IRF therapists face pressure from management to score patients as independent at discharge despite clinical judgment, creating ethical concerns and confusion.

Workarounds Described

• therapists receive messages from upper management asking to further explain/justify their scores
• therapists use official QI resources/quizzes but find them inconsistent with management expectations

Implied Software Gaps

• Software that provides clear, defensible scoring guidelines and documents clinical rationale to counter management pressure

QI Ethics Clarifier

A decision-support tool for IRF therapists to consistently and ethically assign QI discharge scores. It provides evidence-based guidelines, case examples, and audit trails to defend clinical decisions against management pressure.

Existing Solutions Mentioned