Measuring our impact: implementing outcome measures in EMR

Tracks
Concurrent session M3
Collaboration
Continuous quality improvement
Innovative practice
Service delivery
Monday, May 27, 2024
10:30 AM - 10:45 AM
Meeting Room 02

Overview

Kiara Tatt


Details

⏫ In-practice
📚 Assumed knowledge of attendees: Intermediate (Some previous learning/working knowledge of topic e.g. treated a few cases)


Presenter

Agenda Item Image
Miss Kiara Tatt
Royal Melbourne Hospital

Measuring our impact: implementing outcome measures in EMR

10:30 AM - 10:45 AM

Presentation summary

Clinical outcome measurement is central to the provision of effective clinical care. Within our large tertiary hospital setting, these measures have typically been collected in specialist clinical areas or as part of formal quality or research projects.

After transitioning to electronic medical records in 2020, the ability to integrate routine collection of patient outcomes across the health service became a real possibility. The objective of this project was to identify preferred measures and to develop an efficient, reliable system to record and report outcome data collected.

Extensive scoping activities were undertaken to gather potentially relevant measures and focus groups followed to determine those most clinically relevant and appropriate. Clinician surveys and interactive chat groups were set up to review and revise measures chosen and to address day to day challenges faced by clinicians working in inpatient and outpatient settings across acute, subacute and community caseloads.

Thirty-three outcome measures were considered by the department, 20 of these related to swallowing and 13 to communication. A trial set of 7 measures were identified through benchmarking activities and the focus group discussions. Following a 2-week trial, the measures were adjusted in response to clinician survey data and reflections gathered through the group chat.

A core set of 6 measures were chosen by the department for integration into the electronic medical record to ensure consistency of data collection and to facilitate instantaneous reporting of clinical and service data across a range of patient populations. Additional, supplementary measures were identified and integrated by specialist clinical areas where need was identified.

The benefits and challenges of integrating outcome measures into the daily activities of clinicians working in a large tertiary health service will be discussed. Decisions regarding generic versus specific measures, and clinician versus patient reported outcomes will be explored along with practical challenges and compliance.

Key messages

· The implementation of core outcome measures appears to suit most acute service streams.
· Specific measures are preferred by clinicians working in specialist outpatient settings.
· The electronic medical record allows for improved efficiency and accuracy of outcome data collection and reporting.

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Kiara Tatt is a speech pathologist with a passion for working within the neuroscience caseload and providing patient-centered care. Kiara has worked at the Royal Melbourne Hospital (RMH) since 2018 and is currently working with patients across the continuum of care.
Miss Ellen Martyn
Royal Melbourne Hospital

Measuring our impact: implementing outcome measures in EMR

10:30 AM - 10:45 AM

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Ellen Martyn is Grade 2 Speech Pathologist working in the Royal Melbourne Hospital, across medical wards.

Session chair

Emma Power


Student volunteer(s)

Sophia Jo
Curtin University

Agenda Item Image
Hana Richmond
University of Melbourne

The information contained in this program is current at of the time of publishing but is subject to changes made without notice.

Disclaimer: © (2024) The Speech Pathology Association of Australia Limited. All rights reserved.
Important Notice, please read: The views expressed in this presentation and reproduced in these materials are not necessarily the views of, or endorsed by, The Speech Pathology Association of Australia Limited ("the Association"). The Association makes no warranty or representation in relation to the content, currency or accuracy of any of the materials comprised in this presentation. The Association expressly disclaims any and all liability (including liability for negligence) in respect of use of these materials and the information contained within them. The Association recommends you seek independent professional advice prior to making any decision involving matters outlined in this presentation including in any of the materials referred to or otherwise incorporated into this presentation.

 

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