June 2021 – In Grand Rounds 18, Drs. Teno and Saliba discuss the use of administrative data, including the Minimum Data Set (MDS) in pragmatic clinical trials and share examples of how they have used this data in their own pragmatic clinical trials.
Speakers
Joan M. Teno, MD, MS
Professor of Medicine, Oregon Health & Science University
Adjunct Professor of Health Services, Policy, & Research, Brown University School of Public Health Physician Scientist, VA Los Angeles, GRECC and HSR&D COIN
Debra Saliba, MD, MPH
Anna & Harry Borun Endowed Chair, Geriatrics and Gerontology, UCLA
Director, UCLA/JH Borun Center for Gerontological Research
Physician Scientist, VA Los Angeles, GRECC and HSR&D COIN
Learning Objectives
- Pros and cons of administrative data for use in pragmatic trials
- Address potential limitations of using administrative data to infer the quality of care
- Discuss a controversial claim that pragmatic trials of decision-making for persons with dementia need to consider adding PCROs:
- Addressing understanding, coercion
- Addressing safety, “balance measures - Identify advantages & challenges of using MDS assessment items
- Describe some of the MDS data elements and their performance implications for persons with cognitive impairment
- Understand performance of resident self-report items
- Identify pragmatic skills for direct interviews