1. CM2000 Commissioning Outcomes Based Care 23rd October 2012

2. CM2000 - Oxfordshire headlines
Objectives of this Workshop
Not become a sales platform
Provide and promote discussion regarding Outcomes based commissioning
Formulate ideas of making Outcomes Commissioning a reality
Significant business process efficiencies:  cutting out timesheets and reducing the number of invoices dramatically reduces back-office administration
Wide choice of mix-and-match data capture (monitoring) technologies: AURA/ answered, Box10, Mobile Solutions: RFID/NFC
Mobile Workforce Solution: Quick and easy communication with field-based staff:

3. CM2000 - Oxfordshire headlines
Common Commissioning Process
Initial Assessment
Reablement Process
Post Reablement Process
The Never Ending Care Package
Significant business process efficiencies:  cutting out timesheets and reducing the number of invoices dramatically reduces back-office administration
Wide choice of mix-and-match data capture (monitoring) technologies: AURA/ answered, Box10, Mobile Solutions: RFID/NFC
Mobile Workforce Solution: Quick and easy communication with field-based staff:

4. CM2000 - Oxfordshire headlines
Reablement
Social worker assesses Service User
Usually occurs after a period in hospital
Planned, short term, intensive support
Identification of Service User’s needs / goals
Can be restricted to certain groups of Service Users
Significant business process efficiencies:  cutting out timesheets and reducing the number of invoices dramatically reduces back-office administration
Wide choice of mix-and-match data capture (monitoring) technologies: AURA/ answered, Box10, Mobile Solutions: RFID/NFC
Mobile Workforce Solution: Quick and easy communication with field-based staff:

5. CM2000 - Oxfordshire headlines
Reablement Process
“The first major benefit of homecare re-ablement is about improving people's independence and therefore reducing their need for ongoing homecare support, whether that is a care package, direct payment or personal budget.”
Department of Health CSED
Significant business process efficiencies:  cutting out timesheets and reducing the number of invoices dramatically reduces back-office administration
Wide choice of mix-and-match data capture (monitoring) technologies: AURA/ answered, Box10, Mobile Solutions: RFID/NFC
Mobile Workforce Solution: Quick and easy communication with field-based staff:

6. CM2000 - Oxfordshire headlines
What happens next?
Package is assigned to the external market
Financial value is placed on the package depending on the level of care required.
Value is driven by time and task and not continuing the process that was started by re-ablement
Significant business process efficiencies:  cutting out timesheets and reducing the number of invoices dramatically reduces back-office administration
Wide choice of mix-and-match data capture (monitoring) technologies: AURA/ answered, Box10, Mobile Solutions: RFID/NFC
Mobile Workforce Solution: Quick and easy communication with field-based staff:

7. CM2000 - Oxfordshire headlines
Strategic Commissioning
“Engaging people who use services and their carers is at the heart of effective commissioning. Commissioners also need to engage with citizens in the wider community to define outcomes that reflect the needs, preferences and aspirations of people who will use services in the future, and their carers”
Social Work Inspection Agency Scotland
Significant business process efficiencies:  cutting out timesheets and reducing the number of invoices dramatically reduces back-office administration
Wide choice of mix-and-match data capture (monitoring) technologies: AURA/ answered, Box10, Mobile Solutions: RFID/NFC
Mobile Workforce Solution: Quick and easy communication with field-based staff:

8. CM2000 - Oxfordshire headlines
What do we aim to achieve by Outcomes Commissioning?
Improve Service User’s quality of life
Reduce overall cost of care package being delivered
Improve capacity to take on more Service Users
Deliver a transparent service
Ability to be proactive rather than reactive (intervention)
Significant business process efficiencies:  cutting out timesheets and reducing the number of invoices dramatically reduces back-office administration
Wide choice of mix-and-match data capture (monitoring) technologies: AURA/ answered, Box10, Mobile Solutions: RFID/NFC
Mobile Workforce Solution: Quick and easy communication with field-based staff:

9. CM2000 - Oxfordshire headlines
Issues with becoming Outcome focused?
Service Users where no improvement can be justified due to expenditure
Palliative Care
Final Stage Dementia
Administrative burden of undertaking Outcomes measurement
How, when and where is the data collected?
How is it analysed?
Significant business process efficiencies:  cutting out timesheets and reducing the number of invoices dramatically reduces back-office administration
Wide choice of mix-and-match data capture (monitoring) technologies: AURA/ answered, Box10, Mobile Solutions: RFID/NFC
Mobile Workforce Solution: Quick and easy communication with field-based staff:

