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East of England Stroke Forum Annual Conference 14 th March 2013. The Goal Attainment Scale (GAS) & MDT Goal setting Amanda Swain & Andrew Bateman CCS NHS Trust.
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East of England Stroke ForumAnnual Conference14th March 2013 The Goal Attainment Scale (GAS) & MDT Goal setting Amanda Swain & Andrew Bateman CCS NHS Trust Amanda Swain
1. Quick intro or recap to GAS2. Breakout session for you to discuss and raise issues you have in using the GAS or to raise questions on how it can be used in your MDT3. Feedback these to the group 4. Record feedback, especially solutions and references that will be available to you Guide to the next 40 minutes Amanda Swain
Following a brain injury the door to the future can seem closed OUTCOME MEASURES ARE ONE A WAY SEEING IF REHABILITATION KEEPS THE DOOR OPEN Amanda Swain
BSRM 1998 “Basket of Measures” • National Outcome Framework • Payment by results • UKROC submission • NCB requirement Background information on GAS and its selection a National outcome measure Amanda Swain
It’s useful for teams and clinicians as it acts as glue for cohesive team work • It engages clients and is useful for them • It’s a useful framework to lead programme and intervention setting • Input is based on the clients goals which have been set with the team based upon assessment findings and therefore lead to more satisfaction • It evaluates goals from the clients’ perspective which means programmes are kept up to date and both client and staff know when it’s time for discharge • Problems on implementing GAS into your team can include confusion over terminology – later! OM for clinicians and service Amanda Swain
It’s the OM that NCB Director wishes to be used for patient/client led outcomes • It is already being reported to UKROC and many other agencies to prove engagement and progress through input • It is being used to benchmark good practice • International evidence on efficacy GAS is a gold standard OM Amanda Swain
G.A.S. Amanda Swain
Goals - client goals • Strategy – Service (MDT) integrated plan • Steps - SMART (therapist & client) • Interventions – actual therapy • Outcomes – measures that evidence clients’ achievement or progress toward their Goals (& the efficacy of the Interventions as proposed in the Strategy) The terminology Amanda Swain
15 minutes for your discussion raising questions or identifying potential barriers to implementing in your teams • recording points for feedback • 10 - 15 minutes feedback and some solutions and agreements (hopefully) • Record of feedback from your session to be available to you ASHN training on goal setting and GAS 23rd April 2013 Amanda Swain