11/17/2009 1 Whose outcome measures are they anyway? Druid Fleming Residential and Rehabilitation Services Camden and Islington Foundation Trust Why bother? Don't I have enough to do anyway? We need clear outcomes to demonstrate: • Recovery. • That we are maintaining standards. • That we are striving towards best practice. • That we are effective. • That we are economic. • To keep us visible as a profession. Different Perspectives • Consumer/Service user • Clinician • Managers • Commissioners • Society • ‘The collective’ Consumer • Consumers will have choice!!! • Personalisation agenda second phase underway. • ‘Natural role’ of occupational therapy. • Shift from interventions to assessment. • Slade & Mc Crane • ‘Routine use of outcome measures did not improve subjective outcomes. Despite being associated with a reduction in psychiatric admissions. ‘ • Dreemtool: MHF studies: The elements participants rated as most important –were not always the elements in which services performed best. Clinical managers • Performance measurement • Concrete measures • Measures indicate areas of good/poor performance. • Where to target resources • Managing budgets Commissioners • Which service meets performance objects? • Are services in line with government strategies. • Do services meet expressed individual user needs? • Do services meet assessed population user needs? • Which services deliver at the best price?
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Transcript
11/17/2009
1
Whose outcome measures are
they anyway?
Druid Fleming
Residential and Rehabilitation Services
Camden and Islington Foundation Trust
Why bother?
Don't I have enough to do anyway?
We need clear outcomes to demonstrate:
• Recovery.
• That we are maintaining standards.
• That we are striving towards best practice.
• That we are effective.
• That we are economic.
• To keep us visible as a profession.
Different Perspectives
• Consumer/Service user
• Clinician
• Managers
• Commissioners
• Society
• ‘The collective’
Consumer
• Consumers will have choice!!!
• Personalisation agenda second phase underway.
• ‘Natural role’ of occupational therapy.
• Shift from interventions to assessment.
• Slade & Mc Crane • ‘Routine use of outcome measures did not improve subjective outcomes. Despite being
associated with a reduction in psychiatric admissions. ‘
• Dreem tool: MHF studies: The elements participants rated as most important –were not always the elements in which services performed best.
Clinical managers
• Performance measurement
• Concrete measures
• Measures indicate areas of good/poor
performance.
• Where to target resources
• Managing budgets
Commissioners
• Which service meets performance objects?
• Are services in line with government
strategies.
• Do services meet expressed individual user
needs?
• Do services meet assessed population user
needs?
• Which services deliver at the best price?
11/17/2009
2
Can Occupational therapists be
separated from the collective?
• “outcomes are a result of the collective input and that individual contributions are hard to separate out from teamwork” (Austin 93)
• An individual OT can still be part of a team, undertake same primary tasks, however does it differently.
(January 09 BAOT Hazel Parker)
• How are these benefits measured as outcomes Hazel?
• Team measures = invisible OTs ? Different measures?