ICPsTHE ROLE OF OUTCOME MEASURES WITHIN INTEGRATED CARE PATHWAYS FOR SCHIZOPHRENIA

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ICPs-THE ROLE OF OUTCOME MEASURES WITHIN
INTEGRATED CARE PATHWAYS FOR SCHIZOPHRENIA
Primary Care NHS Trust

• MARK FLEMING
• CLINICAL DEVELOPMENT MANAGER

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Ayrshire and Arran PCT

• Pop 400,000 approx
• 1029 schizophrenia sufferers
• 2 Adult Acute units plus IPCU(120 beds)
• 6 CMHTS
• Specialist addiction/forensic services
• Mental Health and Well Being Fund

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What is an ICP

• An Integrated Care Pathway is a system which
  facilitates multi-agency care and treatment for a
  specific patient/client group based on guidelines
  and relevant research documents.
• It should dovetail with existing protocol and
  practice.
• It forms all or part of the care record,
  documents care given and facilitates the
  evaluation of outcomes for continuous quality
  improvement from a patient and service
  perspective.
• (National Pathways Association)

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What do they do?

• ICPs involve the whole Multi-Disciplinary Team
  and enables the activities of all the different
  disciplines to be co-ordinated.
• ICPs are a case management and clinical audit
  tool
• ICPs define the expected course of events in the
  care of a patient with a specific condition
  within a set timescale.
• ICPs document what is to be done, by who and when

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How do ICPs work?

• Provide a structure to care which can be audited
  to provide variances from care
• What are variances?
• If care is not delivered as planned the reason
  (variance) is completed on the ICP
• What is variance analysis?
• A summary of reasons when care is unable to be
  delivered as planned

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How do outcomes fit in to pathways

• Outcome measures allow for trusts to measure the
  effectiveness of the care and treatments it
  provides
• This will allow for ongoing ICP development
  (using outcomes and variances) to ensure the
  patient receives the best possible care
• Outcome Measures FEED ICP Development

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How do ICPs support Clinical Governance?

• Evidence Based Best Practice.
• Clinicians involved in their development.
• Variance Analysis/Audit.
• Tool to Implement/Monitor CSBS standards
• User/Carer Involvement in development.
• Risk Management

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What is in it for clinicians

• Ability to measure effectiveness
• Ability to promote good practice
• Auditable care provision

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