tailor making the future: measuring blue care’s model ......person centred care (pcc) evaluation...
TRANSCRIPT
Tailor Making the Future: Measuring Blue Care’s Model Coherency
ACSA IAHSA International Conference
2 September 2015
Photographs: Priscilla Crosson, Chuck Rice, and Larry Libowhttp://sites.middlebury.edu/middmag/files/2012/09/Priscillas-Skydive-062.jpg
Blue Care has 11,000 staff and volunteers.
We provide services from 260 sites across QLD and Northern NSW.
Blue Care Coverage
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Our collaborative approach
Blue Care Tailor Made service model
Collaboration leads to innovation
Fish!
Blue Care powered by people
23FISH! AGENTS
11,000BLUE SWIMMERS
73STARFISH!
Photo © Disney.http://www.mouseplanet.info/gallery/d/91096-1/DCL_Dream-1_Disney_Dream-disney.jpg
Tailor Made Evaluation Strategy
Program logic framework:
• an explanation of the situation to be evaluated
• the Tailor Made enablers
• the Key Components or programs of the service model
• target audience
• the short, medium and long term impact
• assumptions and external factors
• Increased client satisfaction and quality of life
• Services match client goals and outcomes
• Staff attitudes reflect organisational values and Person Centred
Care
• Increase staff knowledge of Tailor Made.
• Decrease staff turnover
Desired outcomes at 3-4 years
We evaluated the following components of Tailor Made :
• Person Centred Care
• Caring – Memory Support Program
• Dying with Dignity – Palliative Care Program
And took into account the outcomes of the
• Client Satisfaction Survey
• Staff Satisfaction Survey
Collaborative approach between Blue Care Service Development Team and the
University of Queensland/Blue Care Research and Practice Development Centre
How are we doing in 2015?
Person Centred Care (PCC) evaluation
• Data measures and sources:
• Degree of infiltration of Person Centred Care in Blue Care
• PCC Self Assessment
• Person Centred Assessment Tool (PCAT)
• Client satisfaction
• Better Practice Australia survey
• Staff turnover
• Compliments and complaints
Person Centred Assessment Tool• >80% believe
• they have time to provide PCC• the organisation supports them in providing PCC
• Areas for improvement• More freedom to meet preferences• Quality interaction
Results - Person Centred Care
Person Centred Care
Self-Assessment
81 of the 122 elements rated
as ‘Fully Met’ by 65% or
more of services
Person Centred Care• Suffered stroke
• Individual support plan with a reablement focus
• Improve mobility
• Improve strength
• Avoid further in-home support
Client
Independent
Walks to the shops
Catches the bus
Joined a gym
Staff
Greater job satisfaction
through creative input
10 compliments to every complaint in community services
2-3 compliments to every complaint in residential services
No significant changes in complaints from 2011-2014
Results - Client satisfaction
Client Tracker
Overall satisfaction 90.3%
Increase in satisfaction of 3.3% from 2014
Results – Staff Satisfaction
BPA Survey
4632 returned surveys
47% felt TM had positive impacton their work environment
51% felt FiSH had a positive impact on what it’s like to work at Blue Care
Results – Workforce Analysis
Downward trend in staff turnover
17.1% in 2011
13.1% in 2014
Summary of findings
Positive demonstration of transition
from philosophy to actions
Service managers and teams believe 67%
of PCC elements are fully met
Client satisfaction results of 90%
Compliments to complaints are three to one
Our Blue Care Tailor Made Memory Support Services Program in action
• Data includes:
• Degree of infiltration of Person Centred Care into Blue Care Memory
Support Units
• Self-Assessment
• Understanding resident’s needs (TURNIP)
• Quality of life (DemQoL)
• Person centred design of our facilities
Tailor Made Memory Support Program evaluation
Results - Self Assessment
Results - Quality of Life
Service Manager self assessment
67% of the elements that define PCC in memory Support units
were met.
Quality of life is enjoyed at 70%
of a possible perfect score
0 %
quality
of life
100%
quality
of life70 % quality of life
Results - Incidence rates and psychotropic drugs
Results - Environment
Comparable score to other non purpose built facilities
Lower population density
More privacy
Only identified by facility, not specific MSU
http://pintast.com/wp-content/uploads/2014/05/amazing-love-quote-with-two-old-people-picture-13992844494ng8k.jpg
Tailor Made Palliative Care Program evaluation
• Data includes:
• After-death audits
• Type of death (unexpected versus expected)
• Place of death
• Hospital transfers
• Documentation of resident wishes
• Use of a palliative care case conference
• Use of an end of life care pathway
• Organisational audit
• Service-level self-assessments
ResultsAfter Death Audits
Some improvement is resident outcomes in first 6 months
Majority of Blue Care residents die within their home, the residential facility.
Increase in resident preferences for
• end of life documentation (Advanced Care Plan)
• use of case conferences
• end of life care pathway
Self Assessment
85% of community and residential services completed the self assessment
Organisational strengths identified in assessment tools, care planning and communication with the
person, family members and health professionals
Next steps
12 monthly re-evaluation
Actions to inform the 2015/16 FY program of work for Tailor Made
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