Outcome based practice

Outcome based practice, also referred to as outcomes management, and outcomes-focussed assessment, is one such approach to achieving desired patient care goals. It involves a combination of teamwork, quality improvement, which is continually evaluated, and process and outcome measurement.

Based upon the social model of disability and empowerment, this approach has been hailed as a better option to the needs-led assessment, and research supports this (Harris et al., 2005).

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Three dimensions of the model have been put forward as being:
– Outcomes involving change, such as those that focus on developing self-confidence, or skills which enable self-care.
– Outcomes maintaining quality of life, occasionally referred to as maintenance outcomes.
– Outcomes associated with the process of receiving services, or those which involve being valued and listened to in the care process.

The outcomes framework:

Autonomy outcomes
– Access to all areas of the home
– Access to locality and wider environment
– Communication access
– Financial security

Economic participation outcomes
– Access to paid employment as desired
– Access to training
– Access to further/higher education/ employment
– Access to appropriate training for new skills

Personal comfort outcomes
– Personal hygiene
– Safety/security
– Desired level of cleanliness of home
– Emotion well being
– Physical health

Social participation outcomes
– Access to mainstream leisure activities
– Access to support in parenting role
– Access to support for personal secure relationships
– Access to advocacy/peer support Citizenship

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