Case Study #3
The Best-Ever Evaluation Team from the University of South State consists of two faculty members, Dr. Marjorie Rhett and Dr. George White. Other team members include Suzanne Cox (qualitative expert), Melissa Wright (health educator with survey design expertise), and Scott Gustafson (statistical analysis expert). Because the team is well known in the community, it frequently receives consulting contracts from local community health facilities. Its most recent contract evalu-ation was for Shady Trees Center, a local rehabilitation and assisted liv-ing residential facility, located in a quiet neighborhood in a small town about 40 miles from the university. On the rehabilitation side of the facility, there are 30 inpatient beds with outpatient physical therapy ser-vices available for former patients as well as community members. The assisted living residential side of Shady Trees houses 40 residents. The assisted living residents receive physical therapy as needed on the rehabilitation side for an additional fee for services. The purpose of the evaluation is to determine the effectiveness of the physical therapy services in rehabilitating elderly patients recovering from knee or hip replacement surgery. The evaluation team was given an adequate budget and six months to conduct the evaluation. All of the patients had their surgeries performed at the University Hospital. Each patient was transferred to Shady Trees 5 days after surgery, so the sample of patients was consistent.
The Best-Ever Team met with the Shady Trees administrative staff to discuss the evaluation design plan. It was determined that the evaluation would consist of the following: It was determined that the evaluation would consist of the following:
- A review of the literature to get an overall perspective of best practices in the physical therapy field for joint replacement sur-gery among elderly patients
- A patient medical record review to determine the success of Shady Trees patients over the past two years continues
- Interviews conducted with a sample of individuals representing medical billing and finance department staff, nursing and physi-cal therapy staff, patients, and family members 4. Surveys conducted with inpatients during the first week of admission and upon discharge from Shady Trees, patients who participated in outpatient physical therapy services for joint replacement, and former inpatients at least 6 months after dischargeThe Shady Trees administration team decided that they wanted the Best-Ever Team to develop a poster with the results, so it could be dis-played in the staff lounge (see Figure 13-7). The information would be added under each heading after the results were available.Case Study Discussion Questions1. What would be some potential limitations of this evaluation?2. Where else could the team showcase the results?