#Occhat 25th March 2013 – Occupational Evaluation/Outcome Measures – Grabchat

Once again a huge thank you to Michelle Perryman for hosting the final talk in the OT Process series.

Michelle shared some great links on the blog before the chat which you can find here.

Please find the grabchat below and the Healthcare hashtag PDF summary on this link:

Involved …

@Symbolic_Life @Keeper85 @BillWongOT @cgenter @kirstyes @OTalk_Occhat @DrWMB @Helen_otuk @TherapistOT @clissa89 @OTthoughts @Wardmans @RebeccaTwinley @danielleb_90 @DebbiiHarrison @GemSLT @claireOT @EmmJacq @AnnabelFenn @Lisa_D_OT @Trio33 @BPDFFS @pd2ot @Sunnysdais @BAOTCOT @rootsvoices @Lara_Stanley @TalkingMats

Top resources …

http://t.co/Z08CYFYJOI
http://t.co/KJyWF0Z166
http://t.co/Szc190tfma
http://t.co/KJyWF0Z166,
http://t.co/it13UJ2dLd
http://t.co/iUT5jPs6vo
http://t.co/QzXACHh3
http://t.co/Som7CzmsVm

Related tags …

#otalk #ff #otuesday #commissioning #thanksguys

See Twitter for more tweets, people, videos and photos for #occhat

Run text analysis on this GrabChat

@Helen_otuk Off to work, looking forward to tonight 8pm. #occhat for #OTuesday . Last in our OT Process series. http://t.co/Szc190tfma (Tue, 26 Mar 2013 08:12:25 +0000)
@BAOTCOT It’s an #occhat week – follow the hashtag from 8pm tonight for a conversation on occupational evaluation/outcome measures…(Tue, 26 Mar 2013 14:14:00 +0000)
@Sunnysdais RT @BAOTCOT : It’s an #occhat week – follow the hashtag from 8pm tonight for a conversation on occupational evaluation/outcome measures…(Tue, 26 Mar 2013 14:27:09 +0000)
@clissa89 RT @Helen_otuk : Off to work, looking forward to tonight 8pm. #occhat for #OTuesday . Last in our OT Process series. http://t.co/Szc190tfma (Tue, 26 Mar 2013 18:06:10 +0000)
@OTalk_Occhat One hour until #occhat on Occupational Evaluation/Outcome Measures. See you then @kirstyes on the account tonight. @Symbolic_Life hosting.(Tue, 26 Mar 2013 18:57:19 +0000)
@OTalk_Occhat Abigail hello to all our new followers, hope to see you at #occhat tonight. Don’t forget the hashtag on your tweets.(Tue, 26 Mar 2013 18:59:41 +0000)
@Symbolic_Life RT @BAOTCOT : It’s an #occhat week – follow the hashtag from 8pm tonight for a conversation on occupational evaluation/outcome measures…(Tue, 26 Mar 2013 19:28:26 +0000)
@Symbolic_Life Looking forward to #occhat (Tue, 26 Mar 2013 19:33:26 +0000)
@Symbolic_Life Hi #occhat How is everyone this fine night?(Tue, 26 Mar 2013 19:56:48 +0000)
@OTalk_Occhat Hi all, who’s here and raring to #occhat ?
Just a reminder professional standards apply online @The_HCPC guidance – http://t.co/it13UJ2dLd (Tue, 26 Mar 2013 19:59:26 +0000)
@OTalk_Occhat If anyone needs support tweet me here and I’ll do my best to help.
Main rule is remember the hashtag #occhat (Tue, 26 Mar 2013 19:59:58 +0000)
@OTalk_Occhat Thanks to @Symbolic_Life who agreed to host tonight’s chat. Check out the blog post/resources for tonight. #occhat http://t.co/iUT5jPs6vo (Tue, 26 Mar 2013 20:01:47 +0000)
@BillWongOT @OTalk_Occhat Good afternoon from Los Angeles! #occhat (Tue, 26 Mar 2013 20:02:03 +0000)
@Symbolic_Life Hi all shall we kick of with ‘ Do you think as a profession we need outcome measures?’ #occhat (Tue, 26 Mar 2013 20:03:38 +0000)
@Symbolic_Life RT @OTalk_Occhat : Hi all, who’s here and raring to #occhat ?
Just a reminder professional standards apply online @The_HCPC guidance – http://t.co/it13UJ2dLd (Tue, 26 Mar 2013 20:04:00 +0000)
@clissa89 RT @Symbolic_Life : Hi all shall we kick of with ‘ Do you think as a profession we need outcome measures?’ #occhat (Tue, 26 Mar 2013 20:04:26 +0000)
@OTalk_Occhat RT @Symbolic_Life : Hi all shall we kick of with ‘ Do you think as a profession we need outcome measures?’ #occhat (Tue, 26 Mar 2013 20:04:34 +0000)
@BillWongOT @Symbolic_Life If it’s for evidence based purposes, the answer is yes in my book. #occhat (Tue, 26 Mar 2013 20:04:51 +0000)
@Keeper85 @Symbolic_Life yes lol how else do we know if what we do is actually being effective? #occhat (Tue, 26 Mar 2013 20:05:02 +0000)
@DebbiiHarrison @OTalk_Occhat @symbolic_life Good evening fellow OTs I’ll be following #occhat tonight but will prob be sitting quietly in the corner(Tue, 26 Mar 2013 20:05:41 +0000)
@Keeper85 @Symbolic_Life it’s 6am! Lol #occhat (Tue, 26 Mar 2013 20:05:44 +0000)
@Symbolic_Life @BillWongOT what about for practical purposes? proving the worth of the profession? #occhat (Tue, 26 Mar 2013 20:06:00 +0000)
@clissa89 Hi everyone, sorry I won’t be joining #occhat tonight but I need some restoration to balance my day(Tue, 26 Mar 2013 20:06:13 +0000)
@Symbolic_Life @Keeper85 My thoughts exactly #occhat (Tue, 26 Mar 2013 20:06:26 +0000)
@Symbolic_Life RT @Keeper85 : @Symbolic_Life yes lol how else do we know if what we do is actually being effective? #occhat (Tue, 26 Mar 2013 20:06:31 +0000)
@BillWongOT @Symbolic_Life we still do in some instances because we’ve to at least prove that we are as good, if not better than alternatives. #occhat (Tue, 26 Mar 2013 20:07:48 +0000)
@Keeper85 @Symbolic_Life if we don’t know how we’re going we then can’t review and improve our practice. OM are Objective reflections lol #occhat (Tue, 26 Mar 2013 20:07:48 +0000)
@cgenter #occhat maybe another question is what constituents useful outcome measures? i.e. client satisfaction, their performance or something else?(Tue, 26 Mar 2013 20:09:03 +0000)
@kirstyes @Symbolic_Life I think that we need them for clients too. #occhat To help them see the changes (sometimes they may struggle to do this)(Tue, 26 Mar 2013 20:09:13 +0000)
@Symbolic_Life @Keeper85 So do u think our outcome measures improve our individual skills as well as the profession’s acknowledgment of practice? #occhat (Tue, 26 Mar 2013 20:09:40 +0000)
@Keeper85 @BillWongOT @Symbolic_Life formal/informal it doesn’t matter but we need to complete that feedback loop for our interventions #occhat (Tue, 26 Mar 2013 20:09:47 +0000)
@cgenter #occhat oops meant constitutes not constituents!(Tue, 26 Mar 2013 20:09:53 +0000)
@OTalk_Occhat ? @Symbolic_Life : 2. So why are Outcome Measures important?? #occhat (Don’t forget the hashtag tweeps)(Tue, 26 Mar 2013 20:10:08 +0000)
@Symbolic_Life RT @cgenter : #occhat maybe another question is what constituents useful outcome measures? i.e. client satisfaction, their performance or something else?(Tue, 26 Mar 2013 20:10:21 +0000)
@OTalk_Occhat RT @cgenter : #occhat maybe another question is what constituents useful outcome measures? i.e. client satisfaction, their performance or something else?(Tue, 26 Mar 2013 20:10:38 +0000)
@BillWongOT @cgenter quality of life, FIM scores, etc. #occhat (Tue, 26 Mar 2013 20:10:51 +0000)
@cgenter #occhat OM important as part of intervention, demonstrating client progress to them?(Tue, 26 Mar 2013 20:10:56 +0000)
@Keeper85 @Symbolic_Life I don’t think OMs on their own do anything but a clinician willing to change/improve based on feedback will do lots #occhat (Tue, 26 Mar 2013 20:11:07 +0000)
@BillWongOT @OTalk_Occhat @Symbolic_Life For some instances, clients & caregivers can see progress. #occhat (Tue, 26 Mar 2013 20:11:23 +0000)
@kirstyes @cgenter good question Chris. Good to see you. What about if we can prove reduced length of stay. Not occupational but??? #occhat (Tue, 26 Mar 2013 20:11:52 +0000)
@Symbolic_Life @Keeper85 @BillWongOT what about the clients perspective as @kirstyes suggested? #occhat (Tue, 26 Mar 2013 20:11:54 +0000)
@cgenter @BillWongOT #occhat yes lots of different ways, I think could be summed up by Doble and Caron Santha idea of occupational well-being?(Tue, 26 Mar 2013 20:11:54 +0000)
@BillWongOT @OTalk_Occhat @Symbolic_Life and more importantly, we need that to show this to get reimbursed. #occhat (Tue, 26 Mar 2013 20:12:17 +0000)
@Keeper85 @Symbolic_Life @BillWongOT @kirstyes the most important We can see All the progress in the world…useless unless the ct sees it too #occhat (Tue, 26 Mar 2013 20:13:12 +0000)
@Symbolic_Life @BillWongOT @OTalk_Occhat Do u think this supports your practice bill? #occhat (Tue, 26 Mar 2013 20:13:12 +0000)
@cgenter @kirstyes #occhat thanks, nice to find time to be back. that would be popular in UK health service, would depend if it was client goal too?(Tue, 26 Mar 2013 20:13:29 +0000)
@BillWongOT @Symbolic_Life @cgenter FIM = functional independence measure. It’s a quantitative measure of independence. #occhat (Tue, 26 Mar 2013 20:13:54 +0000)
@rootsvoices @Symbolic_Life outcome measures can’t be meaningfully applied to human experience – if research necessary it needs to be qualitative #occhat (Tue, 26 Mar 2013 20:13:56 +0000)
@OTalk_Occhat @EmmJacq great to have you here. If you do join in, want to ask a question etc don’t forget the #occhat so people who don’t follow u can see(Tue, 26 Mar 2013 20:14:02 +0000)
