March 2015 1 Short Generic Metrics for Outcome, Engagement and Experience Tim Benson Oxford AHSN CIO Forum 11 March 2015
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Jul 27, 2015
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March 2015 1
Short Generic Metrics for Outcome, Engagement and Experience
Tim Benson
Oxford AHSN CIO Forum
11 March 2015
March 2015 2
Outline of Presentation
• What is needed• Health-related quality of life (howRu)• Health Confidence Score (HCS)• Patient experience (howRwe)• Length and reading age• Results and Feedback
March 2015 3
March 2015 4
Everyone wants
• Patients to feel better and do more • Patients to be fully engaged in their care• Patients to get excellent service
• We should measure progress against these criteria
March 2015 5
Design Criteria
• Quick and easy to use– Short– Low reading age– Smart phones and kiosks– Repeated use
• Applicable to almost all patients – All conditions – All settings including social
care– Benchmark along the pathway howRu Health Tracker app
March 2015 6
howRuA short generic PROM• Physical symptoms• Mental symptoms• Disability• Dependency
Benson T et al. Evaluation of a new short generic measure of health status: howRu. Inf Prim Care 18 (2) 89-101. PDF
March 2015 7
Health Confidence Score (HCS)Short measure of engagement (a.k.a. perceived self-efficacy, patient activation and health literacy)
• Knowledge• Capability• Signposting• Involvement
March 2015 8
howRweShort generic measure of patient experience:
Relationships• Kindness• CommunicationFunction• Promptness• Organisation
Benson T, Potts H. A short generic patient experience questionnaire: howRwe development and validation. BMC Health Services Research 2014, 14:499 PDF
March 2015 9
Length and Reading Age
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Uses and users
• Public health• GP • OP• IP• Community• Urgent care• Care homes• Staff • Self-management
March 2015 11
Validation
Benson T, Whatling J, Arikan S, Sizmur S, McDonald D, Ingram D: Evaluation of a new short generic measure of HRQoL: howRu. Informatics in Primary Care 2010, 18:89-101 PDF
March 2015 12
Feedback Requirements
• Quick• Easy to understand• For all stakeholders
– Patients and their families– Clinicians for clinical care and audit– Managers for quality assurance and improvement– Commissioners for value and accountability
March 2015 13
Benson T, Bowman C. Health-Related Quality of Life and Patient Experience in Care Homes. Medicine 2.0 London, Sept 2013
March 2015 14
Benson T, Bowman C. Health-Related Quality of Life and Patient Experience in Care Homes. Medicine 2.0 London, Sept 2013
March 2015 15
Benson T, Potts HWW. A short generic patient experience questionnaire: howRwe development and validation. BMC Health Services Research 2014, 14:499 PDF
March 2015 16
Benson T, Potts HWW. A short generic patient experience questionnaire: howRwe development and validation. BMC Health Services Research 2014, 14:499
March 2015 17
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