2. 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
3. What
we
all
want
Feel
well
Do
what
we
want
Live
longer
Have
good
care
4.
5. 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 health
status: howRu. Informatics in Primary Care 2010 18:89-101
6.
7. 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
8. Each
cross
represents
a
separate
loca;on.
Easy
to
iden;fy
outliers
and
then
drill
down.
9. 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
10. 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
;m.benson@abies.co.uk
07855682037
or
01635
203162
www.howRwe.com
