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Development and Evaluation of Candidate Standardized Patient Assessment Data Elements: Findings from the National Beta Test (Volume 7: Global Health, Care Preferences, and Medication Reconciliation

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 candida...

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Bibliographic Details
Published in:Policy File 2019
Main Authors: Edelen, Maria Orlando, Rodriguez, Anthony, Ahluwalia, Sangeeta C, Chen, Emily K, Cohen, Catherine C, Dalton, Sarah, Etchegaray, Jason Michel, Huang, Wenjing, Karkos, Brenda, Klein, David J, Madrigano, Jaime, Martineau, Monique, Moore, Terry, Orr, Patrick, Phillips, Jessica, Schalet, Ben, Shier, Victoria, Paddock, Susan M, Agniel, Denis
Format: Report
Language:English
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Summary: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 7 of the final report on the National Beta Test, which includes the identification and testing of candidate SPADEs that fall into other clinical categories (care preferences, medication reconciliation, and global health). This volume provides results and significance tests on the feasibility, reliability, validity, stability and change over time, and sensitivity to national representativeness of the candidate SPADEs. The data elements tested include PROMIS Global Health, Care Preferences, and Medication Reconciliation. All three data element sets performed fairly well, with some variability in performance.