Introducing validated outcome measures into a Scottish Hospice

Caroline Sime, McConnell, Sandra, Carol Pyper, Ros Parks, Bett, Paul, Stuart Milligan, Mills, Anne, Kevin Rooney

Research output: Contribution to journalMeeting Abstract

Abstract

Background: Quality healthcare aspires to be person-centred, safe and effective (Scottish Government, 2010). Within the specialist palliative care setting, the use of patient reported outcome measurement is one way of promoting a person-centred approach to care, and improving the quality of services provided. To date however, the use of validated outcome measures in clinical practice is still in its infancy, despite evidence to suggest its effectiveness at improving patient outcomes (Bausewein et al, 2015, Clark, 2015).

Aims: At Ardgowan Hospice we aimed to introduce two measures: Phase of Illness and the Integrated Palliative Outcome Scale (IPOS) into all clinical areas. This was a two phased study. The first phase focused on the successful introduction of Phase of Illness and IPOS into the inpatient unit (IPU) and the community specialist nursing (CNS) team. The second phase was rolling out the implementation to day services and outpatient clinics.

Methods: Using quality improvement tools, we carried out Plan, Do, Study, Act (PDSA) test cycles of change. Change ideas tested included different methods to engage staff including staff seminars and training, IT software development, and patient involvement and feedback. The PDSA test cycles were reflected upon and the lessons learned used to inform new test cycles.

Results: Multiple test cycles were undertaken within clinical areas. Reflective learning from each test cycle found the most important contributors to a successful test were:

•• Consistent and timely staff training
•• Facilitation of measures driven by clinical leads
•• Sharing of information to inform person-centred care
•• Ease of completion for staff and patients.

Conclusions: The adoption of an improvement approach has facilitated a phased and systematic implementation of outcome measures at Ardgowan Hospice. Using these outcome measures has enhanced person-centred care, by focusing on what matters to the patient, and is informing the weekly multidisciplinary meetings which coordinate ongoing care.
Original languageEnglish
Pages (from-to)S105-S106
JournalPalliative Medicine
Volume30
Issue number4
DOIs
Publication statusPublished - Apr 2016
EventPalliative Care Congress: The 11th Palliative Care Congress - SECC, Glasgow, United Kingdom
Duration: 9 Mar 201611 Mar 2016

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Hospices
Outcome Assessment (Health Care)
Quality of Health Care
Team Nursing
Patient Participation
Information Dissemination
Quality Improvement
Ambulatory Care Facilities
Palliative Care
Inpatients
Software
Learning

Cite this

Sime, Caroline ; Sandra, McConnell, ; Pyper, Carol ; Parks, Ros ; Paul, Bett, ; Milligan, Stuart ; Anne, Mills, ; Rooney, Kevin. / Introducing validated outcome measures into a Scottish Hospice. In: Palliative Medicine. 2016 ; Vol. 30, No. 4. pp. S105-S106.
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abstract = "Background: Quality healthcare aspires to be person-centred, safe and effective (Scottish Government, 2010). Within the specialist palliative care setting, the use of patient reported outcome measurement is one way of promoting a person-centred approach to care, and improving the quality of services provided. To date however, the use of validated outcome measures in clinical practice is still in its infancy, despite evidence to suggest its effectiveness at improving patient outcomes (Bausewein et al, 2015, Clark, 2015).Aims: At Ardgowan Hospice we aimed to introduce two measures: Phase of Illness and the Integrated Palliative Outcome Scale (IPOS) into all clinical areas. This was a two phased study. The first phase focused on the successful introduction of Phase of Illness and IPOS into the inpatient unit (IPU) and the community specialist nursing (CNS) team. The second phase was rolling out the implementation to day services and outpatient clinics.Methods: Using quality improvement tools, we carried out Plan, Do, Study, Act (PDSA) test cycles of change. Change ideas tested included different methods to engage staff including staff seminars and training, IT software development, and patient involvement and feedback. The PDSA test cycles were reflected upon and the lessons learned used to inform new test cycles.Results: Multiple test cycles were undertaken within clinical areas. Reflective learning from each test cycle found the most important contributors to a successful test were:•• Consistent and timely staff training•• Facilitation of measures driven by clinical leads•• Sharing of information to inform person-centred care•• Ease of completion for staff and patients.Conclusions: The adoption of an improvement approach has facilitated a phased and systematic implementation of outcome measures at Ardgowan Hospice. Using these outcome measures has enhanced person-centred care, by focusing on what matters to the patient, and is informing the weekly multidisciplinary meetings which coordinate ongoing care.",
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Sime, C, Sandra, M, Pyper, C, Parks, R, Paul, B, Milligan, S, Anne, M & Rooney, K 2016, 'Introducing validated outcome measures into a Scottish Hospice' Palliative Medicine, vol. 30, no. 4, pp. S105-S106. https://doi.org/10.1177/0269216316631462

Introducing validated outcome measures into a Scottish Hospice. / Sime, Caroline; Sandra, McConnell,; Pyper, Carol; Parks, Ros; Paul, Bett,; Milligan, Stuart; Anne, Mills,; Rooney, Kevin.

