R4. Development and Feasibility of a New CRT Policy Model Within an Accountable and Value-Based Care Framework

Project Leader:  Mark R. Schmeler, PhD, OTR/L, ATP

Co-Leaders:  Brad E. Dicianno, MD, Carmen DiGiovine, PhD, ATP/SMS, RET, & Richard M. Schein, PhD, MPH

Other Project Personnel:


The value-based care (VBC) approach to healthcare has not been fully assessed for a CRT policy model. Several attributes of such a model will be assessed in Projects R1, R2, & R3 and used in this project. Therefore, the overall objective of this final project is to synthesize the information gathered in other projects, compare it to the elements of VBC, design a new CRT model, and determine the feasibility for future implementation. The precise nature of this model can be determined only once the necessary information is gathered from other projects.

The anticipated outcomes across this project include:

  1. An analysis as to what degree the CRT field has the attributes for the formation of an accountable value-based service model and policy.
  2. A new model for CRT that can be developed and described based on stakeholder group consensus that includes more standardization in processes, the application of meaningful outcome measures, more accountability, inform a performance-based fee schedule, and contribute data for further studies and advancements in EBP.
  3. The new CRT process will not result in significant added burdens to the process but rather mitigate many burdens associated with the current process.
  4. A retrospective analysis of large data could indicate better outcomes at the same or lower cost as the current model.
  5. A new model of CRT service delivery and associated payment/policy will be ready for further implementation projects within health systems, payer provider models, and other funding entities.


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