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Goals and Outcomes The Stroke Association’s  Life After Stroke Services
What are Goals and Outcomes  all about? ,[object Object],[object Object],[object Object]
1: Support Coordinators to work in an ‘outcome oriented’ way ,[object Object],[object Object]
2: Introduce processes to linking Goals with Outcomes ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],Hard to extract information
2: Introduce processes to linking Goals with Outcomes ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
3: Provide a better picture to commissioners about what we do ,[object Object],[object Object],[object Object],[object Object]
Linking Goals and Outcomes Unmet needs Getting to know service user. Finding out what is important to them Impact Reporting   Matching ‘outcomes’ to ‘impact’ so that they can be reported on CRM & to Commissioners Outcome
What we’re going to be talking about: 2: Goals 3: Action 4: Outcomes 5: Impact Reporting 1: Needs Assessment 6: Case Studies
1: Needs Assessment 2: Goals 3: Action 4: Outcomes 5: Impact Reporting 1: Needs Assessment 6: Case Studies
Needs assessment ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],1: Needs Assessment
1: Needs Assessment
2: Goals 2: Goals 3: Action 4: Outcomes 5: Impact Reporting 1: Needs Assessment 6: Case Studies
Are we doing what they want us to do?  ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],2: Goals
Aside: Person Centred Planning ,[object Object],[object Object],[object Object],2: Goals
Easy goals to identify ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],2: Goals
Turning conversation into goals: what might be the barriers? ,[object Object],[object Object],[object Object],[object Object],[object Object],2: Goals
Dealing with un-achievable goals ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
SMART Goals ,[object Object],[object Object],[object Object],[object Object],[object Object],2: Goals
What sort of goals might Service Users have? Here Here And Here 2: Goals
3: Action 2: Goals 3: Action 4: Outcomes 5: Impact Reporting 1: Needs Assessment 6: Case Studies
Action ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],3: Action
4: Outcomes 2: Goals 3: Action 4: Outcomes 5: Impact Reporting 1: Needs Assessment 6: Case Studies
Where do outcomes come from? Action Output Input Outcome 4: Outcomes
Does something useful result? ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],4: Outcomes
Hard Outcomes ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],4: Outcomes
Soft Outcomes ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],4: Outcomes
5: Impact  2: Goals 3: Action 4: Outcomes 5: Impact Reporting 1: Needs Assessment 6: Case Studies
Reporting on Outcomes ,[object Object],[object Object],[object Object],[object Object],[object Object],5: Impact Reporting
Our Health, Our Care, Our Say (January 2006) ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],5: Impact Reporting
Considerable overlap Choice and  control Personal dignity Freedom from  Discrimination Economic  well being Making  a positive contribution Health  And well being Quality of life Client
Outcome: Giving up smoking 5: Impact Reporting Choice and  control Personal dignity Freedom from  Discrimination Economic  well being Making  a positive contribution Health  And well being Quality of life Client
Outcome: Getting driving license 5: Impact Reporting Choice and  control Personal dignity Freedom from  Discrimination Economic  well being Making  a positive contribution Health  And well being Quality of life Client
Outcome: Improved Confidence & Communication 5: Impact Reporting Choice and  control Personal dignity Freedom from  Discrimination Economic  well being Making  a positive contribution Health  And well being Quality of life Client
Impact Bingo ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],5: Impact Reporting
Putting it all together Impact Outcome Action Goal Poor communication abilities Unmet Need
1: Unmet need
2,3,4: Goals, Actions and Outcomes
5: Impact Reporting
5: Impact Reporting
Whats going on at the moment? CRM Module/ Intermediate fix Coordinator Training Updated Commissioner Report
Practice
Scenario for Prevention ,[object Object],[object Object],[object Object],[object Object],[object Object]
From a clients perspective Improved Health and Well being  I have undertaken the smoking cessation course and now do not smoke I have reduced my salt intake I have been provided with help to make changes I want to make i.e. smoking cessation, dietary advice, healthy cooking lessons I have accepted the risks but do not want to make the changes yet I have been provided with information to make lifestyle choices – around smoking, losing weight, taking exercise Assessing and discussing risks Agreeing individual goals- I want to give up smoking/lose weight/start to take exercise
Referral to Back to Life or CIS ,[object Object],[object Object],[object Object],[object Object],[object Object]
Example of an identified goal Economic well being Benefits secured, LAS  grant awarded client feeling happier about financial circumstances Resulting in requiring an appeal. Coordinator, assisting/signposting LAS  grants , other grants applied for Source form filling assistance/ completed sent off Coordinator to refer to /or provide information regarding benefit entitlement Assessment and goals relating to economic pressures
Key Points to Take Away ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Next ,[object Object]
Thank-you and Safe Journey home

