Specific Patient/Consumer Outcome Goals

1. Enhance pre-schoolers' knowledge framework with empathetic insight into living with a disability and prevention of disability through promotion of healthy behaviors and avoidance of risky ones.

Mechanisms of Support

Model Systems: Healthy Tomorrow (proposal CS4)

This goal is almost totally identified with NCSCIMS proposal CS4. It underscores the perceived primacy of early awareness to the avoidance of disabling incidents and the development of a responsive and empathetic social environment for persons who do acquire a disability.

RRTC: T4 Virtual Resource Network

Note: The virtual resource network does not refer just to the website, SCI-Health.org. It is the broader infrastructure that we have created and will continue to extend to offer information and training to the SCI interest community.

RRTC:T2 CPPP

The notion of "professional" is extended beyond health professionals -- who help persons with disabilities through teaching as well as treating,  to educators more generally

2. Empower individuals with SCI to avoid secondary conditions through identification and integration of key behaviors into their life reference framework.

Mechanisms of Support

Model Systems: SCI-SKIN

The prime output of the SCI-SKIN project, the quality plan, will serve as an information input to consumer, as well as clinician, practice modification efforts.

Model Systems: SCI-NAV

SCI Program KT products will provide yet another resource to the navigator to help him/her support individuals with SCI

Model Systems: SHIELD (proposal CS1)

SHIELD is a learning resource enabling consumers to maximize the utility of their interactions with their health providers. It's information can feed into future KT efforts.

Model Systems: Consumer Group Memberships (proposal CS3)

Group membership enhances consumers' exposure to enabling information and technologies. The KT program can augment its distribution process by enlisting the aid of consumer groups such as NSCIA and United Spinal.

Model Systems: Model Systems Info Leverage (proposal RM1)

A systematic review of materials produced by the Model Systems (present and past) will provide a knowledge digest to help coordinate and optimize ongoing KT efforts.

RRTC: T1 (Peer Mentors)

KT products provide resources to Peer Mentors. Platforms provide a distribution mechanism for those resources.

RRTC:T4 (Virtual Network)

The virtual network, broadly defined, provides the platform for dissemination of SCI KT resources.

3. Modify the of acute nursing care process for patients with SCI through effective, enactable knowledge of practices that will reduce the incidence pressure ulcers acutely.

Mechanisms of Support

Model Systems:

KT projects will work to provide the necessary learning and evaluation mechanisms to implement the Quality Plan in the clinical setting. Prior to the QP development, we will develop infrastructure using existing materials (PVA, etc) to reach identified audiences and settings as defined below.

KT2-MS2 Onsite visits and inservices to other area hospitals.

KT5-MS7 Critical and acute nursing training

KT7-MS11  CPPP integrated EMS outreach

RRTC:T4 (Virtual Network)

Extend the Virtual Network to meet the clinical learning objectives defined by the NCSCIMS

KT-8MS13 ER-1 integration

4. Modify the standard of primary care applied to individuals with SCI through effective, enactable knowledge of practices that will prevent secondary conditions.

Mechanisms of Support

Model Systems: KT1-MS1 (Nurse liaison outreach to other systems)

Our SCI KT products will help our liaisons convey the importance of specialized care and practice in the treatment of SCI

Model Systems: KT6-MS10 (Orientation for WHC and NRH staff)

Builds on CPPP. Empathy and knowledge about SCI to the staff of our sister hospitals generally.

RRTC: R1-5 (scientific content contribution):  T2; T3; T4

This goal leverages RRTC research findings, the consumer-driven education technique put forth by the CPPP, the State of the Science synthesis of knowledge on secondary conditions and the virtual network platform to reach out to clinicians with infrequent encounters with persons with SCI to enhance the quality of advice and care persons with SCI will receive from their primary health care providers.

Specific KT and Training Process Goals

1. Practice-Based Medicine -- Leverage this method of analysis of clinical practice to identify essential components of positive outcome for patients. Once identified, these essential components will be central to the concepts mapped into our learning tools.

A method of key interest to funding agencies (NIDRR esp), integral to the work of NRH's Center for Post-Acute Studies. Employed as well by the NIDRR SCI multi-site project, SCIREHAB.

2. Concept Mapping -- Leverage, further explore and refine this technique to both present knowledge and evaluate its integration into the learner's pre-existing knowledge framework.

Applications:

Healthy Tomorrow (Pre-school Disability Awareness Program)

Model Systems: Pre-school Think First (proposal CS4)

Express Education for Acute Care Nurses

Model Systems: KT5-MS7 Critical and acute nursing training

Integrative SCI Learning for Clinicians

RRTC global KT Goal ( i.e. leverages RRTC research findings, the consumer-driven education technique put forth by the CPPP, the State of the Science synthesis of knowledge on secondary conditions and the virtual network platform to reach out to clinicians with infrequent encounters with persons with SCI to enhance the quality of advice and care persons with SCI will receive from their primary health care providers)