The Issue • The Commissioning Board’s responsibility is totally focused on pa9ents, on outcomes for pa9ents, on pa9ent sa9sfac9on and ... value for the pa9ent – Malcolm Grant NHS Commissioning Board 28 Feb 2013 • We need bePer performance indicators to monitor quality and value as well as money • Without immediate feedback, we do not know how well we are doing • We have been ﬂying blind
What we all want Feel well Do what we want Live longer Have good care
howRU • Generic PROM • Summa;ve howRU score – howRU score is the sum of the 4 responses – high is good • 7 year development: 160 itera;ons • Validated against SF-‐12* and EQ-‐5D • howRU Health Tracker – Approved on NHS Apps directory and IOS App store * Benson T et al. Evaluation of a new short generic measure of healthstatus: howRu. Informatics in Primary Care 2010 18:89-101
howRwe • Generic pa;ent experience measure incorpora;ng – NHS Friends and Family Test – four ques;ons about speciﬁc aspects of pa;ent experience: • Care promptness, Communica;on, Compassion, Organisa;on competence • Pa;ent experience Index – howRU • Pa;ent severity index • Anonymous – focus is on quality of care • Real-‐;me feedback – to clinicians, managers and others • Validated in >300 loca;ons
Each cross represents a separate loca;on. Easy to iden;fy outliers and then drill down.
How much does it cost? • No charge for the IP • Require use to be licensed • Modest fees for sodware, services and standard feedback reports – e.g. £20 per month per tablet – Volume prices on applica;on
Summary • howRU and howRwe monitor pa;ent outcome and experience – simple – generic – validated • Feedback at every level – pa;ents – clinicians – managers – commissioners – regulators Tim Benson Rou;ne Health Outcomes Ltd @;mbenson ;firstname.lastname@example.org 07855682037 or 01635 203162 www.howRwe.com