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London region outcome training

  • 1. Goals and Outcomes The Stroke Association’s Life After Stroke Services
  • 2.
  • 3.
  • 4.
  • 5.
  • 6.
  • 7. Linking Goals and Outcomes Unmet needs Getting to know service user. Finding out what is important to them Impact Reporting Matching ‘outcomes’ to ‘impact’ so that they can be reported on CRM & to Commissioners Outcome
  • 8. What we’re going to be talking about: 2: Goals 3: Action 4: Outcomes 5: Impact Reporting 1: Needs Assessment 6: Case Studies
  • 9. 1: Needs Assessment 2: Goals 3: Action 4: Outcomes 5: Impact Reporting 1: Needs Assessment 6: Case Studies
  • 10.
  • 12. 2: Goals 2: Goals 3: Action 4: Outcomes 5: Impact Reporting 1: Needs Assessment 6: Case Studies
  • 13.
  • 14.
  • 15.
  • 16.
  • 17.
  • 18.
  • 19. What sort of goals might Service Users have? Here Here And Here 2: Goals
  • 20. 3: Action 2: Goals 3: Action 4: Outcomes 5: Impact Reporting 1: Needs Assessment 6: Case Studies
  • 21.
  • 22. 4: Outcomes 2: Goals 3: Action 4: Outcomes 5: Impact Reporting 1: Needs Assessment 6: Case Studies
  • 23. Where do outcomes come from? Action Output Input Outcome 4: Outcomes
  • 24.
  • 25.
  • 26.
  • 27. 5: Impact 2: Goals 3: Action 4: Outcomes 5: Impact Reporting 1: Needs Assessment 6: Case Studies
  • 28.
  • 29.
  • 30. Considerable overlap Choice and control Personal dignity Freedom from Discrimination Economic well being Making a positive contribution Health And well being Quality of life Client
  • 31. Outcome: Giving up smoking 5: Impact Reporting Choice and control Personal dignity Freedom from Discrimination Economic well being Making a positive contribution Health And well being Quality of life Client
  • 32. Outcome: Getting driving license 5: Impact Reporting Choice and control Personal dignity Freedom from Discrimination Economic well being Making a positive contribution Health And well being Quality of life Client
  • 33. Outcome: Improved Confidence & Communication 5: Impact Reporting Choice and control Personal dignity Freedom from Discrimination Economic well being Making a positive contribution Health And well being Quality of life Client
  • 34.
  • 35. Putting it all together Impact Outcome Action Goal Poor communication abilities Unmet Need
  • 37. 2,3,4: Goals, Actions and Outcomes
  • 40. Whats going on at the moment? CRM Module/ Intermediate fix Coordinator Training Updated Commissioner Report
  • 42.
  • 43. From a clients perspective Improved Health and Well being I have undertaken the smoking cessation course and now do not smoke I have reduced my salt intake I have been provided with help to make changes I want to make i.e. smoking cessation, dietary advice, healthy cooking lessons I have accepted the risks but do not want to make the changes yet I have been provided with information to make lifestyle choices – around smoking, losing weight, taking exercise Assessing and discussing risks Agreeing individual goals- I want to give up smoking/lose weight/start to take exercise
  • 44.
  • 45. Example of an identified goal Economic well being Benefits secured, LAS grant awarded client feeling happier about financial circumstances Resulting in requiring an appeal. Coordinator, assisting/signposting LAS grants , other grants applied for Source form filling assistance/ completed sent off Coordinator to refer to /or provide information regarding benefit entitlement Assessment and goals relating to economic pressures
  • 46.
  • 47.
  • 48. Thank-you and Safe Journey home

Hinweis der Redaktion

  1. We need to Point out the patient centred outcome, as it is their choice and understanding of where we have met their goal not ours. We can help them to understand it but we must not put words into their mouths
  2. Advances in Govt policy regarding stroke care began several years ago: This slide lists our required objectives according to English DoH white paper, Our Health, Our Care, Our Say. OH, OC, OS – set out importance for crossing health and social care boundaries and identified objectives far beyond medical care and physical rehabilitation Referenced within the English Stroke Strategy and provided many of its underpinning principles