In: Palliative Medicine, Vol. 30, No. 4, 04.2016, p. S105-S106.

Research output: Contribution to journalMeeting Abstract

TY - JOUR

T1 - Introducing validated outcome measures into a Scottish Hospice

AU - Sime, Caroline

AU - Sandra, McConnell,

AU - Pyper, Carol

AU - Parks, Ros

AU - Paul, Bett,

AU - Milligan, Stuart

AU - Anne, Mills,

AU - Rooney, Kevin

N1 - Poster presented at the Conference

PY - 2016/4

Y1 - 2016/4

N2 - Background: Quality healthcare aspires to be person-centred, safe and effective (Scottish Government, 2010). Within the specialist palliative care setting, the use of patient reported outcome measurement is one way of promoting a person-centred approach to care, and improving the quality of services provided. To date however, the use of validated outcome measures in clinical practice is still in its infancy, despite evidence to suggest its effectiveness at improving patient outcomes (Bausewein et al, 2015, Clark, 2015).Aims: At Ardgowan Hospice we aimed to introduce two measures: Phase of Illness and the Integrated Palliative Outcome Scale (IPOS) into all clinical areas. This was a two phased study. The first phase focused on the successful introduction of Phase of Illness and IPOS into the inpatient unit (IPU) and the community specialist nursing (CNS) team. The second phase was rolling out the implementation to day services and outpatient clinics.Methods: Using quality improvement tools, we carried out Plan, Do, Study, Act (PDSA) test cycles of change. Change ideas tested included different methods to engage staff including staff seminars and training, IT software development, and patient involvement and feedback. The PDSA test cycles were reflected upon and the lessons learned used to inform new test cycles.Results: Multiple test cycles were undertaken within clinical areas. Reflective learning from each test cycle found the most important contributors to a successful test were:•• Consistent and timely staff training•• Facilitation of measures driven by clinical leads•• Sharing of information to inform person-centred care•• Ease of completion for staff and patients.Conclusions: The adoption of an improvement approach has facilitated a phased and systematic implementation of outcome measures at Ardgowan Hospice. Using these outcome measures has enhanced person-centred care, by focusing on what matters to the patient, and is informing the weekly multidisciplinary meetings which coordinate ongoing care.

AB - Background: Quality healthcare aspires to be person-centred, safe and effective (Scottish Government, 2010). Within the specialist palliative care setting, the use of patient reported outcome measurement is one way of promoting a person-centred approach to care, and improving the quality of services provided. To date however, the use of validated outcome measures in clinical practice is still in its infancy, despite evidence to suggest its effectiveness at improving patient outcomes (Bausewein et al, 2015, Clark, 2015).Aims: At Ardgowan Hospice we aimed to introduce two measures: Phase of Illness and the Integrated Palliative Outcome Scale (IPOS) into all clinical areas. This was a two phased study. The first phase focused on the successful introduction of Phase of Illness and IPOS into the inpatient unit (IPU) and the community specialist nursing (CNS) team. The second phase was rolling out the implementation to day services and outpatient clinics.Methods: Using quality improvement tools, we carried out Plan, Do, Study, Act (PDSA) test cycles of change. Change ideas tested included different methods to engage staff including staff seminars and training, IT software development, and patient involvement and feedback. The PDSA test cycles were reflected upon and the lessons learned used to inform new test cycles.Results: Multiple test cycles were undertaken within clinical areas. Reflective learning from each test cycle found the most important contributors to a successful test were:•• Consistent and timely staff training•• Facilitation of measures driven by clinical leads•• Sharing of information to inform person-centred care•• Ease of completion for staff and patients.Conclusions: The adoption of an improvement approach has facilitated a phased and systematic implementation of outcome measures at Ardgowan Hospice. Using these outcome measures has enhanced person-centred care, by focusing on what matters to the patient, and is informing the weekly multidisciplinary meetings which coordinate ongoing care.

U2 - 10.1177/0269216316631462

DO - 10.1177/0269216316631462

M3 - Meeting Abstract

VL - 30

SP - S105-S106

JO - Palliative Medicine

JF - Palliative Medicine

SN - 0269-2163

IS - 4

ER -