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  • Measure Summary
  • NQMC:004425
  • Jan 2003

Speech and language function: proportion of stroke patients in each risk-adjusted group that make at least one level of progress on the Pragmatics Functional Communication Measure (FCM).

National Center for Evidence-Based Practice in Communication Disorders. National Outcomes Measurement System: Adults in health care speech-language pathology user's guide. Rockville (MD): American Speech-Language-Hearing Association; 2003. 53 p.

View the original measure documentation External Web Site Policy

This is the current release of the measure.

The measure developer reaffirmed the currency of this measure in October 2015.

Primary Measure Domain

Clinical Quality Measures: Outcome

Secondary Measure Domain

Does not apply to this measure

Description

The measure is used to assess the proportion of stroke patients in each risk-adjusted group, ages 16 years and older, that make at least one level of progress on the Pragmatics Functional Communication Measure (FCM).

The Pragmatics FCM is one of 15 FCM scales which are used to measure outcomes of speech and language therapy in the realm of swallowing and 14 areas of communication over time. Each scale is composed of seven-point ratings ranging from least functional (level 1) to most functional (level 7).

Rationale

Changes in Functional Communication Measure (FCM) level provide information on the benefits of treatment designed to enhance functional communication and swallowing. FCMs were designed to describe aspects of a patient's functional communication and swallowing abilities over time from admission to discharge in various speech-language pathology treatment settings.

Primary Health Components

Stroke; speech and language intervention; pragmatics

Denominator Description

Stroke patients, ages 16 years and older, with a treatment plan recommending speech and language intervention for a minimum of two sessions. Patients must receive speech and language intervention using either an individual and/or group treatment model or a training and/or consultation model.

See the related "Denominator Inclusions/Exclusions" field.

Numerator Description

The number of stroke patients in each risk-adjusted group that make at least one level of progress on the Pragmatics Functional Communication Measure (FCM)

Note: Refer to the original measure documentation for additional details.

Type of Evidence Supporting the Criterion of Quality for the Measure

  • A formal consensus procedure, involving experts in relevant clinical, methodological, public health and organizational sciences

Additional Information Supporting Need for the Measure

Unspecified

Extent of Measure Testing

Unspecified

State of Use

Current routine use

Current Use

Accreditation

Internal quality improvement

National reporting

Measurement Setting

Ambulatory/Office-based Care

Ancillary Services

Behavioral Health Care

Community Health Care

Home Care

Hospices

Hospital Inpatient

Hospital Outpatient

Rehabilitation Centers

Residential Care Facilities

Skilled Nursing Facilities/Nursing Homes

Professionals Involved in Delivery of Health Services

Speech-language Pathologists

Least Aggregated Level of Services Delivery Addressed

Single Health Care Delivery or Public Health Organizations

Statement of Acceptable Minimum Sample Size

Unspecified

Target Population Age

Age greater than or equal to 16 years

Target Population Gender

Either male or female

National Quality Strategy Aim

Better Care

National Quality Strategy Priority

Prevention and Treatment of Leading Causes of Mortality

IOM Care Need

Getting Better

Living with Illness

IOM Domain

Effectiveness

Case Finding Period

Unspecified

Denominator Sampling Frame

Patients associated with provider

Denominator (Index) Event or Characteristic

Clinical Condition

Patient/Individual (Consumer) Characteristic

Therapeutic Intervention

Denominator Time Window

Does not apply to this measure

Denominator Inclusions/Exclusions

Inclusions

  • Patients, ages 16 years and older, with a treatment plan recommending speech and language intervention for a minimum of two sessions
  • Patients who have had a stroke
  • Patients receiving speech and language intervention using one of two treatment models:
    • Individual and/or group treatment model
    • Training and/or consultation model

Note: Refer to the original measure documentation for additional details.

Exclusions

  • Patients seen for evaluation only
  • Adults with developmental disabilities

Exclusions/Exceptions

Unspecified

Numerator Inclusions/Exclusions

Inclusions
The number of stroke patients in each risk-adjusted group that make at least one level of progress on the Pragmatics Functional Communication Measure (FCM)

Note: Refer to the original measure documentation for additional details.

Exclusions
Unspecified

Numerator Search Strategy

Episode of care

Data Source

Administrative clinical data

Other

Type of Health State

Functional Status

Instruments Used and/or Associated with the Measure

  • American Speech-Language-Hearing Association. National Outcomes Measurement System (NOMS): Adults in Health Care Admission Form.
  • American Speech-Language-Hearing Association. National Outcomes Measurement System (NOMS): Adults in Health Care Add/Close Forms.

Measure Specifies Disaggregation

Does not apply to this measure

Scoring

Rate/Proportion

Interpretation of Score

Desired value is a higher score

Allowance for Patient or Population Factors

Unspecified

Standard of Comparison

External comparison at a point in, or interval of, time

External comparison of time trends

Internal time comparison

Original Title

Functional Communication Measure: Pragmatics.

Measure Collection Name

National Outcomes Measurement System

Measure Set Name

Functional Communication Measures

Submitter

American Speech-Language-Hearing Association - Professional Association

Developer

American Speech-Language-Hearing Association - Professional Association

Funding Source(s)

A portion of the American Speech-Language-Hearing Association (ASHA) membership dues contributed to the design of the National Outcomes Measurement System, which includes the Functional Communication Measures (FCMs).

Composition of the Group that Developed the Measure

American Speech-Language-Hearing Association (ASHA) solicited input via publications, communication with larger health care facilities, presentations and other public input regarding specific treatment areas on which Functional Communication Measures (FCMs) should be based. Speech-language pathologists with a wide variety of clinical expertise were appointed to an advisory group that met to discuss the target measures.

Financial Disclosures/Other Potential Conflicts of Interest

None

Adaptation

This measure was not adapted from another source.

Date of Most Current Version in NQMC

2003 Jan

Measure Maintenance

Unspecified

Date of Next Anticipated Revision

Unspecified

Measure Status

This is the current release of the measure.

The measure developer reaffirmed the currency of this measure in October 2015.

Source(s)

National Center for Evidence-Based Practice in Communication Disorders. National Outcomes Measurement System: Adults in health care speech-language pathology user's guide. Rockville (MD): American Speech-Language-Hearing Association; 2003. 53 p.

Measure Availability

Source not available electronically.

For more information, contact the American Speech-Language-Hearing Association (ASHA) at 2200 Research Boulevard, Rockville, MD 20850-3289; Phone: 301-296-5700; Web site: http://www.asha.org/noms/ External Web Site Policy.

NQMC Status

This NQMC summary was completed by ECRI Institute of May 19, 2009. The information was verified by the measure developer on July 7, 2009.

This NQMC summary was retrofitted into the new template on June 8, 2011.

The information was reaffirmed by the measure developer on October 1, 2015.

Copyright Statement

This NQMC summary is based on the original measure, which is subject to the measure developer's copyright restrictions.

The Pragmatics Functional Communication Measure is part of the American Speech-Language-Hearing Association's (ASHA) National Outcomes Measurement System and published in the "National Outcomes Measurement System: Adults in Healthcare Speech-Language Pathology User's Guide." The document is available only to speech-language pathologists participating in ASHA's National Outcomes Measurement System data collection at www.asha.org/NOMS External Web Site Policy.

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