Does this concern me?
All practitioners and service providers need to be aware of how the measurement of quality or quality metrics is evolving.
AHPs will increasingly be feeling the impact of the push towards the measure of quality and outcomes for patients. Measurement may be specifically around the Therapy being offered or may be as part of a leaderer package of care structured around the patient journey.
In England, the added dimension offered by the market model of healthcare resulting in a move to quality-led commissioning has the potential to significantly impact on the way in which therapists measure aspects of their service.
The linking of payments (to providers) to the quality of the care given to patients as well as the volume could result in data being grouped against quality marks agreed with commissioners.
With this in mind, clinicians need to consider how they collect evidence of quality around meeting the needs of patients in a way that addresses the full extent of the patient's journey and experience. A wealth of measures is available around patient reported output measures and quality of life indicators that all practicers should be using to identify measures relevant to their own area of practice.
Sometimes the simplest solutions are the best. One example we have seen that we liked was a Physiotherapy PROM:
“I am going to ask you to identify up to 4 important activities that you have difficulty with or are unable to do as a result of your problem.”
Score on a scale of 0 (unable to perform) to 10 (able to perform at a level before problem) at assessment and when the treatment is complete
How do I capture PROMs?
PROMs can vary in complexity but, in our opinion, simplicity, accuracy and repeatability are paramount. Paper-based forms provide a simple mechanism to capture this information but are likely to present challenges when / if PROM's need to be consolidated for reporting.
Therapy Manager provides a simple mechanism to capture and audit PROM's as well as providing the opportunity to analyze outcomes compared other clinical / activity parameters captured during the patient journey. This will be particularly useful when entering into contract negotiations with commissioners where evidence of consequences may be required.