11D: Measuring what matters to individuals and families using the Capability, Comfort, and Calm outcomes framework (Workshop)
Tracks
Track 4
| Wednesday, November 13, 2019 |
| 11:00 AM - 12:30 PM |
| Room 105 |
Details
Chaired by Dr Alice Andrews, Faculty & Director of Education, Univeristy of Texas at Austin
Speaker
Dr. Alice Andrews
Faculty & Directorof Education
Univeristy of Texas at Austin
125 Measuring what matters to individuals and families using the Capability, Comfort, and Calm outcomes framework
Abstract
Background:
The purpose of health care is to improve health outcomes for the person being served. Measuring outcomes that matter most to individuals and families, not just processes or experience of care, enables clinical teams to help the whole person, to learn faster, and to identify innovations that improve outcomes further. After a decade+ listening to patients and families, Profs. Elizabeth Teisberg and Scott Wallace of the Value Institute for Health and Care at the University of Texas at Austin developed a framework that categorizes outcomes as follows:
1. Capability: Patients are able to be “themselves” and can function at the highest level possible given their health condition
2. Comfort: Patients receive relief from physical and/or emotional suffering
3. Calm: Patients are free from the chaos and disruption of everyday life experienced during the course of care
This framework allows care teams to assess whether value is being created for individual patients and their families.
Aims/Objectives:
The purpose of this workshop is to share the Capability, Comfort, and Calm™ framework and imperative for measuring outcomes that improve the health of individuals/families. Participants will apply this framework to their own measurement challenge and discuss with others in small groups. Participants also will receive practical guidance for starting/continuing their measurement journey.
Target Audience:
Clinicians, administrators, patients, and/or others who want to measure outcomes that matter to individuals and families.
Learnings/Take away:
By the end of this workshop, participants will be able to:
1. Explain why high-value health care requires measurement of outcomes that matter to patients
2. Describe how the Capability, Comfort, and Calm framework is used to measure whole-person health across contexts
3. Apply this framework to a measurement issue within their organization
4. Create a “next step” action plan to develop/improve measurement in their organization
Format
Speaker (see bio)
Alice Andrews, PhD.
Timing/discussion plans (for 60 minutes--90 minute alternative below):
0-20minutes: Facilitator provides problem definition:
---Describe why integrated health care requires measurement of outcomes that matter to patients and the importance of talking to individuals/families to understand unmet needs when designing outcomes.
---Review international efforts to standardize measurement for particular conditions (e.g., International Consortium for Health Outcome Measurement).
---Explain the Capability, Comfort, and Calm outcome framework for measuring outcomes to assess how health care affects health.
---Share examples from US, UK, AUS of framework in practice.
21-35minutes: Share/discuss in small groups
---Participants share own measurement goals/challenges.
---Participants discuss ideas for organizing their current measures under the Capability, Comfort, and Calm framework. Where are gaps? Are additional/different measures required to measure outcomes that matter to patients?
36-45minutes: Large group report out/discussion to share ideas
46-50minutes: Facilitator shares ideas/template for implementing 'next steps'
51-55minutes: Ask several participants to share specific steps they will take post-workshop to measure outcomes differently
56-60minutes: Additional questions
***60/90minutes is feasible. Ninety minutes allows group discussion of “next steps” and full group sharing. Adds 5 minutes individual reflection, 10 minutes sharing ‘next step’ thoughts in small groups, 10 minutes large report out, 5 minutes questions.
The purpose of health care is to improve health outcomes for the person being served. Measuring outcomes that matter most to individuals and families, not just processes or experience of care, enables clinical teams to help the whole person, to learn faster, and to identify innovations that improve outcomes further. After a decade+ listening to patients and families, Profs. Elizabeth Teisberg and Scott Wallace of the Value Institute for Health and Care at the University of Texas at Austin developed a framework that categorizes outcomes as follows:
1. Capability: Patients are able to be “themselves” and can function at the highest level possible given their health condition
2. Comfort: Patients receive relief from physical and/or emotional suffering
3. Calm: Patients are free from the chaos and disruption of everyday life experienced during the course of care
This framework allows care teams to assess whether value is being created for individual patients and their families.
