Outcomes Management

Ellwood, Paul M.

doi:10.1056/nejm198806093182329

Cited by 616 publications

(20 citation statements)

References 5 publications

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“…It is more than a quarter of a century since US physician Paul Ellwood (1988) first challenged health service providers to routinely measure and publish patients' aggregated healthcare outcomes. This information would, he claimed, provide a transparent source of information for service users and commissioners.…”

Section: Introductionmentioning

confidence: 99%

Reliable and Clinically Significant Change in Outcomes for Forensic Mental Health Inpatients: Use of the HoNOS-Secure

Dickens

2017

International Journal of Forensic Mental Health

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Secure mental health service outcomes are commonly derived from post-discharge recidivism, readmission and mortality rates. Information about less rare behavioural, functional, and symptom-related outcomes across the sometimes lengthy span of admission is scant. We aimed to determine whether patients underwent reliable and clinically significant change in risk-related need, behaviour, functioning, and symptoms during admission from analysis of routinely collected HoNOS-Secure data. Outcomes (N=418) were examined to determine between-group differences in baseline scores and rates of change, the proportion of patients for whom change was reliable, and, of those, the proportion whose scores fell during treatment by a clinically significant margin. Reliable change was demonstrated for just 4.8% and 5.7% of patients on the HoNOS-Secure scale and security scale respectively, and was rarely clinically significant. In a context in which services rarely report routinely collected data for a range of outcomes, this study found that HoNOS-Secure captured little of any clinical change that may have occurred. Further research is needed to determine whether the HoNOS-Secure is the most suitable tool for routine outcomes reporting, but, in any event, patients, clinicians, and the public should reasonably expect services to routinely demonstrate their effectiveness.

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Section: Introductionmentioning

confidence: 99%

Reliable and Clinically Significant Change in Outcomes for Forensic Mental Health Inpatients: Use of the HoNOS-Secure

Dickens

2017

International Journal of Forensic Mental Health

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“…An additional limitation that should be addressed is the lack of quantitative assessment of therapists' satisfaction and usage of ROM feedback. Such an assessment would allow for a greater understanding of how to encourage the use of ROM as an integral component of clinical care, rather than as an administrative burden . Finally, future studies should be performed to validate previous findings showing the positive effect of ROM on quality of care, in the specific setting addressed here.…”

Section: Discussionmentioning

confidence: 84%

Implementing routine outcome monitoring in public mental health services in Israel: Shared and unique challenges

Bitan

Ganor

Biran

et al. 2017

Evaluation Clinical Practice

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Medical confidentiality issues, as well as the multidisciplinary nature of hospital staff work, serve as central and unique challenges for incorporating ROM in a public psychiatric hospital. Other challenges that were previously reported in other implementation studies were also encountered and included therapist overload and objections, attrition, and the need for organizational support. Recommendations for future pioneering efforts for ROM implementation in large psychiatric facilities are discussed.

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“…Ellwood defined outcomes management as "a technology of patient experience designed to help patients, payers and providers make rational medical care-related choices based on better insight into the effect of these choices on the patient's life". 6 So while Ellwood had already highlighted that process life cycle exists between patients, payer, and provider choices and patient outcomes, the focus of management was on the outcomes rather than the processes themselves.…”

Section: What Is Bpm and Is It Relevant To Health Care?mentioning

confidence: 99%

Business process management in health care: current challenges and future prospects

Buttiġieġ¹,

Dey²,

Gauci³

2016

IEH

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Abstract:The emphasis of performance management in health care is shifting from output or outcome-based to a system-based approach. In particular, clinicians and managers are re-focusing their attention on processes so as to achieve better health system performance, as a reaction to the financial crisis. Health care management is increasingly applying systems thinking and business process management (BPM) as philosophies, which have proved to make a difference in organizational performance and competitiveness to the industry at large. This commentary provides answers to five questions that emerged through a reflective exercise and use of secondary data sources and informal interviews. These questions are intended to contribute toward better understanding of the meaning and application of BPM by scholars and practitioners in health care management. The questions are as follows: What is BPM and is it relevant to health care? Has BPM been extensively applied to health care? Why focus on quality in health care delivery? What are the current challenges of health care and can BPM help? What role BPM will play in future to facilitate effective health care management?

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Outcomes Management

Cited by 616 publications

References 5 publications

Reliable and Clinically Significant Change in Outcomes for Forensic Mental Health Inpatients: Use of the HoNOS-Secure

Reliable and Clinically Significant Change in Outcomes for Forensic Mental Health Inpatients: Use of the HoNOS-Secure

Implementing routine outcome monitoring in public mental health services in Israel: Shared and unique challenges

Business process management in health care: current challenges and future prospects

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