mark nicklen presentation - presentation at the field outcome measurements forum
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Presentation from Mark Nichols & Associates Presentation PDF version ( PDF document 1.35MB) - Delivered at field Outcomes Measurement Models – comparisons, issues and considerations www.field.org.au Wednesday 17th April - State Library, MelbourneTRANSCRIPT
An introduction to the Personal Outcome
Measures (POMS) tool
‘Measuring Personal Outcomes’
Presentation to the Field Workshop
Wednesday, 17 April, 2013
Mark Nicklen & associates
Vision – A world of dignity, opportunity and community for all people
Task – Provide leadership to improve the quality of life for people with disabilities, people with mental illness, and older adults
Clinical Outcomes
•Cure and symptom reduction
Functional Outcomes
• Increasing functional status
Personal Outcomes
• Issues that matter most to people in their lives
Outcome for the person as defined by the person
Individualized supports to assist the person to attain each outcome
To assist in developing plans for individuals
To gain valuable information about the delivery of services
Outcome for the Person = Quality of Life
Individualized Supports = Quality of Services
How is the outcome defined by the person?
How does the person’s situation match with their desired outcomes?
Is the outcome present or not?
Individualized supports are not: = A policy, procedure, or program
Individualized supports are: = The specific application of the policy, procedure or
program to enable a person to achieve his or her outcome
It is only possible to measure individualized supports by first identifying the outcome
Personal outcome and support questions go together
Outcomes are defined by the person and their preferences and personal context
Outcomes spotlight what is most important for the person
Outcomes base service action and practice on what makes the most sense to and for the person
My Self
My Self: Personal, physical and environmental
The presence of which enables people to explore tomorrow’s
possibilities and choices
People are connected to natural support networks
People have intimate relationships
People are safe
People have the best possible health
People exercise rights
People are treated fairly
People are free from abuse and neglect
People experience continuity and security
People decide when to share personal information
My
World
My World: Connectedness and life in the community
My Self
People choose where and with whom they live
People choose where they work
People use their environments
People live in integrated environments
People interact with other members of the community
People perform different social roles
People choose services
My
World
My Dreams: Discovery, choice and self-determination
How people want their lives (self and world) to be
My Self
My
Dreams
People choose personal goals
People realize personal goals
People participate in the life of the community
People have friends
People are respected
My
World
My Focus: What is most important to me now
My Self
My
Dreams
My
Focus
Validity
Reliability
Agency XXX Outcome Measures 2009
0
20
40
60
80
100
120
140
160
Nat
ural
Sup
ports
Inta
mac
y
Saf
ety
Bes
t Hea
lth
Exe
rcise
right
s
Fair
treat
men
t
Abu
se &
Neg
lect
Con
tinuity &
Sec
urity
Sha
re P
erso
nal inf
o
Whe
re &
who
live
Cho
ose
Wor
k
Use
env
ironm
ent
Inte
grat
ed e
nviro
nmen
t
Inte
ract w
ith o
ther
s
Soc
ial R
oles
Cho
ose
Ser
vice
s
Cho
ose
Per
sona
l Goa
ls
Rea
lise
pers
onal
goa
ls
Par
ticipat
e in c
omm
unity
Hav
e Frie
nds
Are
Res
pect
Outcome
Supports
OUTCOME MEASURES Outcome
Present 08 Outcome
Present 09 Support
Present 08 Support
Present 09
People are connected to natural support networks 33/118 47/149 39 54
MY SELF
People have intimate relationships 33 49 31 48
People are safe 39 54 39 57
People have best possible health 31 54 40 46
People exercise rights 38 46 39 53
People are treated fairly 42 56 43 60
People are free from abuse and neglect 36 55 38 57
People experience continuity and security 29 46 37 52
People decide when to share personal information 47 54 48 61
People choose where and whom they live 16 24 16 28
MY WORLD
People choose to work 26 40 35 52
People use their environments 37 51 39 56
People live in integrated environments 10 14 25 46
People interact with other members of the community 39 57 44 61
People perform different social roles 21 28 27 42
People choose services 28 39 33 47
People choose personal goals 36 51 36 54
MY DREAMS
People realise personal goals 27 42 37 56
People participate in the life of the community 32 46 39 52
People have friends 33 44 32 48
People are respected 43 59 46 62
To access resources, articles and videos about the
Personal Outcome Measures®, visit
www.c-q-l.org/pomindex.aspx
Council on Quality & Leadership: www.thecouncil.org
Mark Nicklen & Associates
Ph 0403 23 7777