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Workplace RERC


State of the Science Conference
September 15-16, 2005

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  1. View: Universal Access Features
  2. The ATOMS Project - AT Outcomes Studies from the Vocational Model
  3. Presenter Contact Infoacilitators to Employment in Manufacturing
  4. Copyright
  5. About the ATOMS Project
  6. Problem Statement
  7. Purpose & Relationship to EBP
  8. Stonehenge - The Anti-Purpose
  9. RSA-911 Analysis - Purpose
  10. RSA-911 - Feasible Questions?
  11. RSA-911 - Preliminary Results - Descriptive (FY2001)
  12. RSA-911 - Preliminary Results - States
  13. RSA-911 - Preliminary Results - Cost (FY2001)
  14. Challenge of Acquiring Outcomes Evidence

Slide 1 of 27

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Slide 2 of 27

The ATOMS Project - AT Outcomes Studies from the Vocational Model

Todd D. Schwanke, MSE, ATP
Hanh Q. Trinh, Ph.D.
Roger O. Smith, Ph.D.

Workplace Accommodations:
State of the Science Conference (Workplace RERC)
September 15, 2005

Slide 3 of 27

Presenter Contact Info

  Todd D. Schwanke, MSE, ATP
R2D2 Center (www.r2d2.uwm.edu)
University of Wisconsin-Milwaukee

(v) (414) 229-6568
(tty) (414) 229-5628
(email) schwanke@uwm.edu

Slide 4 of 27

Copyright

  • Presenter’s may choose to use slides as a stand alone presentation or use all or a subset of the slides in another presentation.
  • Slides may be displayed and duplicated as long as credit to the authors and the copyright information is maintained.

    • Slide 5 of 27

    About the ATOMS Project

  • Highly collaborative NIDRR funded DRRP project based at UW-Milwaukee
  • Charge: needs assessment, R&D existing/new instruments, abandonment
  • Settings: VR, education, medical, independent living
  • www.atoms.uwm.edu

    • Slide 6 of 27

    Problem Statement

  • There is no existing, standard outcomes system.
  • Complex systems with many variables and fragmented data (area, delivery model, etc.). Yet stakeholders want basis for decision making as micro and macro levels.
  • What does existing data tell us?
  • Who has time and funding to collect (more) data?
  • Uniqueness of people, their accommodations, and workplaces.

    • Slide 7 of 27

    Purpose & Relationship to EBP

  • Exposure to and insight into a couple pieces of the many puzzles the ATOMS Project is working on…
  • Analysis of existing data
  • Collecting, connecting, and analyzing new data
  • Towards the ATOMS Project goal of a next generation system…

    • Slide 8 of 27

    Stonehenge – The Anti-Purpose

    Graphic: A photo of “Stonehenge” is displayed as a well-know example of something that humans built and that more recent humans spent immense amounts of time puzzling over how it was built and why.

  • Historical perspective
  • Next generation perspective
  • Future perspective

    • Slide 9 of 27

    RSA-911 Analysis - Purpose

  • Existing data
  • Annual, standardized data by state
  • Case closure driven
  • Approximately 50 fields
  • Demographics
  • VR outcomes related
  • General service categories
  • RT/AT is just one component

    • Slide 10 of 27

    RSA-911 – Feasible Questions?

  • How well does speech recognition software product Y work compared to product Z?
  • Sorry, can’t answer that with the RSA-911 data alone.
  • How much did the average worksite accommodation cost?
  • Sorry, can’t answer that with the RSA-911 data alone.
  • What device works best for an individual client?
  • Sorry, can’t answer that with the RSA-911 data alone.
  • What were the costs of case services for successfully rehabilitated consumers who received rehabilitation technology compared to those who did not?
  • Congrats, you can answer that with the RSA-911 data.

    • Slide 11 of 27

    RSA-911 – Preliminary Results – Descriptive (FY2001)

  • Successful rehab from all who apply - 233,684 (36.5%)
  • Unsuccessful rehab from all who apply - 278,782 (43.6%)
  • Accepted for services - 512,466 (80.1%)
  • Received RE (from all who apply) - 12,328 (1.9%)
  • Received AT devices (from all who apply) - 36,310 (5.7%)
  • Received AT services (from all who apply) - 41,363 (6.5%)
  • Received RE & AT devices (from all who apply) - 6,146 (1.0%)
  • Successful rehab & received AT devices - ?
  • Successful rehab & received RE - ?
    • Total Records 639,823 (100.0%)

    Slide 12 of 27

    RSA-911 – Preliminary Results - States

  • Line graph illustrates the Percentage of Case Closures in which Individuals Received Rehabilitation Technology Services (RE, AT devices, AT services) - for Selected States. For each state, the results do not vary more than 6% per year. The percentage is highest for Illinois, at about 24%. Percentages for Georgia, North Carolina, Oregon, and Wisconsin are all under 10%.

    •  

    Year

    		 GA IL
    		 NC
    		 OR
    		 WI
    1997 5% 23% 1% 7% Uncharted
    1998 5% 24% 1% 2% Uncharted
    1999 3% 25 3 6 Uncharted
    2000 3% 23 4 1 7%
    2001 6% 24 2 6 5%

     

    Slide 13 of 27

    RSA-911 – Preliminary Results – Cost (FY2001)

      Mean Cost
    		 Standard Deviation
    Cost of case services for all records $2,106 $5,045

    Cost of case services for successful rehab - No RE or AT

    		$3,542 $5,657
    Cost of case services for successful rehab - Received RE $7,730 $12,516
    Cost of case services for successful rehab - Received AT devices $5,993 $10,278
    Cost of case services for successful rehab - Received AT devices & services $5,993 $10,278

     

    Slide 14 of 27

    Challenge of Acquiring Outcomes Evidence

  • AT service programs have detailed intervention data (but little or no follow-up outcomes data).
  • DVR counselors (and central databases) have gross-cut outcomes and gross-cut interventions data, but little or no detailed intervention data.

    • Therefore:

  • No one has client specific outcomes data.
  • Agency data disconnect between interventions and outcomes.


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