@Keeper85 @Symbolic_Life @kirstyes I tend to use outcomes that are done with the client so they can see and an objective one as well #occhat (Tue, 26 Mar 2013 20:14:32 +0000)
@DebbiiHarrison @Keeper85 @symbolic_life @billwongot @kirstyes agree with this, we need OM to support our profession but must be relevant to client #occhat (Tue, 26 Mar 2013 20:14:47 +0000)
@Helen_otuk Good evening #occhat , just catching up.(Tue, 26 Mar 2013 20:14:51 +0000)
@cgenter @rootsvoices #occhat wholeheartedly agree with that, think OM can be bit more interesting to management than anyone else?(Tue, 26 Mar 2013 20:15:08 +0000)
@BillWongOT @Symbolic_Life @OTalk_Occhat good question- it does cuz clients & families can see small & big changes functionally usually. #occhat (Tue, 26 Mar 2013 20:15:18 +0000)
@Symbolic_Life @Keeper85 @BillWongOT @kirstyes So are you suggesting unless the client recognizes this change to it isnt benefical? #occhat (Tue, 26 Mar 2013 20:15:28 +0000)
@EmmJacq @OTalk_Occhat Oops! yes, will remember the #occhat , thanks(Tue, 26 Mar 2013 20:15:38 +0000)
@Keeper85 @cgenter @rootsvoices not if its done right 🙂 it’s about self improvement too #occhat (Tue, 26 Mar 2013 20:16:13 +0000)
@Symbolic_Life Question 3. What outcome measures do you use with your clients And why? #occhat (Tue, 26 Mar 2013 20:17:04 +0000)
@Keeper85 @Symbolic_Life @BillWongOT @kirstyes horses for courses. I use multiple outcome measures for different purposes 1 for ct, 1 for mgt #occhat (Tue, 26 Mar 2013 20:17:23 +0000)
@Symbolic_Life @cgenter @rootsvoices Why do you think this Chris? #occhat (Tue, 26 Mar 2013 20:17:37 +0000)
@cgenter @Keeper85 #occhat I suppose a concern could be what are outcome measures used for then? whose agenda is setting them?(Tue, 26 Mar 2013 20:17:42 +0000)
@BillWongOT @Symbolic_Life back in the day, I was given the COPM. Now no outcome measures… #strange #occhat (Tue, 26 Mar 2013 20:18:14 +0000)
@BillWongOT @Keeper85 @Symbolic_Life @kirstyes and same with peds assessments, too. Dependent on age & area(s) 2 b assessed, for ex. #occhat (Tue, 26 Mar 2013 20:19:01 +0000)
@Keeper85 @Symbolic_Life I use a lot of solution focused practice with clients where they use progress to preferred future as an OM #occhat (Tue, 26 Mar 2013 20:19:02 +0000)
@cgenter @Symbolic_Life #occhat as previous answer, about what the agenda for having outcome measures, and whether they are suitable?(Tue, 26 Mar 2013 20:19:06 +0000)
@DrWMB #occhat hello just joining: intrigued by impact of adding “measures” to outcomes – does it force particular ways of thinking?(Tue, 26 Mar 2013 20:19:13 +0000)
@Keeper85 @Symbolic_Life I use AusTOMs for my own clinical effectiveness #occhat (Tue, 26 Mar 2013 20:19:48 +0000)
@Symbolic_Life @Keeper85 Intresting.. How do u think this associates with our philosophy? #occhat (Tue, 26 Mar 2013 20:20:17 +0000)
@Keeper85 @Symbolic_Life and my organisation uses the HONOS for mgt facts and figures #occhat (Tue, 26 Mar 2013 20:20:18 +0000)
@cgenter #occhat idea of measure suggests pass/fail, that there is a standard to be achieved in some instances?(Tue, 26 Mar 2013 20:21:01 +0000)
@OTalk_Occhat RT @Symbolic_Life : Question 3. What outcome measures do you use with your clients And why? #occhat (Tue, 26 Mar 2013 20:21:24 +0000)
@Symbolic_Life @cgenter I agree? Some services assume they are for ex doin a MOHOST with every client.does this directly link to client need? #occhat (Tue, 26 Mar 2013 20:21:29 +0000)
@Symbolic_Life RT @DrWMB : #occhat hello just joining: intrigued by impact of adding “measures” to outcomes – does it force particular ways of thinking?(Tue, 26 Mar 2013 20:21:45 +0000)
@Keeper85 @Symbolic_Life strengths based, client focused, client driven, empowering them with choice and responsibility. #occhat (Tue, 26 Mar 2013 20:21:58 +0000)
@Symbolic_Life @Keeper85 Does this allow service measurement? #occhat (Tue, 26 Mar 2013 20:22:10 +0000)
@Keeper85 RT @rootsvoices : @Keeper85 example of quantitative outcome measure ‘done right’ ?? #occhat (Tue, 26 Mar 2013 20:22:24 +0000)
@BillWongOT @cgenter or in peds assessment, where the child is functionally in the areas assessed relative to peers. #occhat (Tue, 26 Mar 2013 20:22:28 +0000)
@cgenter #occhat perhaps depends who decides what are the significant outcomes? maybe need compromise between service and client expectations?(Tue, 26 Mar 2013 20:22:46 +0000)
@Helen_otuk In my adaptations work we have 2 pronged view. Client’s perspective then we also have to do the financial impact for the ‘man stats’ #occhat (Tue, 26 Mar 2013 20:22:50 +0000)
@DrWMB @cgenter @symbolic_life #occhat as an audiology service user I’m pleased if my hearing tests don’t get worse but that’s not the whole story(Tue, 26 Mar 2013 20:23:38 +0000)
@Keeper85 @Symbolic_Life the HONOS is used for that service wide yea #occhat (Tue, 26 Mar 2013 20:23:50 +0000)
@BillWongOT @cgenter I think for certain measures, you have to look at research studies. #occhat (Tue, 26 Mar 2013 20:24:02 +0000)
@OTalk_Occhat RT @DrWMB : #occhat hello just joining: intrigued by impact of adding “measures” to outcomes – does it force particular ways of thinking?(Tue, 26 Mar 2013 20:24:18 +0000)
@cgenter @Symbolic_Life #occhat funny my last post had MoHOST for each client as a baseline, although this fed into MDT use of recovery star(Tue, 26 Mar 2013 20:24:23 +0000)
@Symbolic_Life RT @Keeper85 : RT @rootsvoices : @Keeper85 example of quantitative outcome measure ‘done right’ ?? #occhat (Tue, 26 Mar 2013 20:24:31 +0000)
@Symbolic_Life RT @cgenter : #occhat perhaps depends who decides what are the significant outcomes? maybe need compromise between service and client expectations?(Tue, 26 Mar 2013 20:24:44 +0000)
@cgenter @BillWongOT #occhat true, looking at reliability, validity etc can help with decision making about appropriateness of OM(Tue, 26 Mar 2013 20:25:34 +0000)
@Symbolic_Life @cgenter Intresting, Are u based in MH? How did u find the recovery star? #occhat (Tue, 26 Mar 2013 20:25:50 +0000)
@Symbolic_Life RT @cgenter : @BillWongOT #occhat true, looking at reliability, validity etc can help with decision making about appropriateness of OM(Tue, 26 Mar 2013 20:26:08 +0000)
@BillWongOT RT @cgenter : @BillWongOT #occhat true, looking at reliability, validity etc can help with decision making about appropriateness of OM(Tue, 26 Mar 2013 20:26:24 +0000)
@kirstyes @cgenter links to purpose of outcome measurements #occhat for client or for profession/service. As others have said prob need both.(Tue, 26 Mar 2013 20:26:35 +0000)
@Keeper85 #occhat I guess my main thing is that u don’t restrict urself to just 1 OM! Use ones appropriate to client, setting and measurement wanted(Tue, 26 Mar 2013 20:26:37 +0000)
@kirstyes @cgenter Wonder which ones need to be occupational though? #occhat (Tue, 26 Mar 2013 20:26:50 +0000)
@Helen_otuk RT @Helen_otuk : When utilising reablement services we/they use GAS for client outcomes. #occhat (Tue, 26 Mar 2013 20:27:06 +0000)
@DrWMB @Helen_otuk : ??’man stats’ what are they? #occhat (Tue, 26 Mar 2013 20:27:23 +0000)
@kirstyes ? @Helen_otuk : When utilising reablement services we/they use GAS for client outcomes.? #occhat (Tue, 26 Mar 2013 20:27:24 +0000)
@Symbolic_Life RT @Keeper85 : #occhat I guess my main thing is that u don’t restrict urself to just 1 OM! Use ones appropriate to client, setting and measurement wanted(Tue, 26 Mar 2013 20:27:30 +0000)
@cgenter @Symbolic_Life #occhat yes I was, for some reason it never really got off the ground, although I liked how it covered wide range of areas(Tue, 26 Mar 2013 20:27:35 +0000)
@Symbolic_Life @Keeper85 How do u propose selection? #occhat (Tue, 26 Mar 2013 20:27:49 +0000)
@Helen_otuk @DrWMB management stats sorry, limitation of 140! #occhat (Tue, 26 Mar 2013 20:27:54 +0000)
@Symbolic_Life RT @kirstyes : @cgenter Wonder which ones need to be occupational though? #occhat (Tue, 26 Mar 2013 20:28:07 +0000)
@BillWongOT RT @Keeper85 : #occhat I guess my main thing is that u don’t restrict urself to just 1 OM! Use ones appropriate to client, setting and measurement wanted(Tue, 26 Mar 2013 20:28:16 +0000)
@kirstyes @DrWMB #occhat So do you mean adding numbers? Are qualitative measures also accepted? By who?(Tue, 26 Mar 2013 20:28:28 +0000)
@Symbolic_Life 4.How do your outcome measures link to occ?Do they measure performance,engagement,satisfaction or something else? #occhat (Tue, 26 Mar 2013 20:28:54 +0000)
@cgenter @kirstyes #occhat I’ve never applied it, but wondered about the idea of occupational well-being as an outcome? http://t.co/KJyWF0Z166 (Tue, 26 Mar 2013 20:29:45 +0000)
@DrWMB @cgenter @symbolic_life #occhat recovery star seems to be used a lot in MH. I encourage students to to compare it to COPM(Tue, 26 Mar 2013 20:30:04 +0000)
