1 / 31

Patient Reported Measures

Patient Reported Measures . Outcomes that matter to patients. Mel Tinsley, Program Manager and Dr Hester Wilson, GP. October 2016. Welcome and introductions . PHN staff and guests. Acknowledgement.

lotus
Download Presentation

Patient Reported Measures

An Image/Link below is provided (as is) to download presentation Download Policy: Content on the Website is provided to you AS IS for your information and personal use and may not be sold / licensed / shared on other websites without getting consent from its author. Content is provided to you AS IS for your information and personal use only. Download presentation by click this link. While downloading, if for some reason you are not able to download a presentation, the publisher may have deleted the file from their server. During download, if you can't get a presentation, the file might be deleted by the publisher.

E N D

Presentation Transcript

  1. Patient Reported Measures Outcomes that matter to patients Mel Tinsley, Program Manager and Dr Hester Wilson, GP October 2016

  2. Welcome and introductions • PHN staff and guests

  3. Acknowledgement The ACI acknowledges the traditional owners of the land on which we meet tonight. We pay our respects to Elders past and present and extend that respect to other Aboriginal peoples present here today.

  4. Learning objectives At the end of the session participants will be able to • Explain what patient-reported measures (PRMs) are and how they could benefit patients, clinicians and their clinical service • Describe how PRMs can lead to improve patient centred care and engagement • Work through the proposed process steps for implementing PRMs in their clinical setting

  5. Background

  6. Integrated care *reproduced with permission by Canterbury District Health Board

  7. What are Patient Reported Measures? Patient Reported EXPERIENCE Measures Patient Reported OUTCOME Measures Capture the patient’s perspectives about how illness or care impacts on their health and well-being Capture the patient’s perception of their experience with health care or services

  8. Video PRM in NSW Health intro

  9. Why Patient Reported Measures? What clinicians’ value What patient’s value ICHOM Standard Set for Coronary Artery Disease (2013)

  10. The world over

  11. What does PRMs in NSW look like? • Proof of Concept • Chronic and Complex Conditions • Co-design • Question sets • Real time feedback • Supporting Ground up innovation • Implementation support • Capability Development • Spread & sustainability CONSUMERS

  12. Clinician and patient benefits • Video – Matt PRM Module 3 section 4 • Video – Mary PRM Module 3 section 3

  13. What do they mean to patients and clinicians? “I was able to sit and reflect on things that had been happening in my life… It gave me the words and started the conversation with my doctor about things I wanted to talk about” “I thought that I knew my patient, I thought I had a good rapport, but when they filled in the PRMs I realised that I didn’t know about some key areas” “ I liked the fact that I could sit down and do the questions in my own time and then my physio would talk to me about them and what it meant for me” “ If only I had these results all the time for all my patients, I would be able to see what they were really coming in for and address that first”

  14. Where to next LOS$$ Access

  15. Patient Reported Measures Outcomes that matter to patients Mel Tinsley, Program Manager and Dr Hester Wilson, GP October 2016

  16. Video – Practice example • Hills Family practice • In practice PRM Module 3 section 2

  17. What are PROMs and how might they be useful to us in GP? • Susan is a 68 yo woman who has been attending your practice for years. She cares for her sick daughter and has multiple health issues of her own. • BMI 31 • NIDDM poorly controlled • Hypertension • Osteoarthritis • Previous breast cancer • Previous AMI and TIA • Tobacco smoker • What are the important issues?

  18. What are the important issues for Susan? • Using the Promis10

  19. Using the DASS21

  20. Scoring

  21. Clinical use of PRMs • Mike age 56 • Asthma as a child • Long term tobacco smoker • Anxiety • BMI 35 • Recurrent exacerbations of COPD • Lives with his wife, Son and 2 grandchildren 40kms outside town

  22. The promis10 - Mike 1. general health – good 2. QoL – fair 3. Physical health – fair 4. Mental health – good 5. Satisfaction with social activities – very good 6. Ability to carry out social roles – good 7. Ability to carry out everyday activities – a little 8. How often bothered by emotional problems – rarely 9. Fatigue – severe 10. Pain – 2

  23. How might you implement PROMs into your practice? • Who? (staff and pts) • When? • How? • Managing results? • Confidentiality?

  24. PREMs • ACI PREM • RACGP PREM to go with 5th standards currently being developed www.racgp.org.au/your-practice/standards/standardsdevelopment/

  25. RACGP • 22 detailed questions across 6 domains • Appointments, staff, facilities, access and availability • Communication (interpersonal and professional) • Provision of information • Privacy and confidentiality • Continuity of care • demographics

  26. Evaluation

  27. Next steps • PHN Closing remarks and next steps

  28. Thank you and questions Melissa Tinsley Program Manager Patient Reported Measures Agency for Clinical Innovation Melissa.tinsley@health.nsw.gov.au + 612 9464 4649 https://www.aci.health.nsw.gov.au/resources/integrated-care/aci/patient-reported-measures

More Related