Goal Attainment Scaling

What is Goal Attainment Scaling? Scoring system to assess/report on outcomes Clients make the goals in collaboration with providers Scores based on goal outcomes 5 levels of outcomes

Five Point Scale

Five Point Scale Increase mobility and weight bearing capacity Walk around the block two times per week with use of an aid at 3 months Walk around the block once per week with use of aid at 3 months Walk around the block three times per week using the aid sparingly at 3 months Cannot walk around the block at all with or without an aid at 3 months Walk around the block three times per week without an aid at 3 months

Rehabilitation Assessment Life Satisfaction Indicators (LSI) are identified by client LSI creates a snapshot of the client’s satisfaction with life LSI results assist with the Rehabilitation Assessment

Rehabilitation Plan with Scaling Goals are made for Rehabilitation Plan based on Assessment Up to 4 Goals 5 levels of outcomes are defined for each goal and activities identified

Plan Progress Goals are reassessed as required LSI is completed 6 monthly

Plan Closure Final score given for each goal A final LSI is completed Success = expected outcome (0) or better (+1,+2)

Expected Benefits Better engagement with clients Clearer plan for clients Clients take ownership of their goals Clients have better understanding of rehabilitation process

Effects on Current Process Minimal impact on DVA Staff, as providers establish the goals with clients and monitor progress Once familiarity with process is established, minimal cost impact

Links to DVA Towards 2020 Goal Attainment Scaling is a whole-of-person rehabilitation tool Client has direct input to their own goals Providers can develop individualised plans for clients

Links to DVA Towards 2020 Enables reporting on the effectiveness of different types of rehabilitation DVA can identify areas for improvements from client goal scores Target relevant changes for implementation

Links to DVA Towards 2020 Improved communication with providers about client rehabilitation Detailed reporting about client rehabilitation progress

New and Amended Forms One new form D9230 Life Satisfaction Indicators & five current forms amended (see following slides) Refer Chapter 15 Goal Attainment Scaling in DVA’s online Rehabilitation Library - http://clik.dva.gov.au/rehabilitation-library Also visit DVA’s Rehabilitation website – http://www.dva.gov.au/health-and-wellbeing/rehabilitation

Refer to Chapter 15 Goal Attainment Scaling in CLIK D9230 new form LIFE INDICATORS - completed by client at rehabilitation assessment, 6 month plan progress and at plan closure Refer to Chapter 15 Goal Attainment Scaling in CLIK

Refer to Chapter 15 Goal Attainment Scaling in CLIK D9230 new form (cont.) JOB INDICATORS - completed by client at rehabilitation assessment, 6 month plan progress report and at plan closure Refer to Chapter 15 Goal Attainment Scaling in CLIK

D1334 amended form - add Life Satisfaction Indicators data Refer to Chapter 15 Goal Attainment Scaling in CLIK

D1347 amended form add Goal Attainment Scaling data (up to four goals) Refer to Chapter 15 Goal Attainment Scaling in CLIK

D1336 amended form add Goal Attainment Scaling data (up to four goals) Refer to Chapter 15 Goal Attainment Scaling in CLIK

D1330 amended form - add Life Satisfaction Indicators data Refer to Chapter 15 Goal Attainment Scaling in CLIK

D1335 amended form add Life Satisfaction Indicators data Refer to Chapter 15 Goal Attainment Scaling in CLIK

D1335 amended form (cont.) add Goal Attainment Scaling data convert Scaling scores by using Conversion Table Refer to Chapter 15 Goal Attainment Scaling in CLIK

Goal Attainment Scaling Scores Conversion Table D1335 amended form (cont.) Goal Attainment Scaling Scores Conversion Table Refer to Chapter 15 Goal Attainment Scaling in CLIK