Patient Reported Measures in Practice Using PRMs in clinical practice

Nicole Cook | Patient Reported Measures/Health Outcomes

Musculoskeletal Network Peer Mentoring Workshop, August 2018

Welcome & introductions

PRMs Team introductions

Where is everyone from?

What’s happening across the state?

NSW Integrated Care Strategy Leading Better Value Healthcare

Background

PROMs and PREMs

How are PRMs used?

Healthcare System

Outcomes that matter to patients

Experiences of care

Feedback provided to the patient on their own outcomes; information and support provided to improve outcomes

Patient cohort

identified

PRMs Update

eHealth, ACI, MoH

IT vendor

IPS workshops

Videos

Consumer Module

What do people want from today’s

session ?

Video

What things might come up from the PROMs?

What are some of the ways that PROM results be used in the clinical consultation?

• Goal setting

• Shared decision making

• Improving therapeutic relationship

• Improved communication/start a dialog about issues that matter most

• Prioritisation

• Demonstrating progress

Introducing PROMS

Introducing Patient Reported

Outcome Measures (PROMs)

Break into 3 x groups

Review each of the 3 patient profiles

Harry Potter

Phil Collins

Oprah Winfrey

Activity:

Activity feedback: Harry Potter

Activity feedback: Phil Collins

Activity feedback: Oprah Winfrey

Things to consider

What are the referral options in your service?

Talking about sensitive issues – normalising, using their language, validating

and avoiding problem solving mode/trying to make feel better, how to discuss

referrals

Determining if something someone wants to work on/help with?

Using Motivational Interviewing techniques

Closing down/concluding conversations

Other services

How to introduce PREMs

Experiences

Using PREMs in service improvement

Example of PREM Report

Patient experience measures - overall performance 1st July -30th Sept 2017

PRE

52% POST

88%

Performance themes

IT system

Current IT System

• Stand alone IT system

• No systems integration

• Supporting Integrated Care

• Manual entry of patients

• Manual upload of reports into systems

• Enables real time feedback

• Chronological & single reports

• Using data

• User Acceptance Testing

Future IT System

• Detailed RFP process

• Current preferred vendor

• Detailed customisation of system

• Supporting Integrated Care & LBVC

• Governance structures

• Planned integration: Cerner EMR,

Primary Healthcare systems

• Evaluation

• Patient portal

• Education

PRMs Resources

Website Newsletter Online eLearning

modules

Community of

Interest

PRMs Online eLearning Modules

www.aci.health.nsw.gov.au/make-it-happen/prms/resources/online-training

Questions?

Level 4, 67 Albert Avenue

Chatswood NSW 2067

PO Box 699

Chatswood NSW 2057

T + 61 2 9464 4666

F + 61 2 9464 4728

aci-info@health.nsw.gov.au

www.aci.health.nsw.gov.au

Nicole Cook

Patient Reported Measures

Nicole.cook3@health.nsw.gov.au

www.aci.health.nsw.gov.au/make-it-happen/prms