10. CM2000 - Oxfordshire headlines
Issues with becoming Outcome focused? Cont.
If an objective is to reduce the overall care package this has a direct impact on the providers finance
Huge culture change in relation to the delivery of care
It will not happen overnight
Significant business process efficiencies:  cutting out timesheets and reducing the number of invoices dramatically reduces back-office administration
Wide choice of mix-and-match data capture (monitoring) technologies: AURA/ answered, Box10, Mobile Solutions: RFID/NFC
Mobile Workforce Solution: Quick and easy communication with field-based staff:

11. CM2000 - Oxfordshire headlines
Encouraging Outcomes
Financial benefit to providers where considerable savings have been made due to meeting outcomes / reducing package.
Offering support & training to providers to help them become Outcome focused
Clear and transparent reporting that can be easily derived and submitted
The same guidelines and structure for all providers
Significant business process efficiencies:  cutting out timesheets and reducing the number of invoices dramatically reduces back-office administration
Wide choice of mix-and-match data capture (monitoring) technologies: AURA/ answered, Box10, Mobile Solutions: RFID/NFC
Mobile Workforce Solution: Quick and easy communication with field-based staff:

12. Outcomes Methodologies

13. CM2000 - Oxfordshire headlines
FACE Assessment Model
“FACE assessment tools are nationally-accredited by the Department of Health and used throughout the UK & Ireland by NHS, social care and independent sector organisations.”
FACE recording & Measurement Systems
Significant business process efficiencies:  cutting out timesheets and reducing the number of invoices dramatically reduces back-office administration
Wide choice of mix-and-match data capture (monitoring) technologies: AURA/ answered, Box10, Mobile Solutions: RFID/NFC
Mobile Workforce Solution: Quick and easy communication with field-based staff:

14. CM2000 - Oxfordshire headlines
Outcomes Star™ Assessment Tool
“The Outcomes Star is an approach to measuring change when working with vulnerable people. We call these measurable changes outcomes. It is used within the key work process and is integrated within assessments and reviews.”
Homeless Link
Significant business process efficiencies:  cutting out timesheets and reducing the number of invoices dramatically reduces back-office administration
Wide choice of mix-and-match data capture (monitoring) technologies: AURA/ answered, Box10, Mobile Solutions: RFID/NFC
Mobile Workforce Solution: Quick and easy communication with field-based staff:

15. CM2000 - Oxfordshire headlines
Outcomes Star™ Assessment Tool
Significant business process efficiencies:  cutting out timesheets and reducing the number of invoices dramatically reduces back-office administration
Wide choice of mix-and-match data capture (monitoring) technologies: AURA/ answered, Box10, Mobile Solutions: RFID/NFC
Mobile Workforce Solution: Quick and easy communication with field-based staff:

16. CM2000 - Oxfordshire headlines
IoRN – Indicator of Relative Need
“The IoRN is a questionnaire containing carefully selected questions that are designed to inform an algorithm for determining the relative independence/dependence of individuals.
The questionnaire covers characteristics such as activities of daily living, food and drink preparation and mental health and behavioural issues to categorise the individual into one of nine groups - where group A is 'most independent' and group I is 'least independent'.
ISD Scotland
Significant business process efficiencies:  cutting out timesheets and reducing the number of invoices dramatically reduces back-office administration
Wide choice of mix-and-match data capture (monitoring) technologies: AURA/ answered, Box10, Mobile Solutions: RFID/NFC
Mobile Workforce Solution: Quick and easy communication with field-based staff:

17. CM2000 - Oxfordshire headlines
FIM – Functional Independence Measure FAM – Functional Assessment Measure
“The FIM scale assesses physical and cognitive disability. This scale focuses on the burden of care – that is, the level of disability indicating the burden of caring for them.
Items are scored on the level of assistance required for an individual to perform activities of daily living. The scale includes 18 items, of which 13 items are physical domains based on the Barthel Index and 5 items are cognition items.”
Significant business process efficiencies:  cutting out timesheets and reducing the number of invoices dramatically reduces back-office administration
Wide choice of mix-and-match data capture (monitoring) technologies: AURA/ answered, Box10, Mobile Solutions: RFID/NFC
Mobile Workforce Solution: Quick and easy communication with field-based staff:

