TIDE Laura Adochio, Matt Wolf, John Hutchison, Matt Berry, Dave Dickinson, Debra Frederick, Andrew Huttenga, Nathan Rinsema, Edward Honour and Deborah Wadas The work on RAPT was sponsored by the Department of Homeland Security’s FEMA.
RAPT, used by local, state, tribal, territorial, federal, private sector and nonprofit public safety officials, has been widely applied for pre-landfall hurricane planning, contingency planning for COVID- 19, post-tornado incident analysis and many other steady-state and operational planning activities. federal departments and agencies to tackle analytically challenging problems. RAPT is one example of how DOE national laboratories can successfully partner with other U.S. RAPT and the CRIA were co-developed by the Argonne team and the Federal Emergency Management Agency’s ( FEMA) Benjamin Rance and Karen Marsh. It includes information about vulnerable populations, infrastructure systems, hazards and indicators of resilience derived from Argonne’s Community Resilience Indicator Analysis ( CRIA). The RAPT is a geographic information system ( GIS) tool to help emergency managers and community partners at all GIS skill levels visualize and assess potential challenges to community resilience. Resilience Analysis and Planning Tool ( RAPT) Carol Freeman, Carmella Burdi, Kyle Burke Pfeiffer and Lesley Edgemon Both finalists and winners were recognized at a virtual 2020 R &D 100 Conference on Sept. The Argonne technologies described below were among those chosen as winners and finalists by an independent panel of more than 40 industry leaders. Past winners include Fortune 500 companies, DOE national laboratories, academic institutions and smaller companies.
Argonne scientists have received more than 130 R &D 100 Awards since the competition began. Department of Energy’s ( DOE) Argonne National Laboratory and partner organizations have been named as 2020 R &D 100 Award winners three others have been named as finalists.įor 56 years, the R &D 100 Awards have served as the nation’s most prestigious innovation awards program, honoring R &D pioneers and their revolutionary ideas in science and technology. The ability to identify discharge disposition pre-operatively is valuable for improving care coordination, directing care resources and establishing and maintaining patient and family expectations.Five technologies developed by researchers at the U.S. Multivariate analysis showed that being in the high risk category versus low risk category was significantly associated with substantially increased odds of discharge to a facility.The RAPT tool has shown the ability to predict discharge disposition for total joint and spine surgery patients, but not cardiac valve surgery patients, where the majority of patients in all categories were discharged home, at an institution participating in a bundled payment program. In the spinal fusion cohort, 60% of those in the high risk group were discharged to a facility and 86% in the low risk group were discharged to home. In the cardiac cohort, only 33% of the high risk group was discharged to a facility, and 94% of the low risk group was discharged to home. RAPT risk categories were related to discharge disposition as 72% of those in the high risk group were discharged to a facility and 91% in the low risk group were discharged to home in the total joint replacement cohort. Multivariate analysis was performed to determine if there was any correlation between RAPT score and discharge to any facility.70.5% of total joint patients, 80.7% of cardiac valve surgery patients and 70.7% of spine surgery patients were discharged home rather than to a post-acute facility. Associations between RAPT categories and patient discharge to home versus any facility were conducted. Total RAPT scores were grouped into three levels for risk of complications: 9 = ‘low risk’ for discharge to a post-acute facility.
The purpose of this study was to evaluate the relationship between the Risk Assessment and Predictor Tool (RAPT) and patient discharge disposition in an institution participating in bundled payment program for total joint replacement, spine fusion and cardiac valve surgery patients.Between April 2014 and April 2015, RAPT scores of 767 patients (535 primary unilateral total joint arthroplasty 150 cardiac valve replacement 82 spinal fusions) were prospectively captured.
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