Aims/Objectives:
The purpose of this workshop is to share the Capability, Comfort, and Calm™ framework and imperative for measuring outcomes that improve the health of individuals/families. Participants will apply this framework to their own measurement challenge and discuss with others in small groups. Participants also will receive practical guidance for starting/continuing their measurement journey.
Target Audience:
Clinicians, administrators, patients, and/or others who want to measure outcomes that matter to individuals and families.
Learnings/Take away:
By the end of this workshop, participants will be able to:
1. Explain why high-value health care requires measurement of outcomes that matter to patients
2. Describe how the Capability, Comfort, and Calm framework is used to measure whole-person health across contexts
3. Apply this framework to a measurement issue within their organization
4. Create a “next step” action plan to develop/improve measurement in their organization
Format
Speaker (see bio)
Alice Andrews, PhD.
Timing/discussion plans (for 60 minutes--90 minute alternative below):
0-20minutes: Facilitator provides problem definition:
---Describe why integrated health care requires measurement of outcomes that matter to patients and the importance of talking to individuals/families to understand unmet needs when designing outcomes.
---Review international efforts to standardize measurement for particular conditions (e.g., International Consortium for Health Outcome Measurement).
---Explain the Capability, Comfort, and Calm outcome framework for measuring outcomes to assess how health care affects health.
---Share examples from US, UK, AUS of framework in practice.
21-35minutes: Share/discuss in small groups
---Participants share own measurement goals/challenges.
---Participants discuss ideas for organizing their current measures under the Capability, Comfort, and Calm framework. Where are gaps? Are additional/different measures required to measure outcomes that matter to patients?
36-45minutes: Large group report out/discussion to share ideas
46-50minutes: Facilitator shares ideas/template for implementing 'next steps'
51-55minutes: Ask several participants to share specific steps they will take post-workshop to measure outcomes differently
56-60minutes: Additional questions
***60/90minutes is feasible. Ninety minutes allows group discussion of “next steps” and full group sharing. Adds 5 minutes individual reflection, 10 minutes sharing ‘next step’ thoughts in small groups, 10 minutes large report out, 5 minutes questions.
Biography
Alice Andrews, PhD is the Director of Education for the Value Institute for Health and Care, which is supported jointly by Dell Medical School and McCombs School of Business at the University of Texas at Austin in the USA. She also holds an Assistant Professor position in the Department of Medical Education at Dell Medical School. Dr. Andrews uses her expertise in health care delivery to create innovative curricula that enable health care providers health system leaders, employers, and other stakeholders to transform health care delivery and improve health outcomes for patients. She is program director for the Value Institute's Master of Science in Health Care Transformation, which enrolled its inaugural class in August 2018.
Dr. Andrews's research interests focus on effective leadership of integrated health care teams and how communications enables or presents a barrier to effective team performance and learning. She also is interested in risk communication including how health outcomes are communicated to patients and the use of shared decision making for improving clinical practice.
Dr. Andrews holds a PhD in Organizational Behavior from Cornell University, and an MS in the Evaluative Clinical Sciences from Dartmouth College. She has taught courses on leadership, patient-centered health communication, survey research methods, organizational change, and entrepreneurship.
Victoria Davis, PhD, joined the Value Institute for Health and Care in 2018 and is currently a Course and Content Specialist and Writer. She uses her expertise in writing pedagogy, editing, publishing, research, communications, and the humanities to develop both innovative curriculum and content for the newly launched Master in Health Care Transformation as well as articles and case studies to further the thought leadership of the Value Institute. Dr. Davis a doctorate in English and a Bachelor of Science in Communications and from The University of Texas at Austin.
