Outcome Measurements in Rehabilitation - PowerPoint Presentation

Slide1

Outcome Measurements in Rehabilitation

Janet Soper – Rehabilitation OfficerDebbie Ross- Business Development Manager

J Soper - Presentation on Open Sight re-ablement sevice

Aims

Background informationOverview of serviceSelf directed support planning & outcome measurements/scoring definitions

Examples applied to rehabilitationPros & cons of service provisionStatistics

J Soper - Presentation on Open Sight re-ablement sevice

Re-ablement

Project/ServiceCommissioned by Hampshire County Council in 2011Project ran from February 2012 – March 2014

Service commenced April 2014Current service provision in partnership with deafPlus (South), Open Sight & Sense for 3 years

J Soper - Presentation on Open Sight re-ablement sevice

Overview of re-ablement

serviceHampshire County Council adult s

ensory services staff assess individuals with sensory impairments and prepare

a re-

ablement

plan for those who meet the current eligibility criteria.

The support plan outlines

the outcomes to be achieved.

Partnership provides re-

ablement

services to achieve these outcomes. The service now receives referrals through support plans completed by sensory and Deaf services staff across Hampshire.

J Soper - Presentation on Open Sight re-ablement sevice

Support planning

I would like to manage the day to day running of my home

I would like my personal care done in a way that suits meI would like to find new, or maintain the relationships I have

I would like to take part in activities in my local area

I would like to learn new things or get a job

I would like to feel safe at home and have the right support/equipment to stay safe

I would like support so that I do not hurt myself or others

I would like to have enough to eat and drink

I would like help to make decisions when I need it

I

would like support when I need it

J Soper - Presentation on Open Sight re-ablement sevice

Outcome measurements

Scoring definitions 1-5

1 = Dependent-needs task completed by someone else2 = Needs physical assistance to complete the task (e.g. food prep, using LVAs, hearing aids)3 = Needs supervision (

inc

prompting) to complete task (e.g.

food

prep, using LVAs hearing aids)

4 = Needs only equipment to complete task (e.g

.

liquid level indicator, Bellman’s pager)

5 = Independent – No support needed

J Soper - Presentation on Open Sight re-ablement sevice

Examples of support plans

Mobility

Outcome: That I am able to take part in activities in my local area:

Difficulty being able to access the local community safely -To advise and offer mobility skills and long cane technique: 10 sessions

Li

ving skills

Outcome

: That I feel safe at home and have the right support/equipment to stay

safe:

Difficulty using the cooker hob & oven – To demonstrate and train in safe techniques using the cooker, mark cooker controls, train in safe techniques for making hot drinks: 4 sessions

J Soper - Presentation on Open Sight re-ablement sevice

Further examples

Hearing loss

Outcome: That I am able to get or maintain the relationships I already have:

Demonstrate amplified phones and loop with loop pad and follow up to check client is able to use equipment: 2 sessions

Information technology

Outcome: That I am able to manage the day to day running of my home life

Would like to learn how to use his computer and access information and communicate with others: 2 sessions

J Soper - Presentation on Open Sight re-ablement sevice

Procedure for re-ablement

service

SSO refers client to deafPlus

for re-

ablement

with copy of assessment, referral letter and support plan – plan to include starting measurement score. Referral forwarded to Open Sight.

Estimated waiting time sent to referrer and client is contacted by letter or phone call depending on priority and waiting times

ROVI contacts clients and starts re-

ablement

After 3

rd

session ROVI feeds back to SSO regarding client’s progress

Upon completion, ROVI sends summary to referrer, detailing service and equipment provided and outcome score

Open Sight sends copy of summary and closure letter to client

J Soper - Presentation on Open Sight re-ablement sevice

Pros and cons - Pros

Provides early intervention following sight loss

Assessment is offered much soonerService provided is specifically tailored to clients needsClient has access to non statutory services that they may not have been previously aware of

Provider is able to focus on the client’s re-

ablement

plan, without the need to complete a detailed

assessment

Re-

ablement

worker may identify other needs not picked up during the sensory services assessment (clinic based).

J Soper - Presentation on Open Sight re-ablement sevice

Pros and Cons - Cons

Service providers find it difficult to determine how many sessions to request.

Client may need to wait longer for re-ablement

to

be

started

Assessment may not have been carried out in the client’s home and some needs may have been overlooked.

Delays in getting appropriate equipment

supplied

Variations in procedure according to which area made the referral

Referrals not always appropriate

J Soper - Presentation on Open Sight re-ablement sevice

Statistics

Number of referrals received - pilot project

2012 (Based on closed cases)1

st

qtr

= 6

TOTAL: 39

2

nd

qtr = 83rd qtr = 1o4th qtr

= 15

2013 (Based on referrals)

1

st

qtr

= 25

TOTAL: 130

2

nd

qtr

= 29

3

rd

qtr

= 374th qtr = 39

Number of referrals -

re-

ablement

service

No of referrals for

1

st

qtr

this

year

(Apr –Jun 2014) TOTAL : 24No of referrals for 2nd qtr this year (Jul-Sept 2014) TOTAL : 29

J Soper - Presentation on Open Sight re-

ablement

sevice

Hours requested

Pilot 1st year – 491Pilot 2

nd year- 658Service – 1st

qtr

– 147

Service 2

nd

qtr

- 192

J Soper - Presentation on Open Sight re-ablement sevice

Outcome scores

J Soper - Presentation on Open Sight re-ablement sevice

Based on 16 closed cases

Starting scores Outcome scores

1 -10 1 - 3

2 - 0 2 - 0

3 - 5 3 - 0

4 - 1 4 - 0

5 - 0 5 - 13

Any Questions?

Janet Soper & Debbie Ross

25 Church RoadBishopstoke

Eastleigh SO50 6BL

Te

; 023 8064 1244

J Soper - Presentation Open Sight 20/10/14