Implementation of the Core Outcome Measures CPG: Assessing the Know-Do Gap

Research Objectives To assess the Know-Do Gap of physical therapist use of the clinical practice guideline recommended core set of outcome measures (OMs) for neurologic conditions. Design Mixed-methods knowledge translation study implementing the Knowledge to Action (KTA) Cycle. Setting One neurologic outpatient physical therapy organization with three clinical sites that primarily serves patients with neurologic conditions. Participants 19 physical therapists. Interventions Retrospective medical record review of initial evaluation and discharge documentation from a five month period (October 2019 - February 2020). Main Outcome Measures Frequency of use of outcome measures, including the six core outcome measures recommended in the neurological outcome measures clinical practice guideline. Results 225 notes were reviewed (evaluation = 134; discharge = 91), performed by 19 physical therapists. 39 unique OMs were used during the 5 month reporting period. Results of the six core OMs were performed at the following frequencies: Six Minute Walk Test 82.2% (n = 185); Berg Balance Scale 43.1% (n = 97); 5 Times Sit-to-Stand 16.9% (n = 38); 10 meter Walk Test 14.7% (n = 33); Functional Gait Assessment 3.1% (n = 7); and the Activities-Specific Balance Confidence Scale 1.8% (n =4). Conclusions Implementation of the six core OMs in this outpatient physical therapy organization was variable. This assessment of the know-do gap is the first step in the KTA Cycle. Future steps include continuing to utilize the KTA Cycle to increase uptake of the core set of OMs. Author(s) Disclosures Dr. Yorke has no disclosures. Dr. Trojanowski has no disclosures. Dr. Fritz serves on the MS scientific advisory board for Helius Medical.