Older People in Wales
NSF
How will we measure impact?
Alan Willson
Director of Research and Development
©National Leadership and Innovation Agency for Healthcare Asiantaeth Genedlaethol Arweiniad ac Arloesoldeb dros Ofal Iechyd
NSF –focus on outcomes
Some bad habits
Principles of measuring
How to present data
Some NSF examples
©National Leadership and Innovation Agency for Healthcare Asiantaeth Genedlaethol Arweiniad ac Arloesoldeb dros Ofal Iechyd
NSF – focus on
outcomes
• Rooting out Age Discrimination
• People are not discriminated against on
the basis of age – either in accessing or
receiving health & social care services
• Person Centred Care
• Older people receive care that is
appropriate, timely, effective and
seamless, reflecting their views, choices
and individual needs
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• Promoting health and wellbeing
• Improved lifestyles and secondary prevention
leading to improved health and wellbeing, life
expectancy and quality of life
• Challenging Dependency
• More older people supported to remain living
as independently as possible within their own
home / home of choice
• Intermediate Care
• Effective health and social care provided
within the community wherever appropriate,
thereby avoiding inappropriate or prolonged
acute hospital or care home admission
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• Hospital Care
• Access to emergency and scheduled care
within timescale targets
• High quality and safe clinical and nonclinical care
• Stroke
• Fewer strokes and stroke mortalities
• Improved access to quality care in line
with clinical guidelines
• Falls & Fractures
• Fewer falls and resultant fractures
©National Leadership and Innovation Agency for Healthcare Asiantaeth Genedlaethol Arweiniad ac Arloesoldeb dros Ofal Iechyd
• Mental Health
• Improved mental health and wellbeing
amongst older people
• Access to care and support in line with
clinical and practice guidelines
• Medicines
• Older people enabled to gain maximum
benefit from medication to maintain or
increase their quality and duration of life
• More frequent medication reviews; fewer
medication errors and related incidents
©National Leadership and Innovation Agency for Healthcare Asiantaeth Genedlaethol Arweiniad ac Arloesoldeb dros Ofal Iechyd
Some bad habits
©National Leadership and Innovation Agency for Healthcare Asiantaeth Genedlaethol Arweiniad ac Arloesoldeb dros Ofal Iechyd
Benchmarking
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Fig leaf management
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Measuring or
managing?
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“We don’t have the data”
©National Leadership and Innovation Agency for Healthcare Asiantaeth Genedlaethol Arweiniad ac Arloesoldeb dros Ofal Iechyd
Principles of
measurement
©National Leadership and Innovation Agency for Healthcare Asiantaeth Genedlaethol Arweiniad ac Arloesoldeb dros Ofal Iechyd
Principles of
measurement
• Timescale
©National Leadership and Innovation Agency for Healthcare Asiantaeth Genedlaethol Arweiniad ac Arloesoldeb dros Ofal Iechyd
Principles of
measurement
• Team
©National Leadership and Innovation Agency for Healthcare Asiantaeth Genedlaethol Arweiniad ac Arloesoldeb dros Ofal Iechyd
Principles of
measurement
• Control
©National Leadership and Innovation Agency for Healthcare Asiantaeth Genedlaethol Arweiniad ac Arloesoldeb dros Ofal Iechyd
Principles of
measurement
• Timescale
• Team
• Control
= Related
to action
©National Leadership and Innovation Agency for Healthcare Asiantaeth Genedlaethol Arweiniad ac Arloesoldeb dros Ofal Iechyd
How to present data
©National Leadership and Innovation Agency for Healthcare Asiantaeth Genedlaethol Arweiniad ac Arloesoldeb dros Ofal Iechyd
