{"title":"O-02开发一种工具,以简化分析和显示临终关怀服务中以患者为中心的结果测量","authors":"Sarah Churchill, Michael Hanks, Diana Howard","doi":"10.1136/spcare-2023-hunc.2","DOIUrl":null,"url":null,"abstract":"<h3></h3> Patient Centred Outcome Measures (PCOMs) such as Phase of Illness or IPOS are highly valued for individual patient level clinical care but seldom used to test or demonstrate cumulative impact of an end of life care service in more strategic conversations (Bradshaw, Santarelli, Mulderrig, et al. Palliat Med. 2021; 35(2): 397–407). PCOMs enable a service to demonstrate quality personalised care alongside more traditional activity analysis such as the avoidance of acute bed days and admissions. We aspired to build a tool to streamline analysing and sharing aggregate PCOMs for end of life care services; both to enable easier cumulative measurement of quality care beyond individual patient experiences and to assist with suitable adaptions and scale of service models. The project team identified four widely used PCOM measures to build an alpha version of the tool in PowerBI (Pearson, et al. Pro Microsoft Power Platform. 2020). Whilst building the overarching tool, it was identified that different organisations and service teams had different levels of resource and expertise. We thus produced three additional resources alongside the tool to ensure it is pragmatic for a variety of organisations outside of academic research. The tool has a Creative Commons License to ensure all organisations can shape and use the tool for their own needs. The tool and the supporting materials are publicly available and ready for use. We anticipate having preliminary results from tool use in Summer 2023. We have started to use the tool’s analysis and visuals with three partner organisations to explore how best they can collect, analyse, display and share PCOMs. We aspire to share the initial results from this process and our evaluation of the tool’s strengths and weaknesses by November 2023. Conclusions from our initial design of the tool have highlighted that this methodology can be used for wider PCOMs. A dynamic datasest that is attractively presented and easily interrogated can effectively engage clinicians in service improvement.","PeriodicalId":19619,"journal":{"name":"Oral Presentations - Late-Breaking Proffered Abstracts","volume":"39 2","pages":"0"},"PeriodicalIF":0.0000,"publicationDate":"2023-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":"{\"title\":\"O-02 The development of a tool to streamline analysing and displaying patient centred outcome measures in end of life care services\",\"authors\":\"Sarah Churchill, Michael Hanks, Diana Howard\",\"doi\":\"10.1136/spcare-2023-hunc.2\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"<h3></h3> Patient Centred Outcome Measures (PCOMs) such as Phase of Illness or IPOS are highly valued for individual patient level clinical care but seldom used to test or demonstrate cumulative impact of an end of life care service in more strategic conversations (Bradshaw, Santarelli, Mulderrig, et al. Palliat Med. 2021; 35(2): 397–407). PCOMs enable a service to demonstrate quality personalised care alongside more traditional activity analysis such as the avoidance of acute bed days and admissions. We aspired to build a tool to streamline analysing and sharing aggregate PCOMs for end of life care services; both to enable easier cumulative measurement of quality care beyond individual patient experiences and to assist with suitable adaptions and scale of service models. The project team identified four widely used PCOM measures to build an alpha version of the tool in PowerBI (Pearson, et al. Pro Microsoft Power Platform. 2020). Whilst building the overarching tool, it was identified that different organisations and service teams had different levels of resource and expertise. We thus produced three additional resources alongside the tool to ensure it is pragmatic for a variety of organisations outside of academic research. The tool has a Creative Commons License to ensure all organisations can shape and use the tool for their own needs. The tool and the supporting materials are publicly available and ready for use. We anticipate having preliminary results from tool use in Summer 2023. We have started to use the tool’s analysis and visuals with three partner organisations to explore how best they can collect, analyse, display and share PCOMs. We aspire to share the initial results from this process and our evaluation of the tool’s strengths and weaknesses by November 2023. 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引用次数: 0
摘要
以患者为中心的结果测量(PCOMs),如疾病阶段或IPOS,对于个体患者水平的临床护理非常有价值,但很少用于在更具战略性的对话中测试或证明临终关怀服务的累积影响(Bradshaw, Santarelli, Mulderrig等)。Palliat Med. 2021;35(2): 397 - 407)。PCOMs使服务能够展示高质量的个性化护理,同时进行更传统的活动分析,如避免急性住院天数和入院。我们希望建立一个工具来简化分析和共享临终关怀服务的综合pcom;既能在病人个人经历之外更容易地对护理质量进行累积衡量,又能协助对服务模式进行适当的调整和扩大规模。项目团队确定了四种广泛使用的PCOM度量,以在PowerBI中构建该工具的alpha版本(Pearson等)。Pro Microsoft Power Platform. 2020)。在构建总体工具时,我们发现不同的组织和服务团队拥有不同水平的资源和专业知识。因此,我们在该工具的基础上增加了三个额外的资源,以确保它对学术研究以外的各种组织都是实用的。该工具有一个创作共用许可证,以确保所有组织都可以根据自己的需要塑造和使用该工具。该工具和支持材料是公开的,可以随时使用。我们预计将在2023年夏季获得工具使用的初步结果。我们已经开始与三个合作伙伴组织一起使用该工具的分析和视觉效果,以探索他们如何最好地收集、分析、显示和共享pcom。我们希望在2023年11月之前分享这一进程的初步结果以及我们对该工具优缺点的评估。我们对该工具的初步设计得出的结论强调,该方法可用于更宽的pcom。一个动态的数据,是有吸引力的呈现和容易询问可以有效地参与临床医生的服务改进。
O-02 The development of a tool to streamline analysing and displaying patient centred outcome measures in end of life care services
Patient Centred Outcome Measures (PCOMs) such as Phase of Illness or IPOS are highly valued for individual patient level clinical care but seldom used to test or demonstrate cumulative impact of an end of life care service in more strategic conversations (Bradshaw, Santarelli, Mulderrig, et al. Palliat Med. 2021; 35(2): 397–407). PCOMs enable a service to demonstrate quality personalised care alongside more traditional activity analysis such as the avoidance of acute bed days and admissions. We aspired to build a tool to streamline analysing and sharing aggregate PCOMs for end of life care services; both to enable easier cumulative measurement of quality care beyond individual patient experiences and to assist with suitable adaptions and scale of service models. The project team identified four widely used PCOM measures to build an alpha version of the tool in PowerBI (Pearson, et al. Pro Microsoft Power Platform. 2020). Whilst building the overarching tool, it was identified that different organisations and service teams had different levels of resource and expertise. We thus produced three additional resources alongside the tool to ensure it is pragmatic for a variety of organisations outside of academic research. The tool has a Creative Commons License to ensure all organisations can shape and use the tool for their own needs. The tool and the supporting materials are publicly available and ready for use. We anticipate having preliminary results from tool use in Summer 2023. We have started to use the tool’s analysis and visuals with three partner organisations to explore how best they can collect, analyse, display and share PCOMs. We aspire to share the initial results from this process and our evaluation of the tool’s strengths and weaknesses by November 2023. Conclusions from our initial design of the tool have highlighted that this methodology can be used for wider PCOMs. A dynamic datasest that is attractively presented and easily interrogated can effectively engage clinicians in service improvement.