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Measuring What Matters: A New Path for Acute Care Practice
How do we measure what truly matters in acute care — and why does it finally feel possible to do it well?
In this week’s episode, co-hosts Dr. Nicole Neveau and Dr. Leo Arguelles sit down with Dr. Caitlyn Crandall and Dr. Lindsey Fresenko, two contributors to the new clinical practice guideline, “A Core Set of Outcome Measures to Assess Physical Function for Adults Participating in Physical Therapist Treatment in the Hospital.” Together, they unpack how this Core Outcome Measures (COMs) Set was built, what makes each measure clinically feasible, and how the guideline is already reshaping evaluation, communication, and discharge planning across hospital-based physical therapy.
Caitlyn and Lindsey share what surprised them during development, how psychometric rigor and real-world feasibility shaped the final set, and why standardized measurement doesn’t replace clinical reasoning — it strengthens it. They also preview their upcoming APTA Acute Care webinar and reflect on how a shared measurement language can help clinicians advocate for staffing, demonstrate value, and elevate patient care.
Whether you’re an ICU therapist, med-surg clinician, educator, or student, this conversation offers a clearer, more confident path for integrating outcome measures in acute care.
Today’s Guests:
Dr. Caitlyn Crandall, PT, DPT, CCS, RYT
Email: [email protected]
LinkedIn: https://www.linkedin.com/in/caitlyn-crandall-dpt
Instagram: @CaitlynCrandall
Dr. Lindsey Fresenko, PT, DPT, PhD
Email: [email protected]
Publications:
• PTJ CPG: https://academic.oup.com/ptj/article/105/6/pzaf076/8140951
• CC&E Journal: https://journals.lww.com/ccejournal/fulltext/2024/12000/rehabilitation_and_social_determinants_of_health.8.aspx
Guest Quotes:
Caitlyn:
“These outcome measures aren’t meant to replace clinical decision-making — they’re meant to support it.”
Lindsey:
“The importance of having an evidence-based core outcome measure set is now utilizing it in practice.”
Caitlyn:
“Parts of these outcome measures are already what we’re doing. The COMs help organize and standardize it.”
Rapid Responses:
What’s the dumbest way you’ve injured yourself?
• Caitlyn: “I fell off my horse — he stopped, I kept going.”
• Lindsey: “I stepped on my own pinky toe in middle school and broke it.”
You know you work in acute care when…
• Caitlyn: “You’ve led a parade down the hallway with ECMO, an IABP, and half the team following behind.”
• Lindsey: “Carrying socks in your pocket is an everyday thing.”
Links:
A Core Set of Outcome Measures to Assess Physical Function for Adults Participating in Physical Therapist Treatment in the Hospital- https://pubmed.ncbi.nlm.nih.gov/40403754/
🎧 Connect with Our Hosts
Leo Arguelles (pronounced LEE-O R-GWELL-IS)
🐦 Twitter: @LeoArguellesPT
Nicole Neveau, PT, DPT, NCS
🔗 LinkedIn: Nicole Neveau
Danny Young, PT, DPT, PhD
🐦 X: @DLYoungDPTPhD
🌐 Bluesky: @dlyoungdptphd.bsky.social
🎧 Listen now on Spotify | Apple Podcasts
(Or wherever you get your podcasts)
View all episodes
By APTA Acute CareHow do we measure what truly matters in acute care — and why does it finally feel possible to do it well?
In this week’s episode, co-hosts Dr. Nicole Neveau and Dr. Leo Arguelles sit down with Dr. Caitlyn Crandall and Dr. Lindsey Fresenko, two contributors to the new clinical practice guideline, “A Core Set of Outcome Measures to Assess Physical Function for Adults Participating in Physical Therapist Treatment in the Hospital.” Together, they unpack how this Core Outcome Measures (COMs) Set was built, what makes each measure clinically feasible, and how the guideline is already reshaping evaluation, communication, and discharge planning across hospital-based physical therapy.
Caitlyn and Lindsey share what surprised them during development, how psychometric rigor and real-world feasibility shaped the final set, and why standardized measurement doesn’t replace clinical reasoning — it strengthens it. They also preview their upcoming APTA Acute Care webinar and reflect on how a shared measurement language can help clinicians advocate for staffing, demonstrate value, and elevate patient care.
Whether you’re an ICU therapist, med-surg clinician, educator, or student, this conversation offers a clearer, more confident path for integrating outcome measures in acute care.
Today’s Guests:
Dr. Caitlyn Crandall, PT, DPT, CCS, RYT
Email: [email protected]
LinkedIn: https://www.linkedin.com/in/caitlyn-crandall-dpt
Instagram: @CaitlynCrandall
Dr. Lindsey Fresenko, PT, DPT, PhD
Email: [email protected]
Publications:
• PTJ CPG: https://academic.oup.com/ptj/article/105/6/pzaf076/8140951
• CC&E Journal: https://journals.lww.com/ccejournal/fulltext/2024/12000/rehabilitation_and_social_determinants_of_health.8.aspx
Guest Quotes:
Caitlyn:
“These outcome measures aren’t meant to replace clinical decision-making — they’re meant to support it.”
Lindsey:
“The importance of having an evidence-based core outcome measure set is now utilizing it in practice.”
Caitlyn:
“Parts of these outcome measures are already what we’re doing. The COMs help organize and standardize it.”
Rapid Responses:
What’s the dumbest way you’ve injured yourself?
• Caitlyn: “I fell off my horse — he stopped, I kept going.”
• Lindsey: “I stepped on my own pinky toe in middle school and broke it.”
You know you work in acute care when…
• Caitlyn: “You’ve led a parade down the hallway with ECMO, an IABP, and half the team following behind.”
• Lindsey: “Carrying socks in your pocket is an everyday thing.”
Links:
A Core Set of Outcome Measures to Assess Physical Function for Adults Participating in Physical Therapist Treatment in the Hospital- https://pubmed.ncbi.nlm.nih.gov/40403754/
🎧 Connect with Our Hosts
Leo Arguelles (pronounced LEE-O R-GWELL-IS)
🐦 Twitter: @LeoArguellesPT
Nicole Neveau, PT, DPT, NCS
🔗 LinkedIn: Nicole Neveau
Danny Young, PT, DPT, PhD
🐦 X: @DLYoungDPTPhD
🌐 Bluesky: @dlyoungdptphd.bsky.social
🎧 Listen now on Spotify | Apple Podcasts
(Or wherever you get your podcasts)