved referrals only slightly, the basic procedure for referral was changed; this resulted in significant improvement. Flexibility and innovation in assessment approach were demonstrated by a post-discharge patient questionnaire and literature review utilized in the final phase of the study.