@Symbolic_Life @kirstyes @DrWMB What type of measure? #occhat (Tue, 26 Mar 2013 20:30:25 +0000)
@OTalk_Occhat RT @Symbolic_Life : 4.How do your outcome measures link to occ?Do they measure performance,engagement,satisfaction or something else? #occhat (Tue, 26 Mar 2013 20:30:33 +0000)
@OTalk_Occhat RT @cgenter : @kirstyes #occhat I’ve never applied it, but wondered about the idea of occupational well-being as an outcome? http://t.co/KJyWF0Z166 (Tue, 26 Mar 2013 20:30:57 +0000)
@BillWongOT @Symbolic_Life Dependence on the measure… IMO. #occhat (Tue, 26 Mar 2013 20:31:05 +0000)
@DrWMB @Helen_otuk #occhat thanks, glad to clear that one up!(Tue, 26 Mar 2013 20:31:15 +0000)
@BillWongOT @Symbolic_Life But I think it’s important with client-centered and/or family-centered goals in mind #occhat (Tue, 26 Mar 2013 20:31:39 +0000)
@kirstyes @Symbolic_Life @drwmb as in people saying life is better for me or some such #occhat (Tue, 26 Mar 2013 20:31:44 +0000)
@cgenter @Symbolic_Life #occhat in past mine was related to performance, but perhaps well-being is important?(Tue, 26 Mar 2013 20:31:48 +0000)
@Keeper85 @Symbolic_Life that’s up to the clinician to decide really #occhat (Tue, 26 Mar 2013 20:31:57 +0000)
@Symbolic_Life @DrWMB @cgenter in your opinion which holds higher ranking? What do u think about the applied concepts in the recovery star? #occhat (Tue, 26 Mar 2013 20:32:20 +0000)
@kirstyes @cgenter Think you wanted to run an #occhat on this ;0)
Need to read but yes think that would be good to explore.(Tue, 26 Mar 2013 20:32:32 +0000)
@Symbolic_Life @cgenter Why did it not pick up do you think? #occhat (Tue, 26 Mar 2013 20:32:36 +0000)
@Keeper85 @Symbolic_Life solution focused looks at a clients progression towards their preferred future #occhat (Tue, 26 Mar 2013 20:32:47 +0000)
@DrWMB @kirstyes #occhat the act of measuring is essentially counting? Therefore quantitative? Whereas outcomes are not always measurable(Tue, 26 Mar 2013 20:33:06 +0000)
@Keeper85 @Symbolic_Life AusTOMs looks at objective improvement in engagement #occhat (Tue, 26 Mar 2013 20:33:17 +0000)
@Symbolic_Life RT @cgenter : @Symbolic_Life #occhat in past mine was related to performance, but perhaps well-being is important?(Tue, 26 Mar 2013 20:33:20 +0000)
@BillWongOT RT @Keeper85 : @Symbolic_Life solution focused looks at a clients progression towards their preferred future #occhat (Tue, 26 Mar 2013 20:33:34 +0000)
@cgenter @Symbolic_Life #occhat the consultant leading on it moved on, and the momentum wasn’t there to keep it going. New consultant had diff ideas(Tue, 26 Mar 2013 20:33:45 +0000)
@Keeper85 @Symbolic_Life informally I look at QoL and satisfaction with service from a clients perspective #occhat (Tue, 26 Mar 2013 20:34:10 +0000)
@Symbolic_Life @cgenter i agree- esp with the high quality care for all.. However, is this measurable? #occhat (Tue, 26 Mar 2013 20:34:11 +0000)
@danielleb_90 @Symbolic_Life I use the DASH to review effectiveness of the intervention from first to last appointment #occhat (Tue, 26 Mar 2013 20:34:38 +0000)
@cgenter @kirstyes #occhat oh yes, it’s on the to-do list!!;)(Tue, 26 Mar 2013 20:34:45 +0000)
@Symbolic_Life @Keeper85 Any thoughts what do u think is important for outcome measures? #occhat (Tue, 26 Mar 2013 20:34:52 +0000)
@DrWMB @kirstyes @symbolic_life #occhat true, ‘life is better’ is good, but I wonder if it’s enough?(Tue, 26 Mar 2013 20:35:14 +0000)
@Keeper85 @Symbolic_Life that they fit with the client and the practitioner and give you exactly what info your trying to capture #occhat (Tue, 26 Mar 2013 20:35:48 +0000)
@Keeper85 @Symbolic_Life OM should be a benefit not a drain on a service/clinician #occhat (Tue, 26 Mar 2013 20:36:11 +0000)
@OTalk_Occhat RT @DrWMB : @cgenter @symbolic_life #occhat recovery star seems to be used a lot in MH. I encourage students to to compare it to COPM(Tue, 26 Mar 2013 20:36:14 +0000)
@Symbolic_Life @DrWMB @kirstyes Is quantitative not measurable in the context of the client choosing the scale number? #occhat they create meaning to scale?(Tue, 26 Mar 2013 20:36:14 +0000)
@Symbolic_Life RT @Keeper85 : @Symbolic_Life AusTOMs looks at objective improvement in engagement #occhat (Tue, 26 Mar 2013 20:36:19 +0000)
@Symbolic_Life RT @danielleb_90 : @Symbolic_Life I use the DASH to review effectiveness of the intervention from first to last appointment #occhat (Tue, 26 Mar 2013 20:36:40 +0000)
@cgenter @Symbolic_Life #occhat think this suggests some ways http://t.co/KJyWF0Z166, but not standardised. they are still working on it I believe(Tue, 26 Mar 2013 20:36:40 +0000)
@Symbolic_Life @danielleb_90 DASH? #occhat (Tue, 26 Mar 2013 20:36:52 +0000)
@DrWMB @Symbolic_Life #occhat COPM and recovery star have different benefits but it’s good to compare – can help thinking about occupation(Tue, 26 Mar 2013 20:37:22 +0000)
@BillWongOT RT @Keeper85 : @Symbolic_Life OM should be a benefit not a drain on a service/clinician #occhat (Tue, 26 Mar 2013 20:37:24 +0000)
@Symbolic_Life @cgenter I like this concept.. You ever herd of the personal construct theory? #occhat (Tue, 26 Mar 2013 20:37:50 +0000)
@OTalk_Occhat @danielleb_90 @symbolic_life Yes which DASH, I know of two with this abbreviation ;0) #occhat (Tue, 26 Mar 2013 20:38:09 +0000)
@cgenter @Richardsblister #occhat good point, not suitable for all settings, maybe focus on priority aspects? list occ needs 1/2(Tue, 26 Mar 2013 20:38:32 +0000)
@Helen_otuk @MaycockN GAS = Goal Attainment Scale / Scaling. #occhat (Tue, 26 Mar 2013 20:38:54 +0000)
@kirstyes @DrWMB @symbolic_life enough for who? #occhat (Tue, 26 Mar 2013 20:38:56 +0000)
@cgenter @Richardsblister #occhat and then ask the client to identify one the wish to work on during intervention? 2/2(Tue, 26 Mar 2013 20:39:07 +0000)
@Symbolic_Life 5.How about the underpinning theory of the OM’S? Are the outcome measures you are choosing sound for reasoning? #occhat (Tue, 26 Mar 2013 20:39:25 +0000)
@cgenter @Symbolic_Life #occhat no, looks like something I will have to google though!(Tue, 26 Mar 2013 20:39:32 +0000)
@DrWMB @Symbolic_Life @kirstyes #occhat with subjective self measures, the outcome is the self measured difference before/after intervention(Tue, 26 Mar 2013 20:39:35 +0000)
@Keeper85 @Symbolic_Life we don’t always have to chose.. My client set their own scales and what they want to measure from our time #occhat (Tue, 26 Mar 2013 20:41:07 +0000)
@BillWongOT @Symbolic_Life don’t get what you are asking. Please clarify #occhat (Tue, 26 Mar 2013 20:41:17 +0000)
@Symbolic_Life RT @cgenter : @kirstyes #occhat I’ve never applied it, but wondered about the idea of occupational well-being as an outcome? http://t.co/KJyWF0Z166 (Tue, 26 Mar 2013 20:41:25 +0000)
@danielleb_90 @OTalk_Occhat @symbolic_life I work in hand therapy. We use the quick DASH – disabilities of the arm, shoulder and hand #occhat (Tue, 26 Mar 2013 20:42:17 +0000)
@Symbolic_Life @DrWMB @kirstyes So a quantitative approach could be measured in respect of placing personal meaning on there numerical value? #occhat (Tue, 26 Mar 2013 20:42:38 +0000)
@kirstyes What about using a video of occupational performance as an occupational OM? #occhat
Know it is used to eval SI intervention for example(Tue, 26 Mar 2013 20:43:06 +0000)
@Symbolic_Life @danielleb_90 @OTalk_Occhat Does this depict function impact? #occhat (Tue, 26 Mar 2013 20:44:05 +0000)
@BillWongOT @Symbolic_Life @DrWMB @kirstyes I think this is difficult. My “7” on the COPM could be different from another person’s “7” on it. #occhat (Tue, 26 Mar 2013 20:44:17 +0000)
@Symbolic_Life RT @kirstyes : What about using a video of occupational performance as an occupational OM? #occhat
Know it is used to eval SI intervention for example(Tue, 26 Mar 2013 20:44:22 +0000)
@kirstyes @Symbolic_Life @drwmb But if it is for the client do we need numbers? Or is this just for the service? Do we devalue by adding nos? #occhat (Tue, 26 Mar 2013 20:44:28 +0000)
@kirstyes Kawa for example could be evaluated by demonstrating the change in the river diagram,how valid would it be to measure rocks by mm? #occhat (Tue, 26 Mar 2013 20:45:25 +0000)
@Keeper85 @BillWongOT @Symbolic_Life @DrWMB @kirstyes depends who ur measuring for. If its for u to track progress it doesn’t matter #occhat (Tue, 26 Mar 2013 20:45:36 +0000)
@TherapistOT #occhat the measures that are meaningful must be those defined by our service users(Tue, 26 Mar 2013 20:45:46 +0000)
@BillWongOT @Keeper85 @Symbolic_Life If it’s peds, I would say depends on work setting. Have to work with best available #occhat (Tue, 26 Mar 2013 20:45:54 +0000)
@cgenter @Richardsblister #occhat right! can MoHOST be repeated to achieve this, at each of those intervals?(Tue, 26 Mar 2013 20:46:18 +0000)
@Symbolic_Life 6. Do you think your outcome measures benefit your service users and service evaluation? Is it possible to do both? #occhat (Tue, 26 Mar 2013 20:46:30 +0000)
