Page 20 - Mobility Management, July 2018

CRT Trends: Big Data
What Clients Say About CRT
10 common, mobility-related activities before and after having a wheelchair.
“If I were to administer the FMA to you,” Schmeler explained, “I’d say, ‘On a scale of 1 to 6 — 6 being Completely Agree, 1 being Completely Disagree — your current means of mobility allows you to carry out your daily routine. It lets you do what you want to do when you want to do it.’”
Determining which activities to ask about was a process in itself, Schmeler added.
“Those 10 items are based on an analysis of about 2,000 goals that we had to systematically review in medical records,” he said. “Every time you see a patient for a wheelchair, you have to ask them what their goals and priorities are. So these are the top 10 priorities. This is what patients tell us is important; it is a patient-centered outcome. And patient-centered outcomes is the top priority in healthcare. That was what the Affordable
Care Act did: It said, “We are going to shift away from randomized clinical trials using measures deemed important to clinicians,’ to ‘Not just what’s important to clinicians or researchers, but what’s important to patients.’”
In Chart 2, the Baseline numbers (in blue) show how patients answered prior to using a wheelchair. The Follow-Up numbers (in green) show their scores once they began using their wheelchairs. Patients were asked how well their comfort needs were being met; how well they performed daily routines; how well their health needs were being met; how efficient their mobility was indoors; how well they could operate equipment; how efficient their mobility was outdoors; how well they could perform personal care tasks; how well they could reach; how well they could transfer from surface to surface; and how well they could operate and use transportation.
In Chart 3, the Baseline numbers (in blue) show patient
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