Patient Reported Measures in Practice Using PRMs in clinical practice Nicole Cook | Patient Reported Measures/Health Outcomes Musculoskeletal Network Peer Mentoring Workshop, August 2018
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Patient Reported Measures in Practice Using PRMs in clinical practice
Nicole Cook | Patient Reported Measures/Health Outcomes
Musculoskeletal Network Peer Mentoring Workshop, August 2018
Welcome & introductions
PRMs Team introductions
Where is everyone from?
What’s happening across the state?
NSW Integrated Care Strategy Leading Better Value Healthcare
Background
PROMs and PREMs
How are PRMs used?
Healthcare System
Outcomes that matter to patients
Experiences of care
Feedback provided to the patient on their own outcomes; information and support provided to improve outcomes
Patient cohort
identified
PRMs Update
eHealth, ACI, MoH
IT vendor
IPS workshops
Videos
Consumer Module
What do people want from today’s
session ?
Video
What things might come up from the PROMs?
What are some of the ways that PROM results be used in the clinical consultation?
• Goal setting
• Shared decision making
• Improving therapeutic relationship
• Improved communication/start a dialog about issues that matter most
• Prioritisation
• Demonstrating progress
Introducing PROMS
Introducing Patient Reported
Outcome Measures (PROMs)
Break into 3 x groups
Review each of the 3 patient profiles
Harry Potter
Phil Collins
Oprah Winfrey
Activity:
Activity feedback: Harry Potter
Activity feedback: Phil Collins
Activity feedback: Oprah Winfrey
Things to consider
What are the referral options in your service?
Talking about sensitive issues – normalising, using their language, validating
and avoiding problem solving mode/trying to make feel better, how to discuss
referrals
Determining if something someone wants to work on/help with?
Using Motivational Interviewing techniques
Closing down/concluding conversations
Other services
How to introduce PREMs
Experiences
Using PREMs in service improvement
Example of PREM Report
Patient experience measures - overall performance 1st July -30th Sept 2017
PRE
52% POST
88%
Performance themes
IT system
Current IT System
• Stand alone IT system
• No systems integration
• Supporting Integrated Care
• Manual entry of patients
• Manual upload of reports into systems
• Enables real time feedback
• Chronological & single reports
• Using data
• User Acceptance Testing
Future IT System
• Detailed RFP process
• Current preferred vendor
• Detailed customisation of system
• Supporting Integrated Care & LBVC
• Governance structures
• Planned integration: Cerner EMR,
Primary Healthcare systems
• Evaluation
• Patient portal
• Education
PRMs Resources
Website Newsletter Online eLearning
modules
Community of
Interest
PRMs Online eLearning Modules
www.aci.health.nsw.gov.au/make-it-happen/prms/resources/online-training
Questions?
Level 4, 67 Albert Avenue
Chatswood NSW 2067
PO Box 699
Chatswood NSW 2057
T + 61 2 9464 4666
F + 61 2 9464 4728
www.aci.health.nsw.gov.au
Nicole Cook
Patient Reported Measures
www.aci.health.nsw.gov.au/make-it-happen/prms
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