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CareConnections Partners with AM-PAC

CareConnections is excited to announce the addition of the AM-PAC CAT (Computerized Adaptive Tests) assessment tool to our outcomes improvement platform. By combining the AM-PAC tool, with its scientific integrity and long history of use in post-acute care settings, with our easy-to-use platform, we have further solidified CareConnections as a national leader in patient outcome management, comprehensive data analysis, and reporting. This combination will streamline collection of patient functional status and promote efficiency for electronic use. (Please note: information on licensing the AM-PAC Six Clicks version is available here.)

AM-PAC is an activity limitations instrument developed by researchers at Boston University’s Health and Disability Research Institute. The AM-PAC tool measures functional outcome using Item Response Theory (IRT) methodology to overcome the limitations of traditional functional outcome measures (Jette and Haley, 2005). Through a collaboration and partnership between CareConnections and AM-PAC, the CareConnections platform will have the opportunity to create a centralized compendium of tools for better tracking of functional improvement.

The traditional collection of functional outcomes was historically evaluated by disease, condition, or anatomical region. The AM-PAC measure was specifically designed for use across patient diagnoses, individual conditions, and settings where post-acute care is being provided. Due to the widespread nature and abilities of AM-PAC, this precise point-of-care assessment for patient-related outcomes has been utilized with increased frequency in various healthcare settings today.

The science of AM-PAC, coupled with the platform of CareConnections , allows for delivery and analysis of outcomes reporting for a myriad of benefits in Health Services Research (HSR).

CareConnections provides therapy care providers with an array of rehabilitation medical resources essential for streamlining physical therapy practice referrals and authorizations, which aides in improving quality of care and promoting fair compensation for patient care. This collaboration between CareConnections and AM-PAC specifically increases centralized warehousing of data and allows for comparisons with a national database.


Alan M. Jette, PT, PhD, MPH, is Professor of Health Law, Policy & Management at Boston University School of Public Health. Dr. Jette’s research interests include late-life exercise, evaluation of rehabilitation treatment outcomes, and the measurement, epidemiology, and prevention of disability. Dr. Jette is an international expert in the development and dissemination of contemporary outcome measurement instruments to evaluate health care quality and outcomes. He has published over 200 peer reviewed articles on these topics. Dr. Jette currently directs the project entitled, “Use of Computer Adaptive Testing to Assist with the Social Security Work Disability Determination Process.” He and his collaborators in the Department of Rehabilitation at the NIH Clinical Center are assisting the Social Security Administration to improve their work disability determination process by developing new measures to be used within the process. Currently, Dr. Jette directs the Boston Rehabilitation Outcome Measurement Center funded by NCMRR/NIH, serves on the Executive Committee of the Boston Roybal Center for Active Lifestyle Interventions funded by NIA/NIH, and is Project Director of the New England Regional Spinal Cord Injury Center, funded by NIDILRR. For the past 15 years he has directed the Boston University Post-Doctoral Fellowship Program in Outcomes Research funded by NIDILRR and from 1996-2004 he served as Dean of Boston University’s Sargent College of Health & Rehabilitation Sciences. From 1999-2002, he served on the IOM Committee to Review SSA’s Disability Decision Process Research. He chaired the Institute of Medicine’s 2007 study and report, The Future of Disability in America. From 2011-2014, he co-chaired the IOM Forum on Aging, Disability, and Independence. In 2013, he was elected as a member of the IOM. He received a B.S. in physical therapy from the State University of New York at Buffalo in 1973 and a M.P.H. (1975) and Ph.D. (1979) in public health from the University of Michigan.

Chris Hoekstra, PT, DPT, OCS, COMT, FAAOMPT is the Director of Knowledge Management for Therapeutic Associates Inc (TAI). In this capacity he oversees projects that improve practitioners’ utilization of the electronic health record (EHR), with specific focus on the use of patient specific outcomes to drive the clinician’s treatment planning and diagnostic reasoning. He has published peer-reviewed studies related to outcome measure psychometrics and manual therapy treatment safety. He also presents nationally related to developing structured processes to apply clinical outcomes into the clinical reasoning process of therapists, and business decisions of industry.

Dr. Hoekstra is Board Certified Orthopedic Clinical Specialist and a Fellow of the American Academy of Orthopedic and Manual Physical Therapy. His Fellowship research revolved around studying the effect of clinical mentorship on the clinic outcomes in novice physical therapists. He continues to practice part time with an emphasis on orthopedic manual therapy and cognitive behavioral interventions.

After earning his doctorate in physical therapy from Pacific University in 2001, Dr. Hoekstra completed a full-time mentorship/residency in Advanced Manual Physical Therapy through Kaiser Permanente in Hayward, CA. in 2002. He was certified in manipulative therapy through the North American Institute of Orthopedic Manual Therapy (NAIOMT) in 2006. In 2014 he completed a graduate certificate in Biomedical Informatics through Oregon Health and Sciences University School of Medicine.

Currently Dr. Hoekstra is completing a Master’s of Biomedical Informatics degree through Oregon Health and Sciences University School of Medicine. His work in informatics has revolved around developing clinical decision support tools for PTs using the EHR systems, as well as outcomes reporting tools as an aide to clinical decision making. His work has also included training clinicians and EHR template design to promote efficient EHR use relative to the clinical reasoning process. Dr. Hoekstra is currently a member of the APTA Outcomes Registry Scientific Advisory Panel and consults with the Outcomes Registry on EHR interoperability and provider clinical documentation work-flows.

In addition to his clinical duties, he is an Adjunct Faculty member of Pacific University School of PT. He also co-developed courses through Therapeutic Associates on pain neurophysiology, clinical reasoning, clinical research, and treatment-based classification and treatment of acute low back pain. He is a faculty member with NAIOMT and heads the Research Committee. Dr. Hoekstra also serves as the Assistant Director of the TAI Orthopaedic Clinical Residency program.