RCSLT Outcomes Project TOMs CONNECT 17 th November 2016 Kamini - - PowerPoint PPT Presentation
RCSLT Outcomes Project TOMs CONNECT 17 th November 2016 Kamini Gadhok Outcomes Project Sponsor, RCSLT CEO Kathryn Moyse Outcomes Project Officer, RCSLT Mark Bedwell Technical Partner, Different Class Solutions Ltd Dr Alison Stroud Head of
Kamini Gadhok Outcomes Project Sponsor, RCSLT CEO Kathryn Moyse Outcomes Project Officer, RCSLT Mark Bedwell Technical Partner, Different Class Solutions Ltd Dr Alison Stroud Head of Speech and Language Therapy, Aneurin Bevan Health Board
Challenges across healthcare, education and social care
with regard to outcome measurement
Use of terminology and consistency of definitions Historical focus on inputs, processes and outputs Outcome measurement not embedded - variable use of outcome
measures, PROMS and PREMs
Few validated outcome measures available
Shift to outcomes-based commissioning in some
parts of the UK
Focus on national policies and frameworks
promoting improvement in health outcomes
Developing consensus within the SLT
profession about use of terminology:
Inputs Processes Outputs Outcomes
Adopting the Theory of Change framework to articulate
the contribution of SLT interventions to ultimate
https://www.youtube.com/watch?v=wKcxkUBrDkY
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1.
To improve the collection of outcome data in order to identify the impact of therapy for individuals with speech, language, communication and swallowing needs
2.
To investigate and minimise the burden of data collection, collation and analysis on speech and language therapy service leaders and practitioners
3.
To investigate the practical challenges and benefits
variation in outcomes associated with different services
4.
To investigate the value of TOMs aggregated data reports in supporting service evaluation, quality assurance and business case development for individual services
5.
To evaluate the usability and value of a stand-alone TOMs web-based application for SLT services (via direct data input or data transfer from an existing system) compared to data collection and reporting systems currently in use
The online tool is being developed to support
Collecting and collating outcomes data using two
methods:
Direct input of TOMs data into the online tool Exporting of outcomes data from local systems to
the online tool using a data transfer template
Evaluating and reporting outcomes
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8 Key
Pre-intervention Post-intervention
Scoping options for the data upload method
Option 1: XML Schema Option 2: Excel Template Option 3: Online Spreadsheet Option 4: Spreadsheet upload with online data mapping/validation
5 10 15 20 25 30 35 40 45 50 2011 2012 2013 Mar June Sept Dec
Down Same
Activity Participation Impairment Wellbeing Aneurin Bevan University Health Board Episodes = (23) Patients: (23)
Legend:
Up
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Activity Participation Pilot Episodes = (837) Patients: (828) Impairment Wellbeing Aneurin Bevan University Health Board Episodes = (3) Patients: (3)
Legend:
Up
Down Same
Activity Participation Pilot Episodes = (6758) Patients: (6078) Impairment Wellbeing Aneurin Bevan University Health Board Episodes = (5) Patients: (5)
Legend:
Up
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Two key areas of challenge
1.
Information sharing and information governance
2.
Data collection
Information sharing and information governance
Governance Alliance, Information Commissioners Office, National Data Guardians) for advice and support on information governance
in the project to navigate local information governance documentation and engage local IG leads (e.g. Information Governance Resource Pack)
Information sharing and information governance
understanding legislation about information governance more broadly “What can I share? Exploding the myths about information sharing” https://www.rcslt.org/news/webinars/rcslt_webinars Webinar in collaboration with the Information Governance Alliance (IGA) and Information Commissioner’s Office (ICO)
Data collection
including UK Terminology centre)
enhance the quality of the data and offer a more sustainable approach
Refining the online tool and aggregated
data reports in response to feedback from SLT services in the pilot
Iterative process ‘Agile’ methodology Currently, the RCSLT database contains
(November 2016)
Independent evaluation conducted by Bristol Speech
and Language Therapy Research Unit to evaluate the “benefit vs. burden”
RCSLT Board of Trustees will discuss next steps in
December 2016
https://www.rcslt.org/members/outcomes/RCSLT_outcomes_project
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Change in TOMs scores between initial and final across each domain
Change in TOMs scores between initial and final across each domain
Change in TOMs scores between initial and final across multiple domains
Distribution of change in TOMs scores between initial and final across each domain
Average change in TOMs scores between initial and final across each domain