UK Routine Clinical Outcomes Measurement in Mental Health Network

In services for all adults    

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Some frequently asked questions


  •  What is routine clinical outcomes measurement?

    The principles are described in this wikipedia entry.

  •  How can I implement routine clinical outcomes measurement in my organisation or service?

    You will need

    •  the support of many (but not all) of your colleagues
    •  to agree the outcomes you wish to measure
    •  to identify the measure(s) you can use feasibly and with minimal cost (e.g. license fees). You may choose to use PROMS or CROMs or both (see below). (It may help to consider this outcomes grid).
    •  to train staff in gathering the data- by their ratings and/or from service users
      •  these data include measures of health repeated over time, data on context (e.g. diagnosis) and data on interventions
    •  to have some system for gathering data so that it can be analysed
    •  to have someone with the time and skills to analyse the data
    •  to have a system of regular information feedback to staff first, and managers second, in a form that they can relate to (e.g. graphical rather than statistical)
    •  and a system that helps change practice so that change (preferably improvement) in outcomes may happen
  •  What are PROMs?
    •  PROMs stand for Patient Reported Outcomes Measures. These are filled in by service users themselves, rather than by staff- see the outcomes grid. Measures given to them by staff but completed by service users do not necessarily mean that the outcomes being studied are those of greatest relevance to them. See this wikipedia entry on the recovery model which does not sit well with many systems of routine clinical outcomes measurement.

     What are PREMs?

    •  PROMs stand for Patient Reported Experience Measures. These are filled in by service users themselves, but report their experience of the services they receive, rather than the outcomes. So a service user might have experience a warm, caring environment in an inpatient unit but leave it no better than when they came in. Equally, they may have a dreadful experience but leave the ward functioning much better.

     What are CROMs?

    •  CROMs stand for Clinician Rated Outcomes Measures. These are completed by clinicians, who use their judgment to rate how well the service user is at various points during their contact with sercvices. The Health of the Nation Outcomes Scales (HoNOS) constitute a CROM.


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