Understand your staff and people.

Proven measures that offer insight across patients and workforce and allow you to to improve care.

Staff Measures

Why staff measures are worth taking?

R-Outcomes’ family of short generic staff-reported measures cover job satisfaction (work well-being) and confidence and their view of the service provided, staff relationships, how well services work together and shared decision-making.

In many situations, staff are well placed to judge the quality of services provided, because they see patients all day. Staff measures are usually collected anonymously. All R-Outcomes measures require a license.

What we can measure

Quality fo Life

Health status (howRu)

The howRu health status measure is a short generic Patient-Reported Outcome Measure (PROM) to track and compare patients’ perceptions of how they feel and what they can do.

Work wellbeing (WWS)

The Work Wellbeing Score (WWS) measures staff satisfaction in four ways: overall satisfaction, worthwhileness, happiness and anxiety. The WWS is based on ONS personal wellbeing questions.

Person-specific outcome (PSO)­

The Person-Specific Outcome measure (PSO) is a short generic individualised outcome measure, where patients type in one or two issues that concern them most, which are then rated in terms of the amount of concern each is causing.

Assessed need

Staff or carer assessment of patients with dementia and frailty being cared for at home or in residential care homes.

About Us

Job confidence (JCS)

The Job Confidence Score (JCS) is a short measure of staff confidence to do their job, addressing knowledge, ability to manage the work, access to help and involvement in decisions.

Care provided

This measure captures staff perceptions of the care they provide to patients, in a way that is independent of specialty or type of treatment.

Service integration

Better care integration is essential to improve the efficiency and effectiveness of new models of care.

Patient confidence

Patient confidence is a member of staff’s view of his or her patients’ health confidence.

About Patients

Staff relationships

Good relationships and communication between staff working in different services are critically important for patients seeking joined up care.

Shared decisions

This measure covers staff views on their patients involvement in clinical decisions, including the risks and benefits of each option.

Patient safety

Patient safety focuses on clinical aspects of safety including adverse events and cultural attitudes towards safety and learning from incidents.

Staff safety

Staff need to feel safe from being attacked by patients or bullied by managers within the organisation and outside.

Privacy

Privacy covers patients and staff perceptions of information governance including data protection, data sharing, subject access and satisfaction.

Innovation (S)

IT capability

IT capability, which is also called digital confidence, assesses how staff feel about using IT at work in terms of confidence, learning, getting help and solving problems.

Product confidence

Product confidence is a measure of user reaction to a product or service. It addresses four aspects: usage, confidence and understanding of benefits and issues for the product.

Behaviour change

Coming soon

User satisfaction

User satisfaction focuses on people’s perception of how much an innovation is useful and easy to use, availability of help and overall satisfaction.

Innovation readiness

People and organisations vary in how ready they are to adopt innovations. People may or may not be open to the need for change or be well-informed about what is possible. Organisations may or may not be receptive to new ideas or have the capability to make change work well.

 

Training (S)

The Training measure is based on Kirkpatrick’s four levels (Reaction, Learning, Behaviour and Results), which were first introduced in the 1950s.

Career Measures

Why understand the needs of carers?

The well-being, confidence and experience of paid and unpaid carers is being recognised increasingly as an important issue. These measures have been developed from patient-reported measures to reflect the needs of carers and those they care for.

Variants of these measures have been used in care homes, home care and by family carers. All use the standard R-Outcomes format of four question items with four response options each.

Benson T et al. A Survey of Carers and Cared For. Poster at PROMs Conference , University of Birmingham June 2018.

What we can measure

Cared for

This measure captures the amount of help needed by the person being cared for, including unpredictable needs and behaviour problems. (PROM, 28 words, Reading age 9 years)

Carer Wellbeing

Carer well-being measures how being a carer impacts their quality of life. (PROM, 31 words, Reading age 9 years)

Carer Confidence

Carer confidence measures people’s perception of their capability in the carer role. (PROM, 29 words, Reading age 8 years.

Shared Decisions (career)

Shared decisions focus on the carer’s perception of being involved in decisions that affect them and the person they care for. (PROM, 28 words, Reading age 9 years)

Carer Experience

Carer experience focuses on the support carers receive from the health and care services. (PREM, 19 words, Reading age 7 years)

Service Integration (career)

Service integration measures how well services collaborate to help carers and the people they care for. (PREM, 30 words, Reading age 8 years)

Innovation Measures

Understanding innovation

R-Outcomes’ family of short generic user-reported measures for evaluation of quality improvement innovations address different aspects that impact their dissemination, diffusion, adoption and spread.

These measures focus not only on the product (user satisfaction and product confidence) but also the prospective users and their organisations (IT capability and innovation readiness) and project management processes (innovation process).

Benson T. Digital innovation evaluation: user perceptions of innovation readiness, digital confidence, innovation adoption, user experience and behaviour change. BMJ Health & Care Informatics 2019;26:e000018.

“R-Outcomes measures are now KPIs for several of our new models of care.”

Phil MartinezWest Hampshire CCG

What we can measure

IT Capability

IT capability, which is also called digital confidence, assesses how staff feel about using IT at work in terms of confidence, learning, getting help and solving problems.

User Satisfaction

User satisfaction focuses on staff perceptions of the value of an innovation, its ease of use, availability of help and overall satisfaction.

Innovation Readiness

People and organisations vary in how ready they are to adopt innovations. People may or may not be open to the need for change or be well-informed about what is possible. Organisations may or may not be receptive to new ideas or have the capability to make change work well.

Innovation Process

Innovation process is based on Normalisation Process Theory (NPT), which focuses on project management and engagement. (PREM, 35 words, 7 years)

Product Confidence

The Digital Confidence Score (DCS) is a short generic measure of people’s self-efficacy in using digital devices including smartphones, tablets, laptops and PCs.  The purpose of the DCS is to help is to group people according to their level of digital self-efficacy and digital inclusion, so that people who need more help get it, and those that do not need help with digital devices can get on with it.

Remote Consultations

The IT Capability measure can be adapted to any class of digital innovations, such as remote consultations, EPRs, patient access etc.