At Holland Bloorview, an Outcome Measurement Strategy was initiated in 2014. A unique component involved the use of simulation to provide outcome measures education and support to clinicians.
Simulation videos were developed following a 2014 clinician survey. Results revealed that clinicians felt they needed more outcome measures knowledge. Surprisingly, clinicians reportedly felt that clients and families did not value the time taken to measure outcomes. Feedback from clients and families suggested that they do value outcome measurement, but they were not hearing about it used in their interventions, or measure use was not shared to engage them in collaboratively setting goals. These results led to the development of simulations to support clinicians in using and talking about outcome measures with clients and families.
Five simulation videos were created with parents of clients, youth clients, clinicians, and education specialists as members of the working group. The simulations were based on real clinical situations to generate clinical discussion. The topics addressed were: introducing outcome measures, demonstrating disconnect when goals are not set collaboratively, setting collaborative goals, addressing different perspectives in goal setting, and addressing uncertainty of outcomes.
The simulation videos were posted on WikiOutcomes (a wiki for outcome measures information sharing and education on the organization’s intranet). Reflective questions, observation questions, and discussion points were created for each simulation to facilitate post-viewing reflection and discussion. Clinical champions were identified, participated in training, and were provided with the facilitator’s guidebook (which included the questions and discussion points) so that they could support post-viewing discussion.
The simulations were viewed in large groups (i.e., practice council, program/service). Clinicians were also encouraged to view in smaller groups on WikiOutcomes. The simulations could also be used as a teaching tool with clinical students.
The large groups were surveyed and the discussion was frequently identified as valuable. Discussing experiences reportedly helped clinicians feel more knowledgeable and better prepared to engage and discuss outcome measures with clients and families.