Measuring Dietetic Practice: Study overview

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A 10-minute presentation by Melanie Voevodin to post-graduate students in health at Dandenong Hospital, Melbourne, Australia 28th July 2011.

Voevodin, Truby, Haines, Palermo

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Measuring Dietetic Practice: Study overview

  1. 1. Medicine, Nursing and Health Sciences Measuring Dietetic Practice (MDP) Developing data-reporting tools for dietitians melanie.voevodin@monash.edu Department of Nutrition and Dietetics Monash Medical Centre 28th July 2011 With: Helen Truby Claire Palermo Terry Haines
  2. 2. 28th July 2011The MDP Study: developing data-reporting tools for dietitians 2 The Plan 1. Framing the problem 2. Introduction to the MDP Study Developing data-reporting tools for dietitians RQ: Can a data-reporting system lead to improved health outcomes? 3. Study Protocol Objectives Study design and methods 4. What now and what next? Ethics and go
  3. 3. 28th July 2011The MDP Study: developing data-reporting tools for dietitians 3 Framing the ‘Problem’
  4. 4. 28th July 2011The MDP Study: developing data-reporting tools for dietitians 4 1996 1998 2000 2002 2004 2006 2008 2010… Hons (Med, UWA) MastNutrDiet (Deakin) Austin Health Melbrn Health Alfred Health Thesis (Masters) MPubPolGov (BUSECO, Monash) GCHealthEco (BUSECO) RMIT Deakin WCMICS (Vic State) Nestle A problem in practice? Independent NGO doing systematic review, critical analysis…. PhD Real Jobs Study Business Timeline (Year)
  5. 5. 28th July 2011The MDP Study: developing data-reporting tools for dietitians 5 What is the problem?  No data…..no problems….but no solutions  Data is the starting point  What to measure  How to measure it  How and where to record it  How to report it  Know what the report means  An efficient way of recording and reporting
  6. 6. 28th July 2011The MDP Study: developing data-reporting tools for dietitians 6 1996 1998 2000 2002 2004 2006 2008 2010… Why is no data a problem? We’ve been doing this for years, why now? Timeline (Year) NAHCC AAHCS NAHCC HAH NHISSC Health Performance (2010) Gov Reform $ for performance Casemix $/person/a dmission Contract and competitive tendering NHPC Performance in health (2001) eHealth (global) Communication across sectors and services PCEHR SNOMED NHHR Casemix Allied Health Gov Reform And tech IDNTNCP BPGDietitians Chronic Illness Demand on Health $ for health
  7. 7. 28th July 2011The MDP Study: developing data-reporting tools for dietitians 7 Why is it a problem?  No data…..no problems….but no solutions  Performance reporting (leverage for $)  Evidence of contribution to health  Responsible and flexible service, sustainable, client centred
  8. 8. 28th July 2011The MDP Study: developing data-reporting tools for dietitians 8 Whose problem is it?  Health professions  Service provider, teaching and training, policy  Client  Right care to right person at the right time  Governments $
  9. 9. 28th July 2011The MDP Study: developing data-reporting tools for dietitians 9 What are the options?  No data…..no problems….but no solutions  Data is the starting point  What to measure  How to measure it  How and where to record it  How to report it  Know what the report means  An efficient way of recording and reporting
  10. 10. 28th July 2011The MDP Study: developing data-reporting tools for dietitians 10 Introduction to the MDP Study Developing data-reporting tools for dietitians Can a data-reporting system lead to improved health outcomes?
  11. 11. The Case 28th July 2011The MDP Study: developing data-reporting tools for dietitians 11 Rationale Dietitians Convenience Practicing in Victoria who: Convenience -See people for weight loss advice and support Common, chronic, measures over time, BPG, and economic markers -Measure weight (kg) Primary outcome for obesity treatment Primary research outcome Cheap and easy to measure -Primary & community care Where chronic conditions are diagnosed and managed [demand predicted to increase]
  12. 12. Objectives To assess the effect on client outcome when the dietitian has received data on the effectiveness of intervention/s  Build and test a simple data-collection tool for use by dietitians working with clients who are overweight and obese  To identify and describe the dietetic service, and client characteristics, that may influence client outcome 28th July 2011The MDP Study: developing data-reporting tools for dietitians 12
  13. 13. 28th July 2011The MDP Study: developing data-reporting tools for dietitians 13
  14. 14. 28th July 2011The MDP Study: developing data-reporting tools for dietitians 14 Measuring Dietetic Practice – Data Mining (MDP-DM): 10 years of client data from private practice Exploratory research What is happening, why and with what consequences?
  15. 15. 28th July 2011The MDP Study: developing data-reporting tools for dietitians 15 Build a data-collection tool
  16. 16. 28th July 2011The MDP Study: developing data-reporting tools for dietitians 16
  17. 17. Data-reporting for dietitians 28th July 2011The MDP Study: developing data-reporting tools for dietitians 17
  18. 18. NCP 28th July 2011The MDP Study: developing data-reporting tools for dietitians 18
  19. 19. 28th July 2011The MDP Study: developing data-reporting tools for dietitians 19 Build a data-collection tool
  20. 20. Objectives of MDP-DM 28th July 2011The MDP Study: developing data-reporting tools for dietitians 20  Identify data items measured and recorded as part of practice by three private practice dietitians  Compare the data against the theoretical components of health service reporting (efficiency and effectiveness)  Determine the health services’ performance (efficiency and effectiveness)  Compare and contrast the similarities and differences between the three cases  Use results to build a prototype data-collection-tool for use in the MDP Study
  21. 21. Data-mining What is happening in practice, why, and how close or how far is this from where we need to be?  Three dietitians in three states  10 years of paper records  What did they collect and record  What can you do with that data  How hard or how easy is it to do that  Is it enough to report to the NHPR 28th July 2011The MDP Study: developing data-reporting tools for dietitians 21
  22. 22. 28th July 2011The MDP Study: developing data-reporting tools for dietitians 22
  23. 23. 28th July 2011The MDP Study: developing data-reporting tools for dietitians 23 What now and what next?
  24. 24. Update  Recruitment strategy approved  Questionnaires  Website  Protocols  Ethics….and go! 28th July 2011The MDP Study: developing data-reporting tools for dietitians 24
  25. 25. 28th July 2011The MDP Study: developing data-reporting tools for dietitians 25

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