@Keeper85 RT @TherapistOT : #occhat the measures that are meaningful must be those defined by our service users(Tue, 26 Mar 2013 20:46:33 +0000)
@BillWongOT @Keeper85 @Symbolic_Life @DrWMB @kirstyes I meant something different, as I was talking about my experience as a client 4 COPM. #occhat (Tue, 26 Mar 2013 20:47:14 +0000)
@BillWongOT @Keeper85 @Symbolic_Life it could be FM, GM, and that is dependent on parent interviews, teachers input, etc. #occhat (Tue, 26 Mar 2013 20:48:25 +0000)
@Symbolic_Life @kirstyes @DrWMB To gain professional reckoning is it not vital for evaluation? #occhat #commissioning (Tue, 26 Mar 2013 20:48:29 +0000)
@RebeccaTwinley @Keeper85 @symbolic_life And that really challenges-in a good way-service-driven use of OMs (who r we doing it for/with?) #Occhat hello btw!(Tue, 26 Mar 2013 20:48:30 +0000)
@Keeper85 @Symbolic_Life I’ve not seen it happen with the same OM hence my use of multiple #occhat (Tue, 26 Mar 2013 20:48:39 +0000)
@OTalk_Occhat I have a question for all, how often do your assessments or goals become your outcome measures or is it something else on top? #occhat (Tue, 26 Mar 2013 20:48:44 +0000)
@BillWongOT @DrWMB true… I know the FIM does that, for example. #occhat (Tue, 26 Mar 2013 20:48:56 +0000)
@DrWMB @kirstyes #occhat v amusing but notice how the river narrows and widens (measurable difference) and gets more cluttered or clearer?(Tue, 26 Mar 2013 20:49:18 +0000)
@Symbolic_Life Sorry if im not catching up with all answers- Il be sure to after our fast moving chat is ended 🙂 Thank you all for your replies! #occhat (Tue, 26 Mar 2013 20:49:29 +0000)
@cgenter #occhat @Richardsblister right, context makes sense now. Would some form of online/email evaluation work (until outreach OTs arrive!)(Tue, 26 Mar 2013 20:49:50 +0000)
@Keeper85 @RebeccaTwinley @symbolic_life YAY! Rebecca’s here! #occhat (Tue, 26 Mar 2013 20:49:59 +0000)
@Symbolic_Life RT @Keeper85 : @Symbolic_Life I’ve not seen it happen with the same OM hence my use of multiple #occhat (Tue, 26 Mar 2013 20:50:01 +0000)
@BillWongOT @OTalk_Occhat If it’s peds, I think assessments and goals go hand in hand with OM’s. #occhat (Tue, 26 Mar 2013 20:50:27 +0000)
@Keeper85 @RebeccaTwinley @symbolic_life completely agree! #occhat (Tue, 26 Mar 2013 20:50:28 +0000)
@Helen_otuk @OTalk_Occhat for adaptations then yes the clients goals are the outcome measure. But we also have to do financial impacts additonal #occhat (Tue, 26 Mar 2013 20:50:56 +0000)
@BillWongOT @cgenter @Richardsblister That may work- maybe something like telehealth? #occhat (Tue, 26 Mar 2013 20:51:00 +0000)
@Keeper85 @OTalk_Occhat always #occhat (Tue, 26 Mar 2013 20:51:17 +0000)
@kirstyes @BillWongOT @symbolic_life @drwmb Yes, score will be diff between clients but purp of COPM not 2 compare clients 2 others only self #occhat (Tue, 26 Mar 2013 20:51:27 +0000)
@DrWMB @Symbolic_Life @kirstyes #occhat we need numbers or measures, yes, but they are not the only outcomes which should be valued(Tue, 26 Mar 2013 20:51:58 +0000)
@Symbolic_Life 7. How can we as a profession ensure we are using the right OM’S for client and service for the Payment By Results incentive? (UK) #occhat (Tue, 26 Mar 2013 20:51:59 +0000)
@kirstyes @Richardsblister @symbolic_life @drwmb Do the figures they want measure what they need to? #occhat (Tue, 26 Mar 2013 20:52:33 +0000)
@danielleb_90 @Symbolic_Life @otalk_occhat it looks aspects of ADLs/work and pts rate difficulty on scale (no difficulty-severe/unable) Its quick #occhat (Tue, 26 Mar 2013 20:52:57 +0000)
@Symbolic_Life RT @kirstyes : @Richardsblister @symbolic_life @drwmb Do the figures they want measure what they need to? #occhat (Tue, 26 Mar 2013 20:52:59 +0000)
@kirstyes RT @DrWMB : @kirstyes #occhat v amusing but notice how the river narrows and widens (measurable difference) and gets more cluttered or clearer?(Tue, 26 Mar 2013 20:53:05 +0000)
@TherapistOT @kirstyes video is my favourite tool & we are only just working out how we can use this #occhat (Tue, 26 Mar 2013 20:53:17 +0000)
@kirstyes @DrWMB ;0). So a more qualitative narrative of change in this instance then ;0) #occhat (Tue, 26 Mar 2013 20:53:34 +0000)
@kirstyes RT @TherapistOT : @kirstyes video is my favourite tool & we are only just working out how we can use this #occhat (Tue, 26 Mar 2013 20:53:48 +0000)
@BillWongOT @Symbolic_Life Chart review & doing a good job on client’s occupational history is important. #occhat (Tue, 26 Mar 2013 20:53:57 +0000)
@Symbolic_Life RT @TherapistOT : @kirstyes video is my favourite tool & we are only just working out how we can use this #occhat (Tue, 26 Mar 2013 20:54:11 +0000)
@BillWongOT RT @TherapistOT : @kirstyes video is my favourite tool & we are only just working out how we can use this #occhat (Tue, 26 Mar 2013 20:54:26 +0000)
@Symbolic_Life RT @BillWongOT : @Symbolic_Life Chart review & doing a good job on client’s occupational history is important. #occhat (Tue, 26 Mar 2013 20:54:31 +0000)
@RebeccaTwinley @OTalk_Occhat taking a general overview/perspective based upon exp and working with OTs as educators id say far more often than not #Occhat (Tue, 26 Mar 2013 20:54:50 +0000)
@kirstyes @TherapistOT great, will be interested to see how you get on. #occhat
Issues of confidentiality etc with video depending on use.(Tue, 26 Mar 2013 20:54:51 +0000)
@TherapistOT #occhat many outcome measures are more about demonstrating value our service than valuable to our clients(Tue, 26 Mar 2013 20:55:03 +0000)
@DrWMB @Richardsblister @kirstyes @symbolic_life #occhat figures drive so much but restrict reasoning and innovation?(Tue, 26 Mar 2013 20:55:13 +0000)
@OTalk_Occhat RT @BillWongOT : @OTalk_Occhat If it’s peds, I think assessments and goals go hand in hand with OM’s. #occhat (Tue, 26 Mar 2013 20:55:19 +0000)
@Symbolic_Life RT @kirstyes : @TherapistOT great, will be interested to see how you get on. #occhat
Issues of confidentiality etc with video depending on use.(Tue, 26 Mar 2013 20:55:37 +0000)
@Symbolic_Life RT @TherapistOT : #occhat many outcome measures are more about demonstrating value our service than valuable to our clients(Tue, 26 Mar 2013 20:55:45 +0000)
@cgenter @Richardsblister #Occhat yes that could be off-putting for some, or an opportunity for skill development for others? I think there are eMoHO(Tue, 26 Mar 2013 20:55:54 +0000)
@Symbolic_Life @TherapistOT how do you think we can change this to consider both? #occhat (Tue, 26 Mar 2013 20:56:00 +0000)
@OTalk_Occhat @RebeccaTwinley I think this is a good thing, means the process works?? #occhat (Tue, 26 Mar 2013 20:56:17 +0000)
@BillWongOT @Symbolic_Life because your clinical reasoning will come into play. #occhat (Tue, 26 Mar 2013 20:56:21 +0000)
@Symbolic_Life @DrWMB @richardsblister @kirstyes how do you think this can be reviewed? #occhat (Tue, 26 Mar 2013 20:56:27 +0000)
@Keeper85 @BillWongOT @Symbolic_Life for Ax maybe but got very little to do with OM #occhat (Tue, 26 Mar 2013 20:56:34 +0000)
@DrWMB @kirstyes #occhat kawa is good example of benefits of combining measuring and telling stories then?(Tue, 26 Mar 2013 20:56:54 +0000)
@TherapistOT @kirstyes my consent process becomes an empowering process of recovery #Occhat (Tue, 26 Mar 2013 20:56:55 +0000)
@Symbolic_Life Ok FINAL QUESTION…… 8. How do you propose we audit our outcome measures? #occhat (Tue, 26 Mar 2013 20:57:43 +0000)
@BillWongOT RT @TherapistOT : @kirstyes my consent process becomes an empowering process of recovery #Occhat (Tue, 26 Mar 2013 20:57:51 +0000)
@cgenter @Richardsblister #occhat http://t.co/Som7CzmsVm link to eMoHO, not sure if it’s what you are after though?(Tue, 26 Mar 2013 20:58:13 +0000)
@DrWMB @Symbolic_Life @richardsblister @kirstyes #occhat by insisting on explaining the figure and measurements? Providing a narrative?(Tue, 26 Mar 2013 20:58:28 +0000)
@OTalk_Occhat Last two minutes. Feel free to keep chatting folks, will grab the chat after 24 hours. But any take home messages? #occhat (Tue, 26 Mar 2013 20:58:47 +0000)
@OTalk_Occhat Huge thanks to @Symbolic_Life for hosting and everyone for joining in. #occhat (Tue, 26 Mar 2013 20:59:15 +0000)
@EmmJacq @kirstyes @TherapistOT more client-centered when enabling the client to see change for themselves rather than just stating it? #occhat (Tue, 26 Mar 2013 20:59:15 +0000)
@Keeper85 @Symbolic_Life triangulation of information #occhat (Tue, 26 Mar 2013 20:59:30 +0000)
@OTalk_Occhat #occhat . Next week is an #OTalk on student to practitioner transition. @clissa89 blog post which you can read in prep http://t.co/Z08CYFYJOI (Tue, 26 Mar 2013 21:00:03 +0000)
@Symbolic_Life RT @OTalk_Occhat : Last two minutes. Feel free to keep chatting folks, will grab the chat after 24 hours. But any take home messages? #occhat (Tue, 26 Mar 2013 21:00:12 +0000)
