measuring dietetic practice: study overview
TRANSCRIPT
Medicine, Nursing and Health Sciences
Measuring Dietetic Practice (MDP)Developing data-reporting tools for dietitians
[email protected] of Nutrition and DieteticsMonash Medical Centre28th July 2011
With:Helen TrubyClaire PalermoTerry Haines
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The Plan1. Framing the problem
2. Introduction to the MDP StudyDeveloping data-reporting tools for dietitiansRQ: Can a data-reporting system lead to improved health outcomes?
3. Study ProtocolObjectivesStudy design and methods
4. What now and what next?Ethics and go
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Framing the ‘Problem’
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1996 1998 2000 2002 2004 2006 2008 2010…
Hons(Med, UWA)
MastNutrDiet(Deakin)
AustinHealth
Melbrn Health
AlfredHealth
Thesis(Masters)
MPubPolGov(BUSECO, Monash)
GCHealthEco(BUSECO)
RMIT Deakin WCMICS(Vic State)
Nestle
A problem in practice?
Independent NGO doing systematic review, critical analysis….
PhD
Real Jobs
Study
Business
Timeline (Year)
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What is the problem? No data…..no problems….but no solutions
Data is the starting point
What to measure
How to measure it
How and where to record it
How to report it
Know what the report means
An efficient way of recording and reporting
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1996 1998 2000 2002 2004 2006 2008 2010…
Why is no data a problem?We’ve been doing this for years, why now?
Timeline (Year)
NAHCCAAHCS
NAHCCHAH
NHISSCHealth
Performance (2010)
Gov Reform$ for
performanceCasemix$/person/admission
Contract and competitive tendering
NHPCPerformance in health (2001)
eHealth (global)Communication across sectors and services
PCEHRSNOMED NHHR
Casemix
Allied Health
Gov ReformAnd tech
IDNTNCP BPGDietitians
Chronic IllnessDemand on Health
$ for health
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Why is it a problem? No data…..no problems….but no solutions
Performance reporting (leverage for $)
Evidence of contribution to health
Responsible and flexible service, sustainable, client centred
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Whose problem is it? Health professions
Service provider, teaching and training, policy
Client Right care to right person at the right time
Governments $
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What are the options? No data…..no problems….but no solutions
Data is the starting point
What to measure
How to measure it
How and where to record it
How to report it
Know what the report means
An efficient way of recording and reporting
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Introduction to the MDP StudyDeveloping data-reporting tools for dietitians
Can a data-reporting system lead to improved health outcomes?
The Case
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RationaleDietitians ConveniencePracticing in Victoria who: Convenience-See people for weight loss advice and support
Common, chronic, measures over time, BPG, and economic markers
-Measure weight (kg) Primary outcome for obesity treatmentPrimary research outcomeCheap and easy to measure
-Primary & community care Where chronic conditions are diagnosed and managed [demand predicted to increase]
ObjectivesTo assess the effect on client outcome when the dietitian has received data on the effectiveness of intervention/s
Build and test a simple data-collection tool for use by dietitians working with clients who are overweight and obese
To identify and describe the dietetic service, and client characteristics, that may influence client outcome
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Measuring Dietetic Practice – Data Mining (MDP-DM): 10 years of client data from private practice
Exploratory researchWhat is happening, why and with what consequences?
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Build a data-collection tool
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Data-reporting for dietitians
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NCP
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Build a data-collection tool
Objectives of MDP-DM
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Identify data items measured and recorded as part of practice by three private practice dietitians
Compare the data against the theoretical components of health service reporting (efficiency and effectiveness)
Determine the health services’ performance (efficiency and effectiveness)
Compare and contrast the similarities and differences between the three cases
Use results to build a prototype data-collection-tool for use in the MDP Study
Data-miningWhat is happening in practice, why, and how close or how far is this from where we need to be?
Three dietitians in three states
10 years of paper records
What did they collect and record
What can you do with that data
How hard or how easy is it to do that
Is it enough to report to the NHPR
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What now and what next?
Update Recruitment strategy approved
Questionnaires
Website
Protocols
Ethics….and go!
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