We pride our work on real results from reliable sources. The studies below describe actual use of the SDMM™ within clinical processes and in research methodologies. We are honored that several of the articles have received Continuing Medical Education (CME) status, indicating their importance for the journal’s readership. Three studies specifically show improved patient outcomes after implementing the Siebens Domain Management Model™. Our work has also been published in some prominent medical, nursing, and geriatric textbooks.
STROKE – SIEBENS DOMAIN MANAGEMENT MODEL IN TEAM CONFERENCE
Setting: inpatient rehabilitation facility
Kushner DS, Peters K, Johnson-Greene D. Evaluating use of the Siebens Domain Management Model during inpatient rehabilitation to increase functional independence and discharge rate to home in stroke patients. PMR 2015;7:354-364. CME Status OPEN ACCESS
Significance: This is the first study to show that the use of SDMM leads to improved clinical outcomes using fewer resources. The SDMM was implemented as a guide to inpatient rehabilitation weekly team conference discussions. In addition, discussion had to focus on barriers to community discharge. Improved outcomes included better functional levels, shorter lengths of stay, and more patients discharged to home. Importantly, there were fewer discharges back to the acute hospital.
HIP FRACTURE - REHABILITATION RESEARCH
Setting: Inpatient rehabilitation hospitals and skilled nursing facilities
Siebens H, Sharkey P, Aronow HU, Deutscher D, Roberts P, Munin MC, Radnay C, Horn SD. Variation in rehabilitation treatment patterns for hip fracture treated with arthroplasty. PM&R 2016; 8:191-207. CME designated status. Open Access.
Significance: In this descriptive study, the rehabilitation therapy activity treatments by physical therapy (PT) and occupational therapy (OT) were organized using the four SDMM domains (see Table 3). When this approach was initiated, feedback by therapists studying traumatic brain injury was positive. Those activities that were not domain-specific were categorized under Care Processes (e.g. assessment).
While the four domains have been used by clinical therapists (PT, OT) in rehabilitation hospital team conferences for several years; this is the first study to do this with research data. This application supports the interdisciplinary design of the SDMM.
Patients’ characteristics at admission (Table 1) and discharge (Table 4) were also organized by the four domains as were the recommended discharge treatments (Table 4).
PARKINSON’S DISEASE – NURSE-LED CARE COORDINATION AND CARE MANAGEMENT
Connor K, Cheng E, Siebens HC, Lee ML, Mittman BS, Ganz DA, Vickrey B. Study protocol of “CHAPS”: a randomized controlled trial of Care Coordination for Health Promotion and Activities in Parkinson’s Disease to improve the quality of care for individuals with Parkinson’s disease. BMC Neurology; 2015: 15:258 OPEN ACCESS
Significance: This study is unique in that the SDMM concept is being used, as designed, with both providers and patients. In addition, this care coordination program is the first outpatient clinical program to use the SDMM to guide steps of care. A comprehensive patient assessment, the priority problem list, and nurse clinical manager documentation are organized consistently using the four domains. The domains are extended to patients through use of the Siebens Health Care Notebook, customized for each patient. An ongoing research study funded through a nursing research initiative in the Veterans Affairs Health Services Research and Development is evaluating outcomes.