@Symbolic_Life RT @Keeper85 : @Symbolic_Life triangulation of information #occhat (Tue, 26 Mar 2013 21:00:43 +0000)
@pd2ot RT @OTalk_Occhat : #occhat . Next week is an #OTalk on student to practitioner transition. @clissa89 blog post which you can read in prep http://t.co/Z08CYFYJOI (Tue, 26 Mar 2013 21:00:46 +0000)
@BillWongOT @OTalk_Occhat OM’s are important in this day and age in EBP. But we need to measures are client and family centered. #occhat (Tue, 26 Mar 2013 21:00:50 +0000)
@Helen_otuk Thanks folks, lots of thoughts to take to my ‘new’ role and how we will ‘measure’ I will let you know how I get on/ #occhat (Tue, 26 Mar 2013 21:01:05 +0000)
@Symbolic_Life RT @OTalk_Occhat : #occhat . Next week is an #OTalk on student to practitioner transition. @clissa89 blog post which you can read in prep http://t.co/Z08CYFYJOI (Tue, 26 Mar 2013 21:01:09 +0000)
@RebeccaTwinley @OTalk_Occhat Y,there r many reasons we use OMs & so there r many approaches/tools/strategies to doing so.I see that as their value #Occhat (Tue, 26 Mar 2013 21:01:10 +0000)
@DrWMB @OTalk_Occhat #occhat thanks, interesting: know how and what to measure and why: tell the story for context(Tue, 26 Mar 2013 21:01:37 +0000)
@kirstyes @EmmJacq @therapistot Definitely. watching a Pre and post intervention video may enable changes 2be seen that aren’t in real time?? #occhat (Tue, 26 Mar 2013 21:02:05 +0000)
@Lara_Stanley RT @OTalk_Occhat : #occhat . Next week is an #OTalk on student to practitioner transition. @clissa89 blog post which you can read in prep http://t.co/Z08CYFYJOI (Tue, 26 Mar 2013 21:02:07 +0000)
@kirstyes RT @DrWMB : @kirstyes #occhat kawa is good example of benefits of combining measuring and telling stories then?(Tue, 26 Mar 2013 21:02:20 +0000)
@Symbolic_Life RT @BillWongOT : @OTalk_Occhat OM’s are important in this day and age in EBP. But we need to measures are client and family centered. #occhat (Tue, 26 Mar 2013 21:02:25 +0000)
@Symbolic_Life RT @Helen_otuk : Thanks folks, lots of thoughts to take to my ‘new’ role and how we will ‘measure’ I will let you know how I get on/ #occhat (Tue, 26 Mar 2013 21:02:46 +0000)
@Symbolic_Life RT @DrWMB : @OTalk_Occhat #occhat thanks, interesting: know how and what to measure and why: tell the story for context(Tue, 26 Mar 2013 21:03:04 +0000)
@kirstyes @DrWMB Maybe, I do like a good narrative me. Think we plan to look at Kawa again this year. #occhat (Tue, 26 Mar 2013 21:03:04 +0000)
@Keeper85 #occhat thanks to @Symbolic_Life for an awesome chat! One of my favs so far! Thought provoking(Tue, 26 Mar 2013 21:03:07 +0000)
@kirstyes @Richardsblister @symbolic_life @drwmb Sounds like a need for a longitudinal research audit there. ;0) #occhat (Tue, 26 Mar 2013 21:04:01 +0000)
@Symbolic_Life Thank You all for such yummy chat by assisting me in reckoning with OM’S in different services as i go into my writing my MSc Dissi #occhat (Tue, 26 Mar 2013 21:04:03 +0000)
@Symbolic_Life RT @Keeper85 : #occhat thanks to @Symbolic_Life for an awesome chat! One of my favs so far! Thought provoking(Tue, 26 Mar 2013 21:04:14 +0000)
@clissa89 RT @OTalk_Occhat : #occhat . Next week is an #OTalk on student to practitioner transition. @clissa89 blog post which you can read in prep http://t.co/Z08CYFYJOI (Tue, 26 Mar 2013 21:04:27 +0000)
@TherapistOT @kirstyes @emmjacq the temporal nature of video promotes deep reflection around the context of performances #occhat (Tue, 26 Mar 2013 21:04:27 +0000)
@BillWongOT @Keeper85 @Symbolic_Life ditto! #occhat (Tue, 26 Mar 2013 21:04:47 +0000)
@Helen_otuk Thanks to @Symbolic_Life for this evenings #occhat topic and @kirstyes for supporting us. Great job ladies!(Tue, 26 Mar 2013 21:04:48 +0000)
@kirstyes RT @TherapistOT : @kirstyes @emmjacq the temporal nature of video promotes deep reflection around the context of performances #occhat (Tue, 26 Mar 2013 21:04:50 +0000)
@DrWMB @kirstyes #occhat me too, narrative reasoning is the business!(Tue, 26 Mar 2013 21:04:58 +0000)
@Helen_otuk Yay from me too RT @DrWMB : @kirstyes #occhat me too, narrative reasoning is the business!(Tue, 26 Mar 2013 21:06:04 +0000)
@OTalk_Occhat RT @BillWongOT : @OTalk_Occhat OM’s are important in this day and age in EBP. But we need to measures are client and family centered. #occhat (Tue, 26 Mar 2013 21:06:14 +0000)
@OTalk_Occhat @Richardsblister @symbolic_life great to hear. Do let us know on the blog post how you get on with it. #occhat (Tue, 26 Mar 2013 21:06:52 +0000)
@OTalk_Occhat RT @DrWMB : @OTalk_Occhat #occhat thanks, interesting: know how and what to measure and why: tell the story for context(Tue, 26 Mar 2013 21:07:24 +0000)
@OTalk_Occhat Night all, switching back to me only. #occhat (Tue, 26 Mar 2013 21:08:40 +0000)
@Symbolic_Life @BillWongOT @keeper85 awe shucks … #hidesunderpillow #thanksguys ! #occhat (Tue, 26 Mar 2013 21:30:21 +0000)
@Keeper85 @Symbolic_Life hahahaha go u! #occhat (Tue, 26 Mar 2013 21:50:18 +0000)
@Wardmans I wasn’t able to join in #occhat tonight. I was otherwise occupied 😉 It’s a good read afterwards though. Did you have fun @Symbolic_Life ?(Tue, 26 Mar 2013 22:09:40 +0000)
@TalkingMats RT @Symbolic_Life : Hi all shall we kick of with ‘ Do you think as a profession we need outcome measures?’ #occhat (Tue, 26 Mar 2013 22:29:13 +0000)
@GemSLT RT @Symbolic_Life : Hi all shall we kick of with ‘ Do you think as a profession we need outcome measures?’ #occhat (Tue, 26 Mar 2013 22:30:37 +0000)
@GemSLT RT @Keeper85 : @Symbolic_Life yes lol how else do we know if what we do is actually being effective? #occhat (Tue, 26 Mar 2013 22:30:43 +0000)
@Trio33 RT @clissa89 : #Occhat RT @visualinsight : Glowing Screens, Sleepless Nights: An infographic on tech-induced insomnia… http://t.co/QzXACHh3 (Tue, 26 Mar 2013 23:11:47 +0000)
@OTthoughts RT @TherapistOT : #occhat many outcome measures are more about demonstrating value our service than valuable to our clients(Tue, 26 Mar 2013 23:32:03 +0000)
@OTthoughts RT @Keeper85 : @Symbolic_Life AusTOMs looks at objective improvement in engagement #occhat (Tue, 26 Mar 2013 23:35:32 +0000)
@OTthoughts RT @cgenter : @Symbolic_Life #occhat think this suggests some ways http://t.co/KJyWF0Z166, but not standardised. they are still working on it I believe(Tue, 26 Mar 2013 23:36:22 +0000)
@OTthoughts RT @BillWongOT : @OTalk_Occhat OM’s are important in this day and age in EBP. But we need to measures are client and family centered. #occhat (Tue, 26 Mar 2013 23:37:56 +0000)
@Wardmans @kirstyes after a workshop from Kee Hean lim i would say the conclusions you and the client deduce from KAWA can be measured. #occhat 1/2(Wed, 27 Mar 2013 09:40:40 +0000)
@Wardmans @kirstyes it’s the meaning the client gives to the rocks that matters #occhat 2/2(Wed, 27 Mar 2013 09:41:17 +0000)
@kirstyes @Wardmans definitely agree with you. Was there any discussion about applying quantitative measures in any way? #occhat (Wed, 27 Mar 2013 15:29:57 +0000)
@BPDFFS RT @OTalk_Occhat : #occhat . Next week is an #OTalk on student to practitioner transition. @clissa89 blog post which you can read in prep http://t.co/Z08CYFYJOI (Thu, 28 Mar 2013 14:05:43 +0000)
@kirstyes @BAOTCOT Not until this evening. Very happy to be part of this. #OTalk #occhat (Fri, 29 Mar 2013 00:06:20 +0000)
@Helen_otuk #FF the #OTalk #Occhat team pleasure to work with you all. @kirstyes @gilliancrossley @clissa89 @claireOT @cgenter @ShaanOT @ShaanOT (Fri, 29 Mar 2013 08:42:33 +0000)
@claireOT RT @Helen_otuk : #FF the #OTalk #Occhat team pleasure to work with you all. @kirstyes @gilliancrossley @clissa89 @claireOT @cgenter @ShaanOT @ShaanOT (Fri, 29 Mar 2013 08:54:58 +0000)
@claireOT @Helen_otuk totally agree! #ff #otalk #occhat crew @kirstyes @gilliancrossley @clissa89 @cgenter @shaanot @shaanot (Fri, 29 Mar 2013 08:55:18 +0000)
@kirstyes RT @Helen_otuk : #FF the #OTalk #Occhat team pleasure to work with you all. @kirstyes @gilliancrossley @clissa89 @claireOT @cgenter @ShaanOT @ShaanOT (Fri, 29 Mar 2013 09:43:34 +0000)
@cgenter Amazing work by all on #OTalk #Occhat , esp. @kirstyes @gilliancrossley @clissa89 & @claireOT acknowledged in https://t.co/0KghUcLKB6(Fri, 29 Mar 2013 10:16:16 +0000)
@Lisa_D_OT RT @cgenter : Amazing work by all on #OTalk #Occhat , esp. @kirstyes @gilliancrossley @clissa89 & @claireOT acknowledged in https://t.co/0KghUcLKB6(Fri, 29 Mar 2013 10:26:13 +0000)
@AnnabelFenn RT @cgenter : Amazing work by all on #OTalk #Occhat , esp. @kirstyes @gilliancrossley @clissa89 & @claireOT acknowledged in https://t.co/0KghUcLKB6(Fri, 29 Mar 2013 11:15:35 +0000)
@Helen_otuk Me too, great community of OT’s. RT @kirstyes : @BAOTCOT Not until this evening. Very happy to be part of this. #OTalk #occhat (Fri, 29 Mar 2013 12:49:41 +0000)

