Presentation on theme: "Metrics in Spiritual Care What to Measure and Why Dean V. Marek Mayo Clinic, Rochester."— Presentation transcript:
Metrics in Spiritual Care What to Measure and Why Dean V. Marek Mayo Clinic, Rochester
Your Expectations when you read the schedule and the topic of my presentation, what did you want to see covered, ask about, or comment on?
We use metrics all the time
so why not use metrics in chaplain services? we do it subconsciously anyway! Bring it out into the light!
Are Chaplains Professionals? definition of professionalism: 1. skillfulness by virtue of possessing special knowledge 2. professional status, methods, character, or standards
A “Raw” View of Professionalism "a focused, accountable, confident, competent, motivation toward a particular goal, with respect for hierarchy and humanity, less the emotion" - Edward B. Toupin
Accountability “motivation toward a particular goal” what is measurable? quantity quality what is the common factor? time
Variability the human factor individuality of the patient/client skill and experience of chaplain as Independent practitioners when services provided are: self-initiated or by referral
Quantity - 1 why count services provided? what can the numbers show? metric for accountability report for goals achieved cost for services (expense per Unit of service)
Relative Resource Unit a relative resource unit (RRU) is the factor of each service event relative to the amount of time it takes to provide that service. time is the common factor for every provider the service that takes the least amount of time has an baseline RRU of 1.0 another service that takes 25 minutes has an RRU factor of 2.5
Units of Service (UOS) a Service Event (SE) times its Relative Resource Unit (RRU) equals a unit of service (UOS) SE x RRU = UOS 50 - SE #1 x 2.50 = SE #2 x 4.00 = SE #3 x 6.20 = One Month Total UOS =
Expense per Unit of Service (UOS) an Expense per UOS is determined by dividing the budget by the total number of units of service (all service events times their Relative Resource Unit) Budget Total UOS = Expense per UOS
Expense per UOS an Expense per UOS is the way we report direct patient care activity in relation to the budget for our department It is our method of accountability to our administration It is expected that we meet or beat our Expense per UOS on a monthly basis
Here’s How It All Fits Together
Calculating an Expense per UOS Budget Total UOS = Expense per UOS 2009 Plan $120, /09 Total Direct Expense $10, /09 Service Events x RRU = /09 Expense per UOS $15.38
Cost of Services at $15.38 per UOS Service Event RRU Cost SE - #12.50 $38.45 SE - # $61.52 SE - # $95.36
Quantity - 2 why count services provided? what can the numbers show? unmet needs - i.e., what remains to be done (how is this done?)
Unmet Patient Needs 60% (300 patients) receive spiritual/pastoral care at least once during their stay 40% (200 patients) do not If chaplains were to care for those 200 patients they would find that: 27% would result in a pastoral contact 73% would result in a significant spiritual care intervention
Quantity - 3 why count services provided? what can the numbers show? assignment of resources department and individual productivity other?
Reprise definition of professionalism: 1. skillfulness by virtue of possessing special knowledge 2. professional status, methods, character, or standards.
Quality “skill, methods, character, standards” elements in each encounter that are measurable/observable: greeting rapport/mutuality spiritual assessment religiosity spirituality and practices
Quality “skill, methods, character, standards” elements in each encounter that are measurable/observable: spiritual/pastoral issues addressed service or services provided outcome of the intervention client response to the intervention follow up plan
Quantity/Quality Improvement department dashboard metrics expense per UOS (drill down to cause of increase or decrease) productivity (drill down to teams, individuals, services) chaplain response time – codes, referrals death protocol follow through
Quantity/Quality Improvement referral sources with max and min times of day; e.g. time frame when am-admit patients want a priest for anointing patient unit use of chaplain resources ministry to staff continuity of care –referrals out
Quantity/Quality Improvement what else can the numbers show?