howRU and howRwe
Simple generic systems to measure and provide feedback on pa;ent outcome and experience
Based on presenta;on to NHS Innova;on Expo
13 March 2013 Tim Benson
© Rou;ne Health Outcomes Ltd 2013
howRU
The Issue
• The Commissioning Board’s responsibility is totally focused on pa9ents, on outcomes for pa9ents, on pa9ent sa9sfac9on and ... value for the pa9ent – Malcolm Grant NHS Commissioning Board 28 Feb 2013
• We need bePer performance indicators to monitor quality and value as well as money
• Without immediate feedback, we do not know how well we are doing
• We have been flying blind
What we all want
Feel well Do what we want Live longer Have good care
howRU
• Generic PROM • Summa;ve howRU score
– howRU score is the sum of the 4 responses – high is good
• 7 year development: 160 itera;ons • Validated against SF-‐12* and EQ-‐5D • howRU Health Tracker
– Approved on NHS Apps directory and IOS App store
* Benson T et al. Evaluation of a new short generic measure of health status: howRu. Informatics in Primary Care 2010 18:89-101
howRwe • Generic pa;ent experience measure incorpora;ng
– NHS Friends and Family Test – four ques;ons about specific aspects of pa;ent experience:
• Care promptness, Communica;on, Compassion, Organisa;on competence
• Pa;ent experience Index – howRU
• Pa;ent severity index • Anonymous
– focus is on quality of care • Real-‐;me feedback
– to clinicians, managers and others • Validated in >300 loca;ons
Each cross represents a separate loca;on. Easy to iden;fy outliers and then drill down.
How much does it cost?
• No charge for the IP • Require use to be licensed • Modest fees for sodware, services and standard feedback reports – e.g. £20 per month per tablet – Volume prices on applica;on
Summary • howRU and howRwe monitor pa;ent outcome and experience
– simple – generic – validated
• Feedback at every level – pa;ents – clinicians – managers – commissioners – regulators
Tim Benson Rou;ne Health Outcomes Ltd @;mbenson ;[email protected] 07855682037 or 01635 203162 www.howRwe.com