Risk Tracker Demo
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The document discusses an outcomes measurement system for managing risk, reducing inequalities, and demonstrating impact. It provides details on the system's performance management, consistent measurement across organizations, and aggregated data collection for collective impact. The system measures outcomes aligned with national frameworks by risk and protective factors. It includes data dictionaries structured around the life course from starting well to ageing well. The system is designed to provide auditable, evidence-based, and quality-assured outcomes data. It also describes the system's quality mark standards and gives an example case study of outcomes measurement for an individual.
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Risk Tracker Demo
- 1. Managing Risks Demonstrating Outcomes Vicki Fitzgerald & Darren Wright
- 2. Outcomes Measurement System – Managing Risk, Reducing Inequalities, Demonstrating Impact • Performance management • Consistent measurement • Aggregated data for collective impact • Auditable outcomes aligned to national frameworks • Measures by risk and protective factor • Evidence based • Quality assured
- 3. Data Collection is Consistent and Aligned with National Outcome Frameworks NHS Outcome Framework Public Health Outcome Framework Social Care Outcome Framework Social Justice Outcome FrameworkN.I.C.E Guidelines D.W.P. Policy (Helping People to Find & Stay in Work) D.W.P. Policy (Simplifying the Welfare System & Making Work Pay) D.W.P Business Plan
- 4. Data Collection is Consistent and Aligned with National Outcome Frameworks and Structured to Match the Life Course Starting Well Data Dictionary Developing Well Data Dictionary Working Well Data Dictionary Living Well Data Dictionary Ageing Well Data Dictionary
- 5. Living Well Data Dictionary Personal Circumstances: • Domestic Abuse • Homeless • Temporary Accommodation • Unsuitable Accommodation • Vulnerable Adult • Financial Hardship • Social Isolation - Loneliness • Environment - Noise • Environment - Outdoor Spaces Lifestyle: • Very Low Fruit & Vegetable Intake • Low Fruit and Vegetable Intake • Significant Fried and Processed Food Intake • Excessive Sugar • Nutrition - Iron • Physical Activity - Moderately • Physical Activity - Inactive • Alcohol Misuse • Smoking • Substance Misuse Health Status: • Weight - Overweight • Weight – Obese • Mental Health – Low Reported Wellbeing • Mental Health - Stress and Anxiety • Sexual Health - Unwanted Pregnancy • Sexual Health – Sexually Transmitted Infections • Pre - Diabetes: Non - Diabetic • Screening - Increased Blood Pressure • Screening - High Blood Pressure
- 6. Different Types of Protective Factors
- 7. Exampleple Tracey: ● In debt ● Socially isolated ● Lives in a hostel ● Been to see GP 7 times in 3 months ● Stressed and anxious ● Attended A & E on two occasions with alcohol related issues ● Smokes ● Misuses alcohol ● Poor diet ● No exercise
- 9. Household income is >60% of UK average Reduce households where neither parent is in work Healthy Child Programme The family can afford food and clothing items Social Justice Outcomes Framework Department of Health Department of Work and Pensions Financial hardship ☑ After required fuel costs the family remains above the poverty line Improving Outcomes Supporting Transparency Reduce the proportion of those on work-related benefits The number of working age adults engaged in work related activity
- 11. Quality Mark Our quality mark assesses an organisation against 8 key standards 1) Organisational Development 2) Risk Factors and Outcomes 3) Data Recording Systems 4) Consistency and Data Quality 5) Analysing and Reporting 6) Publishing Data 7) Marketing Evidence 8) Business Planning
- 12. Thank You Vicki Fitzgerald & Darren Wright vicki@insideoutcomes.co.uk & darren@insideoutcomes.co.uk www.insideoutcomes.co.uk @insideroutcomes
Notes de l'éditeur
- We have extracted each of the individual outcomes from the full raft of national outcome frameworks across health and social care.
- We have reformatted them into the life course as set out by Professor Michael Marmot. Our data dictionaries take each outcome and associate them with common risks that people present to services. The removal of these risks demonstrates impact against outcome frameworks.
- We know from extensive research across North America and the UK that socioeconomic factors are significant contributors to difficulty in clinicians addressing clinical factors. In order to demonstrate progress with patients with the most complex issues it is necessary to deal with a person as a whole.
- We know that a GP will have little success addressing issues around stress and anxiety whist someone is living in a fragile housing situation. Equally it is difficult to address the issues of lifestyle which contribute to long term conditions.
- We advocate a case management approach where common risks are disclosed and managed. The removal of these individual risks demonstrate progress against outcomes in National Outcome Frameworks. There is no one agency that will manage all risks and it is through joint working that we will see the most benefit. Each risk is assigned a weight which allows us to calculate a score across personal circumstances, behaviour and health status. This is an example of our Living Well risk map. Agencies choose the most appropriate risk map based on the profile of their clients.
- This shows how national outcomes underpin individual risks. Whilst outcome frameworks and individual outcomes might change the generic personal risks (financial hardship, homelessness smoking etc) are unlikely to. We manage our data dictionaries to ensure they are consistent with national policy. This means that agencies can demonstrate accurately against national frameworks without needing update staff on the detail of policy.
- Through changes in personal circumstances we can simply demonstrate progress. We can also demonstrate where significant work has been done with the most complex patients. In our system the most complex patients would have a score of A. Working with patients with a score of A to quite smoking or manage blood pressure is significantly more difficult than working with clients that have a score of D (effectively no risks in personal circumstances. This shows how are tool can be used to address health inequalities.
- To support our risk management system we work with organisations to demonstrate they collect and measure outcomes in consistent and auditable manner.