National Leadership
and Innovation Agency
For Healthcare
Asiantaeth Genedlaethol
Arweiniad ac Arloesoldeb
dros Ofal Iechyd
©National Leadership and Innovation Agency for Healthcare Asiantaeth Genedlaethol Arweiniad ac Arloesoldeb dros Ofal Iechyd
©National Leadership and Innovation Agency for Healthcare Asiantaeth Genedlaethol Arweiniad ac Arloesoldeb dros Ofal Iechyd
©National Leadership and Innovation Agency for Healthcare Asiantaeth Genedlaethol Arweiniad ac Arloesoldeb dros Ofal Iechyd
©National Leadership and Innovation Agency for Healthcare Asiantaeth Genedlaethol Arweiniad ac Arloesoldeb dros Ofal Iechyd
©National Leadership and Innovation Agency for Healthcare Asiantaeth Genedlaethol Arweiniad ac Arloesoldeb dros Ofal Iechyd
Improvement
in Process
©National Leadership and Innovation Agency for Healthcare Asiantaeth Genedlaethol Arweiniad ac Arloesoldeb dros Ofal Iechyd
Improvement
in Process
©National Leadership and Innovation Agency for Healthcare Asiantaeth Genedlaethol Arweiniad ac Arloesoldeb dros Ofal Iechyd
Some NSF examples
Fewer falls and resultant fractures
100
90
80
70
60
50
40
30
20
10
0
Falls
Year 1
Year 2
Year 3
Year 4
©National Leadership and Innovation Agency for Healthcare Asiantaeth Genedlaethol Arweiniad ac Arloesoldeb dros Ofal Iechyd
Approach
• Agree outcome data and source
©National Leadership and Innovation Agency for Healthcare Asiantaeth Genedlaethol Arweiniad ac Arloesoldeb dros Ofal Iechyd
Approach
• Agree outcome data and source
• Agree intervention
©National Leadership and Innovation Agency for Healthcare Asiantaeth Genedlaethol Arweiniad ac Arloesoldeb dros Ofal Iechyd
Intervention
• BMJ 2007;334:82 (13 January)
• Strategies to prevent falls and
fractures in hospitals and care
homes and effect of cognitive
impairment: systematic review
and meta-analyses
• David Oliver et al
©National Leadership and Innovation Agency for Healthcare Asiantaeth Genedlaethol Arweiniad ac Arloesoldeb dros Ofal Iechyd
Approach
• Agree outcome data and source
• Agree intervention
• Agree input measure
©National Leadership and Innovation Agency for Healthcare Asiantaeth Genedlaethol Arweiniad ac Arloesoldeb dros Ofal Iechyd
Approach
•
•
•
•
Agree outcome data and source
Agree intervention
Agree input measure
Implement change
©National Leadership and Innovation Agency for Healthcare Asiantaeth Genedlaethol Arweiniad ac Arloesoldeb dros Ofal Iechyd
Approach
•
•
•
•
•
Agree outcome data and source
Agree intervention
Agree input measure
Implement change
Chart it
©National Leadership and Innovation Agency for Healthcare Asiantaeth Genedlaethol Arweiniad ac Arloesoldeb dros Ofal Iechyd
Approach
•
•
•
•
•
•
Agree outcome data and source
Agree intervention
Agree input measure
Implement change
Chart it
Review
©National Leadership and Innovation Agency for Healthcare Asiantaeth Genedlaethol Arweiniad ac Arloesoldeb dros Ofal Iechyd
Challenging Dependency
More older people supported to remain living as
independently as possible within their own home
/ home of choice
100
90
80
70
60
50
40
30
20
10
0
% of choice
Year 1
Year 2
Year 3
Year 4
©National Leadership and Innovation Agency for Healthcare Asiantaeth Genedlaethol Arweiniad ac Arloesoldeb dros Ofal Iechyd
Approach
•
•
•
•
•
•
Agree outcome data and source
Agree intervention
Agree input measure
Implement change
Chart it
Review
©National Leadership and Innovation Agency for Healthcare Asiantaeth Genedlaethol Arweiniad ac Arloesoldeb dros Ofal Iechyd
What is really happening?
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©National Leadership and Innovation Agency for Healthcare Asiantaeth Genedlaethol Arweiniad ac Arloesoldeb dros Ofal Iechyd