1. 11/17/2009
Why bother?
Don't 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?
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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
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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 !
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