SaHF DMBC Volume 1 Edition 1.1.pdf - Shaping a healthier future

The extent to which the anticipated benefits of implementing the standards have
been achieved. This would include measures such as the percentage of patients with
care plans reporting an improved sense of independence.
To understand more about the different measures we could use to achieve this, we reviewed
a wide range of existing national and international frameworks to identify potential existing
measures that we could use to track the implementation of out of hospital standards. These
measures fell into two categories. First, over-arching outcome measures to measure the
benefits of implementing the standards in aggregate. Second, process measures within
each domain of the standards, to assess the extent to which each standard is being
implemented.
On the whole, the measures attempt to look at both health and social care measures and
include efficiency, outcome and user experience measures, where available.
These potential measures are summarised in Figure 8.5.
Figure 8.5: Potential measures of out of hospital standards
Measure type Domain Potential measures
Outcome /
benefits
measures
Process /
implementation
measures
All
Individual
empowerment
and self care
Rate of non-elective admissions
Re-admissions within 28 days
Unplanned hospitalisations for individuals with an
ambulatory care sensitive chronic condition (over 18 years)
per 100,000 population
Unplanned hospitalisations for asthma, diabetes or epilepsy
in under 19s per 100,000 population
Individuals with long-term conditions feel independent and in
control of their condition
The proportion of people who use services who have control
over their daily life
Social care related quality of life
Carer reported quality of life
Survey question: Overall, how would you describe your
experience of your GP surgery
Proportion of people who use services and carers who find it
easy to find information about support
Friends and Family test
Survey question: My GP was good or very good in involving
me in decisions about my care
Survey question (for patients with long term conditions): In
the last 6 months have you had enough help from local
services and organisations to help you manage your long
term conditions.
8a. Development of out of hospital plans in NW London 230