18. CM2000 - Oxfordshire headlines
FIM & FAM Scoring
Level
Description
7 Complete Independence
Fully independent
6 Modified Independence
Requiring the use of a device but no physical help
5 Supervision
Requiring only standby assistance or verbal prompting or help with set-up
4 Minimal Assistance
Requiring incidental hands-on help only (subject performs > 75% of the task)
3 Moderate Assistance
Subject still performs 50–75% of the task
2 Maximal Assistance
Subject provides less than half of the effort (25–49%)
1 Total Assistance
Subject contributes < 25% of the effort or is unable to do the task
Significant business process efficiencies:  cutting out timesheets and reducing the number of invoices dramatically reduces back-office administration
Wide choice of mix-and-match data capture (monitoring) technologies: AURA/ answered, Box10, Mobile Solutions: RFID/NFC
Mobile Workforce Solution: Quick and easy communication with field-based staff:

19. What do all these tools have in common? Answers on the next page

20. CM2000 - Oxfordshire headlines
What do all these tools have in common?
Identification of Service User’s needs
Placing a score or value on the response given to the question (s)
Continual feedback
Reflect Service Users condition including improvement / deterioration
Significant business process efficiencies:  cutting out timesheets and reducing the number of invoices dramatically reduces back-office administration
Wide choice of mix-and-match data capture (monitoring) technologies: AURA/ answered, Box10, Mobile Solutions: RFID/NFC
Mobile Workforce Solution: Quick and easy communication with field-based staff:

21. CM2000 - Oxfordshire headlines
What do all these tools have in common?
Domain
Question 1
Answer 1a
Answer 1b
Question 2
Answer 2a
Answer 2b
Significant business process efficiencies:  cutting out timesheets and reducing the number of invoices dramatically reduces back-office administration
Wide choice of mix-and-match data capture (monitoring) technologies: AURA/ answered, Box10, Mobile Solutions: RFID/NFC
Mobile Workforce Solution: Quick and easy communication with field-based staff:

22. CM2000 - Oxfordshire headlines
Turning Assessments into Outcomes
Identifying areas that need to be assessed
If an assessment area is positive it does not need frequent re-assesment
“Pigeon Holing” something that is meant to be personal and unique in order to aide feedback
Significant business process efficiencies:  cutting out timesheets and reducing the number of invoices dramatically reduces back-office administration
Wide choice of mix-and-match data capture (monitoring) technologies: AURA/ answered, Box10, Mobile Solutions: RFID/NFC
Mobile Workforce Solution: Quick and easy communication with field-based staff:

23. With Physical Assistance
Turning Assessments into Outcomes
Meal Prep
Carrying Items
Fully Independent
With Verbal Prompts
With Physical Assistance
Fully Dependent
Clearing up
Preparing Food
Domain
Question(s)
Responses

24. Turning Assessments into Outcomes
Medication
Level of Assistance
None
Low
Medium
High
Domain
Question(s)
Responses

25. CallConfirmLive! Outcomes Tool

26. Data capture at point of delivery
Formats available for Data capture:
Software Entry
Landline Message
Mobile Application
Send SMS
Print Letter
Pop up window
AURA with tasks
Mobile Workforce
Monitoring Integration
Text messaging
with auto replies
Traditional surveys
Software Entry:
Wide choice of mix-and-match data capture (monitoring) technologies: AURA/ answered, Box10, Mobile Solutions: RFID/NFC, GPS, QR Code

27. Alerting and Reporting
Goal 1 - Want to stroll to the shops
Goal 2 – Control over daily life
Goal 3– Cultural/religious preferences
hours
Outcome Report (Data Extract)

28. Hours/Visit Summary Report

29. CM2000 - Oxfordshire headlines
Alerting Mechanisms
Decrease in Outcome completion
Increase in Care Delivery
Enables providers to “Intervene” in a care package before it becomes serious
Significant business process efficiencies:  cutting out timesheets and reducing the number of invoices dramatically reduces back-office administration
Wide choice of mix-and-match data capture (monitoring) technologies: AURA/ answered, Box10, Mobile Solutions: RFID/NFC
Mobile Workforce Solution: Quick and easy communication with field-based staff:

30. CM2000 - Oxfordshire headlines
Alerting Mechanisms
Decrease in Outcome completion
Increase in Care Delivery
Enables providers to “Intervene” in a care package before it becomes serious
Significant business process efficiencies:  cutting out timesheets and reducing the number of invoices dramatically reduces back-office administration
Wide choice of mix-and-match data capture (monitoring) technologies: AURA/ answered, Box10, Mobile Solutions: RFID/NFC
Mobile Workforce Solution: Quick and easy communication with field-based staff:

31. CM2000 - Oxfordshire headlines
Contact Details
Significant business process efficiencies:  cutting out timesheets and reducing the number of invoices dramatically reduces back-office administration
Wide choice of mix-and-match data capture (monitoring) technologies: AURA/ answered, Box10, Mobile Solutions: RFID/NFC
Mobile Workforce Solution: Quick and easy communication with field-based staff: