Whose-outcome-measures-are-they-anyway-d-fleming.2009.pdf

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Whose-outcome-measures-are-they-anyway-d-fleming.2009.pdf

  1. 1. 11/17/2009 Why bother? Dont I have enough to do anyway? Whose outcome measures are We need clear outcomes to demonstrate: they anyway? • Recovery. • That we are maintaining standards. • That we are striving towards best practice. Druid Fleming Residential and Rehabilitation Services • That we are effective. Camden and Islington Foundation Trust • That we are economic. • To keep us visible as a profession. Different Perspectives Consumer• Consumer/Service user • Consumers will have choice!!! • Personalisation agenda second phase underway.• Clinician • ‘Natural role’ of occupational therapy.• Managers • Shift from interventions to assessment.• Commissioners • Slade & Mc Crane • ‘Routine use of outcome measures did not improve subjective outcomes. Despite being• Society associated with a reduction in psychiatric admissions. ‘ • Dreem tool: MHF studies: The elements• ‘The collective’ participants rated as most important –were not always the elements in which services performed best. Clinical managers Commissioners• Performance measurement • Which service meets performance objects?• Concrete measures • Are services in line with government• Measures indicate areas of good/poor strategies. performance. • Do services meet expressed individual user• Where to target resources needs?• Managing budgets • Do services meet assessed population user needs? • Which services deliver at the best price? 1
  2. 2. 11/17/2009 Can Occupational therapists be Can we learn from Star Trek? 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?• Collective view = same for consumers? Yes we can ! Yes we can• Move from invisible part of collective to individual member of a team.• Clarify what we do as special.• Identify outcomes that reflect the benefit to users from occupational therapy.• Support individuals in identifying their own outcomes for recovery. Why die young? Role of OT ?• Recognised co-morbidity mental and physical ill health.• More people die from cancer, heart attacks and • A bit of every thing? diabetes than suicide. • Mapping?• There is a clear well being agenda: • Sign posting?• Improve physical assements + GP input.• Smoking cessation • Or get out and do it?• Tackling obesity and poor diet• Clear roles nursing and psychology 2
  3. 3. 11/17/2009 ‘Candi-Cycles’ The A Team Measuring the outcomes• Identify the outcomes:• Consumer: Individual narratives.• Managers: Balanced score card:• Commissioners: Outcome based research.• Society: Positive publicity• Collective: Will always be pissed off ! 3

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