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#OTalk 5th February 2013, Long Term Conditions – Risk Stratification. Grabchat

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@uk_james @BillWongOT @claireOT @OTalk_Occhat @kirstyes @helen_whiteside @CharOTReilly @DearPharmacist @Nursey_JimBob @Symbolic_Life @clarkmike @nchadborn @PresenceLearn @anyadei @Helen_otuk @RobWebster_LCH @clissa89 @NurChat @Keeper85 @MariWardahp @RebeccaTwinley @aiysha89 @jacsonot @clarewilding @skk5874 @GentleChaos @AllSpecialEd @kennywong886 @HelenPersey @LeonoraOT @naberoutine @TTESmith @TheOTSIProject @SenKidsCharity @MelieKate

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@helen_whiteside RT @Helen_otuk : Time to make a coffee and settle down for #OTalk . Risk Stratification and Long Term Conditions with @uk_james http://t.co/wdnC4T9V (Tue, 05 Feb 2013 20:00:00 +0000)
@Helen_otuk I agree! RT @uk_james : @clissa89 you know the right thing to do! #OTalk #OTalk (Tue, 05 Feb 2013 20:00:17 +0000)
@clissa89 yup…. read the grabchat 😦 RT @uk_james : @clissa89 you know the right thing to do! #OTalk #OTalk (Tue, 05 Feb 2013 20:00:34 +0000)
@DearPharmacist @Helen_otuk @OTalk_Occhat I think I got confused with #OTalk (Tue, 05 Feb 2013 20:00:54 +0000)
@DearPharmacist RT @claireOT : Sorry, folks, tonight the chat is tagged #OTalk and it’s about risk stratification and long term conditions… #fallschat was last night!(Tue, 05 Feb 2013 20:01:25 +0000)
@helen_whiteside @uk_james #OTalk all ready here(Tue, 05 Feb 2013 20:01:27 +0000)
@Helen_otuk @DearPharmacist you are more than welcome to join us for #OTalk Risk Stratification.(Tue, 05 Feb 2013 20:01:40 +0000)
@DearPharmacist @claireOT #fallschat #Otalk I’m glad I’m not the only one! :D(Tue, 05 Feb 2013 20:02:01 +0000)
@OTalk_Occhat Good evening all welcome to this evening chat with @uk_james . #OTalk (Tue, 05 Feb 2013 20:02:08 +0000)
@uk_james Hello everyone – I’m co-hosting #OTalk tonight with @OTalk_Occhat – now! #OTalk (Tue, 05 Feb 2013 20:02:16 +0000)
@uk_james Join me for a #OTalk TweetChat at: http://t.co/y6ZcWAx3 #OTalk (Tue, 05 Feb 2013 20:02:21 +0000)
@DearPharmacist RT @Helen_otuk : @DearPharmacist you are more than welcome to join us for #OTalk Risk Stratification.(Tue, 05 Feb 2013 20:02:32 +0000)
@BillWongOT @clissa89 @uk_james hello folks! #otalk (Tue, 05 Feb 2013 20:02:37 +0000)
@uk_james . @OTalk_Occhat Hello everyone! Hope you’re all well this evening and ready to talk long term conditions #OTalk (Tue, 05 Feb 2013 20:02:58 +0000)
@CharOTReilly evening #otalk (Tue, 05 Feb 2013 20:03:00 +0000)
@OTalk_Occhat Please remember the hashtag so we can all see your comments. #OTalk (Tue, 05 Feb 2013 20:03:02 +0000)
@claireOT @ThatJoelfella it means separating people according to known risk factors so we can target interventions #OTalk (Tue, 05 Feb 2013 20:03:18 +0000)
@clissa89 RT @OTalk_Occhat : Good evening all welcome to this evening chat with @uk_james . #OTalk (Tue, 05 Feb 2013 20:03:26 +0000)
@OTalk_Occhat It is @helen_otuk behind the account this evening. Have fun and enjoy! #OTalk (Tue, 05 Feb 2013 20:03:42 +0000)
@OTalk_Occhat Yay! RT @uk_james : . @OTalk_Occhat Hello everyone! Hope you’re all well this evening and ready to talk long term conditions #OTalk (Tue, 05 Feb 2013 20:04:04 +0000)
@claireOT RT @OTalk_Occhat : Good evening all welcome to this evening chat with @uk_james . #OTalk (Tue, 05 Feb 2013 20:04:13 +0000)
@uk_james We’re going to be talking about “Risk Stratification” in the context of long term conditions management tonight #OTalk (Tue, 05 Feb 2013 20:04:16 +0000)
@claireOT RT @uk_james : . @OTalk_Occhat Hello everyone! Hope you’re all well this evening and ready to talk long term conditions #OTalk (Tue, 05 Feb 2013 20:04:20 +0000)
@clissa89 RT @uk_james : We’re going to be talking about “Risk Stratification” in the context of long term conditions management tonight #OTalk (Tue, 05 Feb 2013 20:04:22 +0000)
@BillWongOT @uk_james @OTalk_Occhat so what kind of long term conditions are we talking about? #otalk (Tue, 05 Feb 2013 20:04:28 +0000)
@claireOT #OTalk hi everyone, Claire here, and I just wondered if @uk_james would like to define Risk stratification and explain why it’s useful?(Tue, 05 Feb 2013 20:05:01 +0000)
@BillWongOT @uk_james @OTalk_Occhat By the title of it, it sounded very vague to me. #otalk (Tue, 05 Feb 2013 20:05:12 +0000)
@claireOT RT @uk_james : We’re going to be talking about “Risk Stratification” in the context of long term conditions management tonight #OTalk (Tue, 05 Feb 2013 20:05:21 +0000)
@uk_james . @BillWongOT We’re talking about ALL long term conditions – depending on which list you look at about 20+ #OTalk (Tue, 05 Feb 2013 20:05:41 +0000)
@LeonoraOT #OTalk Hi there, will check in here & there as I get ready for work – interesting topic #australia :)(Tue, 05 Feb 2013 20:05:43 +0000)
@uk_james OK, so, a definition… of risk stratification…. #OTalk (Tue, 05 Feb 2013 20:06:27 +0000)
@OTalk_Occhat Yes please… RT @uk_james : OK, so, a definition… of risk stratification…. #OTalk (Tue, 05 Feb 2013 20:07:06 +0000)
@uk_james Risk stratification is about identifying people who are at risk of hospital admission over course of next year (roughly speaking)… #OTalk (Tue, 05 Feb 2013 20:07:12 +0000)
@uk_james There are various risk stratification software solutions that are being used now…. #OTalk (Tue, 05 Feb 2013 20:07:41 +0000)
@helen_whiteside #OTalk @uk_james our CCG IT tool describes risk as risk of the patient having hospital admission within next year(Tue, 05 Feb 2013 20:07:54 +0000)
@BillWongOT @uk_james yeah… I was thinking about #autism belongs in this category because it is a long term thing. #otalk (Tue, 05 Feb 2013 20:08:01 +0000)
@uk_james It’s all about predicting risk of admission to hospital…. #OTalk (Tue, 05 Feb 2013 20:08:18 +0000)
@uk_james RT @helen_whiteside : #OTalk our CCG IT tool describes risk as risk of the patient having hospital admission within next year #OTalk (Tue, 05 Feb 2013 20:08:31 +0000)
@OTalk_Occhat RT @uk_james : It’s all about predicting risk of admission to hospital…. #OTalk (Tue, 05 Feb 2013 20:08:44 +0000)
@CharOTReilly @uk_james does this mean, risk stratification has a link with public health needs? #otalk (Tue, 05 Feb 2013 20:08:51 +0000)
@uk_james In the UK, risk stratification is beginning to be used to proactively manage care in health and #socialcare #OTalk (Tue, 05 Feb 2013 20:09:01 +0000)
@BillWongOT @uk_james yes… it is important. Sometimes people we see on the streets belong in this category. #otalk (Tue, 05 Feb 2013 20:09:08 +0000)
@claireOT @ThatJoelfella it’s usually done centrally using software as its a multi factorial issue, I’m no expert, learning lots from #otalk tonight!(Tue, 05 Feb 2013 20:09:28 +0000)
@anyadei @uk_james do any take into account what risk the patient considers there to be around themselves going to hospital? #OTalk (Tue, 05 Feb 2013 20:09:30 +0000)
