That’s the new hot topic issue case management teams around my state are being encouraged to focus on these days.
And that is great. If you are developing a care plan for someone, it should really focus on their goals. Their “hopes and dreams,” I guess you could say. What do they want and/or need to have the best quality of life?
We had a training today on member-centered outcomes. Specifically, how to write them. It’s simple, really.
Member-centered outcomes must be:
Sound simple? It isn’t.
The question asked of us was “What does ‘measurable’ mean to you?”
It means “objective.” As opposed to “subjective.” Is your goal to simply be happy? To be healthy? Too bad. That’s not measurable. Try again. I won’t go into the details of communication barriers when, like me, you work with a specific population of people (developmentally disabled), but here is the example of a measurable outcome provided to us for someone who is non-verbal:
Staff and care management team observe that member is happiest when her daily activities incorporate picture books.
It’s personal because the member wants to look at picture books. It’s measurable because it is a daily occurrence. It’s non-purchasable because it is an activity.
You know what the problem with it is?
It’s not an outcome. It’s an intervention. It is an intervention designed to help meet an overall outcome of “being happy” which is not measurable because, I’m going to tell you a secret.
Personal outcomes are not measurable. They are subjective. You cannot place values on Quality of Life. Interventions are measurable. Evaluating the effectiveness of the interventions in meeting the outcomes is measurable. An outcome itself is not measurable.
Maybe I over-think things, but this is driving me crazy. Because it is wrong. It doesn’t make any sense. And this is how we’re doing things now.
One of these days I will just accept that, sometimes, things don’t make sense, and the Majority is going to just go along with it anyway. Then I will be happy. Ignorance is bliss, right?