@uk_james . @CharOTReilly yes, there’s a link to public health needs at a higher level – can be used at population or individual level #OTalk (Tue, 05 Feb 2013 20:09:41 +0000)
@claireOT RT @uk_james : It’s all about predicting risk of admission to hospital…. #OTalk (Tue, 05 Feb 2013 20:09:44 +0000)
@TTESmith RT @uk_james : RT @helen_whiteside : #OTalk our CCG IT tool describes risk as risk of the patient having hospital admission within next year #OTalk (Tue, 05 Feb 2013 20:09:45 +0000)
@claireOT RT @uk_james : RT @helen_whiteside : #OTalk our CCG IT tool describes risk as risk of the patient having hospital admission within next year #OTalk (Tue, 05 Feb 2013 20:09:51 +0000)
@uk_james Yes claireOT – can be done at population level, or can be used at patient level to map change over time #OTalk (Tue, 05 Feb 2013 20:10:21 +0000)
@Nursey_JimBob @clissa89 @helen_otuk @uk_james #OTalk why am I always traveling during these chats!(Tue, 05 Feb 2013 20:10:22 +0000)
@BillWongOT @uk_james @CharOTReilly so I guess maybe community organizations/non-profits can be helpful in addressing this issue. #otalk (Tue, 05 Feb 2013 20:11:08 +0000)
@uk_james I see risk stratification as a bit like crystal ball gazing – seeing who you might need to start intervention with now to stop crisis #OTalk (Tue, 05 Feb 2013 20:11:11 +0000)
@PresenceLearn Just finished our webinar on online #OT ! If any #OTpeeps want to be notified when the video is released, pls tweet us! #OTalk #OCChat (Tue, 05 Feb 2013 20:11:14 +0000)
@uk_james Using risk stratification is part of the DH Long Term Conditions model of care #OTalk (Tue, 05 Feb 2013 20:11:43 +0000)
@OTalk_Occhat RT @uk_james : Using risk stratification is part of the DH Long Term Conditions model of care #OTalk (Tue, 05 Feb 2013 20:12:04 +0000)
@DearPharmacist @uk_james #OTalk do COPD patients come into this category? We are doing a lot of work currently to reduce exacerbation’s.(Tue, 05 Feb 2013 20:12:07 +0000)
@uk_james There are 3 components to the LTC model of care. Any guesses? ….. #OTalk (Tue, 05 Feb 2013 20:12:10 +0000)
@helen_whiteside #OTalk @uk_james our system has about 25 broad disease areas. takes info account no. of hospital, nurse,GP appoints(Tue, 05 Feb 2013 20:12:19 +0000)
@BillWongOT @uk_james yes… prevention is essential in OT practice, isn’t it? #otalk (Tue, 05 Feb 2013 20:12:27 +0000)
@uk_james RT @helen_whiteside : #OTalk our system has about 25 broad disease areas. takes info account no. of hospital, nurse,GP appoints #OTalk (Tue, 05 Feb 2013 20:13:12 +0000)
@naberoutine RT @OTalk_Occhat : Good evening all welcome to this evening chat with @uk_james . #OTalk (Tue, 05 Feb 2013 20:13:17 +0000)
@Nursey_JimBob RT @uk_james : It’s all about predicting risk of admission to hospital…. #OTalk (Tue, 05 Feb 2013 20:13:44 +0000)
@CharOTReilly @uk_james environment, person, family? #otalk (Tue, 05 Feb 2013 20:13:55 +0000)
@uk_james . @helen_whiteside some risk strat systems just use hospital data (secondary care), others use GP (primary care)…. #OTalk (Tue, 05 Feb 2013 20:13:57 +0000)
@BillWongOT @uk_james @helen_whiteside can you put a link up please? #otalk (Tue, 05 Feb 2013 20:14:15 +0000)
@kirstyes @uk_james is it the three aspects mentioned on the Facebook event? #OTalk risk stratification, self care and forget the other-intervention?(Tue, 05 Feb 2013 20:14:16 +0000)
@CharOTReilly @BillWongOT @uk_james i would agree it is an important part of OT practice Bill #otalk (Tue, 05 Feb 2013 20:14:32 +0000)
@BillWongOT @uk_james environment, person, occupation #otalk (Tue, 05 Feb 2013 20:14:35 +0000)
@uk_james some risk strat systems are beginning to include #socialcare data to inform the predictive modelling too #OTalk (Tue, 05 Feb 2013 20:14:42 +0000)
@Nursey_JimBob @Helen_otuk #OTalk I am but will London Underground allow me to partake?(Tue, 05 Feb 2013 20:15:23 +0000)
@Nursey_JimBob RT @CharOTReilly : @uk_james environment, person, family? #otalk (Tue, 05 Feb 2013 20:15:38 +0000)
@Helen_otuk @kirstyes Integrated health and social care neighbourhood care teams? #OTalk (Tue, 05 Feb 2013 20:15:40 +0000)
@uk_james @BillWongOT no… have another go – have you done your background reading? 😉 #OTalk (Tue, 05 Feb 2013 20:15:53 +0000)
@CharOTReilly @kirstyes @uk_james other one on FB is “Integrated health and social care neighbourhood care teams” #otalk (Tue, 05 Feb 2013 20:16:13 +0000)
@BillWongOT @Nursey_JimBob @Helen_otuk you can contribute within 24 hours. We don’t grab chat until tomorrow night your time. #otalk (Tue, 05 Feb 2013 20:16:27 +0000)
@OTalk_Occhat Yay! RT @CharOTReilly : @kirstyes @uk_james other one on FB is “Integrated health and social care neighbourhood care teams” #otalk (Tue, 05 Feb 2013 20:16:33 +0000)
@uk_james . @Helen_otuk you got it! ….. so the three are….. 1. Risk stratification 2. Integrated teams 3. self care – and DO THEM ALL!! #OTalk (Tue, 05 Feb 2013 20:16:44 +0000)
@PresenceLearn @billwongot Sorry we missed you! You will be notified once we have the #SPEDAhead webinar video on online occupational therapy up. =) #OTalk (Tue, 05 Feb 2013 20:17:04 +0000)
@Nursey_JimBob @uk_james @helen_whiteside #OTalk like the algorithm used by community matrons?(Tue, 05 Feb 2013 20:17:12 +0000)
@BillWongOT @uk_james now i see it… it’s in the blog. :p #otalk (Tue, 05 Feb 2013 20:17:18 +0000)
@kirstyes @uk_james When talking about hospital are you just talking about ‘physical health’ rather than ‘mental health’ hospital admissions? #OTalk (Tue, 05 Feb 2013 20:17:26 +0000)
@clarkmike #OTalk One of the difficulties for risk stratification and predictive modelling is poor source data (eg coding of admissions)(Tue, 05 Feb 2013 20:17:32 +0000)
@uk_james So tonight we’re talking about the first bit of the jigsaw. #socialcare and clinical commissioning groups looking at models now #OTalk (Tue, 05 Feb 2013 20:18:03 +0000)
@BillWongOT @kirstyes @uk_james that’s a good question… because it was confusing to me. #otalk (Tue, 05 Feb 2013 20:18:30 +0000)
@uk_james . @kirstyes could include mental health too – depression, anxiety, dementia, etc #OTalk (Tue, 05 Feb 2013 20:18:32 +0000)
@uk_james MT @clarkmike : #OTalk One difficulty of risk stratification and predictive modelling is poor source data (eg coding of admissions) #OTalk (Tue, 05 Feb 2013 20:18:55 +0000)
@nchadborn A CCG I’m working with are talking about using the Devon model for risk stratification – any info on this? #OTalk (Tue, 05 Feb 2013 20:19:13 +0000)
@uk_james . @clarkmike agree. And time lag too – sometimes up to 3 months. No good for the here and now of patient care #OTalk (Tue, 05 Feb 2013 20:19:25 +0000)
@helen_whiteside @kirstyes @uk_james #OTalk mental health 1 of conditions. as mike says sorcery data needs to come from right places and be coded accurately(Tue, 05 Feb 2013 20:19:58 +0000)
@BillWongOT RT @uk_james : MT @clarkmike : #OTalk One difficulty of risk stratification and predictive modelling is poor source data (eg coding of admissions) #OTalk (Tue, 05 Feb 2013 20:20:04 +0000)
@uk_james I don’t know about the Devon model @nchadborn – although familiar with Medeanalytics in Torbay, maybe they’re using that? #OTalk (Tue, 05 Feb 2013 20:20:24 +0000)
@OTalk_Occhat RT @uk_james : . @kirstyes could include mental health too – depression, anxiety, dementia, etc #OTalk (Tue, 05 Feb 2013 20:20:42 +0000)
@OTalk_Occhat RT @clarkmike : #OTalk One of the difficulties for risk stratification and predictive modelling is poor source data (eg coding of admissions)(Tue, 05 Feb 2013 20:20:54 +0000)
@anyadei @uk_james are these models co-produced with patients? Patients are acutely aware of their risks! #OTalk (Tue, 05 Feb 2013 20:21:07 +0000)
@kirstyes RT @uk_james : . @kirstyes could include mental health too – depression, anxiety, dementia, etc #OTalk (Tue, 05 Feb 2013 20:21:10 +0000)
@BillWongOT @uk_james @clarkmike I think electronic medical records should help hopefully eventually. #otalk (Tue, 05 Feb 2013 20:21:12 +0000)
@uk_james One of the challenges we face is the increasing numbers of people with multiple long term conditions #OTalk (Tue, 05 Feb 2013 20:21:23 +0000)
@kirstyes @uk_james cool thanks. #OTalk Both equally as important and possibly preventable.(Tue, 05 Feb 2013 20:21:35 +0000)
@claireOT RT @uk_james : MT @clarkmike : #OTalk One difficulty of risk stratification and predictive modelling is poor source data (eg coding of admissions) #OTalk (Tue, 05 Feb 2013 20:21:41 +0000)
@kirstyes RT @helen_whiteside : @kirstyes @uk_james #OTalk mental health 1 of conditions. as mike says sorcery data needs to come from right places and be coded accurately(Tue, 05 Feb 2013 20:21:57 +0000)
@OTalk_Occhat RT @uk_james : One of the challenges we face is the increasing numbers of people with multiple long term conditions #OTalk (Tue, 05 Feb 2013 20:22:17 +0000)
@PresenceLearn @leonoraot You got it! We think you’ll enjoy this #SPEDAhead webinar on online occupational therapy. #OTalk #OCChat (Tue, 05 Feb 2013 20:22:19 +0000)
@claireOT @uk_james @clarkmike Mike, I totally agree, particularly in #mentalhealth where outcomes for PbR not clinical indicators of risk #OTalk (Tue, 05 Feb 2013 20:22:21 +0000)
@uk_james The old way of treating people on single disease pathways isn’t future-fit. Lots of people have 2 or more LTC’s #OTalk (Tue, 05 Feb 2013 20:22:32 +0000)
@BillWongOT @anyadei @uk_james I don’t think all of them do, though. #otalk (Tue, 05 Feb 2013 20:22:32 +0000)
@clarewilding #OTalk wot kind of indicators are used to predict hospital admission?(Tue, 05 Feb 2013 20:22:36 +0000)
@kirstyes @helen_whiteside @uk_james Is it all lumped as one condition though when may have varied needs? #OTalk (Tue, 05 Feb 2013 20:22:42 +0000)
@uk_james . @kirstyes Kings Fund state that a third of people with LT phys health probs also have mental health problems #OTalk (Tue, 05 Feb 2013 20:23:19 +0000)
@claireOT RT @uk_james : The old way of treating people on single disease pathways isn’t future-fit. Lots of people have 2 or more LTC’s #OTalk (Tue, 05 Feb 2013 20:23:31 +0000)
@CharOTReilly @uk_james risk stratification is a form of collecting data 2 find potential trends & reduce future hospital admissions? #otalk #thatright ?(Tue, 05 Feb 2013 20:23:33 +0000)
@OTalk_Occhat RT @uk_james : . @kirstyes Kings Fund state that a third of people with LT phys health probs also have mental health problems #OTalk (Tue, 05 Feb 2013 20:23:36 +0000)
@uk_james RT @clarewilding : #OTalk wot kind of indicators are used to predict hospital admission? < any experts in the room? #OTalk (Tue, 05 Feb 2013 20:23:46 +0000)
@RebeccaTwinley @nchadborn Hi, you have no doubt seen this info, but if not http://t.co/zzZDTqjn #OTalk (Tue, 05 Feb 2013 20:23:50 +0000)
@anyadei @BillWongOT @uk_james no, but some will! And those are the ones who could help?! #OTalk (Tue, 05 Feb 2013 20:24:01 +0000)
@helen_whiteside @uk_james #OTalk & increasing number of professionals thus who needed to deliver care. is this where mixed skills may come to be v helpful(Tue, 05 Feb 2013 20:24:22 +0000)
@kirstyes @uk_james Only a third. #OTalk I would almost have guessed more.(Tue, 05 Feb 2013 20:24:30 +0000)
@MariWardahp @uk_james is this not where your CGA’s are vital #otalk (Tue, 05 Feb 2013 20:24:32 +0000)
@OTalk_Occhat @RebeccaTwinley thanks for the link #OTalk (Tue, 05 Feb 2013 20:24:33 +0000)
@uk_james . @CharOTReilly that’s right. All very interesting, but the trick is what to do with the info you find out. How does it improve care? #OTalk (Tue, 05 Feb 2013 20:24:38 +0000)
@Nursey_JimBob @uk_james #OTalk so true, the days of one LTC are well in the past, also expert patients with good control having normal A+E attendance(Tue, 05 Feb 2013 20:24:44 +0000)
@Nursey_JimBob @uk_james #OTalk are increasing,(Tue, 05 Feb 2013 20:25:03 +0000)
@uk_james http://t.co/ewJrEiGT for more on LTCs – brill resource #OTalk (Tue, 05 Feb 2013 20:25:19 +0000)
@anyadei RT @uk_james : The old way of treating people on single disease pathways isn’t future-fit. Lots of people have 2 or more LTC’s #OTalk (Tue, 05 Feb 2013 20:25:40 +0000)
@uk_james . @Nursey_JimBob I’ve seen local data that shows some people have up to 8 LTCs recorded (that we know of!) #OTalk (Tue, 05 Feb 2013 20:25:52 +0000)
@nchadborn @RebeccaTwinley Thanks that’s helpful, but didn’t get how it was different – presumably all predictive use local data? #OTalk (Tue, 05 Feb 2013 20:25:56 +0000)
@CharOTReilly @uk_james ok thanks, its true, I suppose the info can be used to influence policy & guidelines such as NICE/NSF that all HCP follow #otalk (Tue, 05 Feb 2013 20:26:04 +0000)
@claireOT #OTalk I’m concerned that people with psychosis have 20yrs lower life expectancy, I hope risk stratification will help this group #OTalk (Tue, 05 Feb 2013 20:26:10 +0000)
@anyadei RT @Nursey_JimBob : @uk_james #OTalk so true, the days of one LTC are well in the past, also expert patients with good control having normal A+E attendance(Tue, 05 Feb 2013 20:26:13 +0000)
@Nursey_JimBob @uk_james @kirstyes #OTalk most LTC have evidence of a mental component to there care, but is often never supported(Tue, 05 Feb 2013 20:26:35 +0000)
@nchadborn @MariWardahp I’m just about to start some work on Comprehensive Geriatric Assessment in Emergency Dept #OTalk (Tue, 05 Feb 2013 20:26:54 +0000)
@claireOT #OTalk I would like to see us move towards real-time analytics of changes in service provision to understand how they impact on communities(Tue, 05 Feb 2013 20:27:03 +0000)
@BillWongOT RT @uk_james : http://t.co/ewJrEiGT for more on LTCs – brill resource #OTalk (Tue, 05 Feb 2013 20:27:09 +0000)
@PresenceLearn @charotreilly No problem! “Online Occupational Therapy – Really?” has been one of our most popular webinars. We hope you like it! #OTalk (Tue, 05 Feb 2013 20:27:14 +0000)
@helen_whiteside #OTalk @uk_james ours uses activity data from GP systems – think counts no. ogre prim care appoints and secondary care appoints/ admissions(Tue, 05 Feb 2013 20:27:25 +0000)
@DearPharmacist @claireOT #OTalk I’m working with COPD patients. Will this help them?(Tue, 05 Feb 2013 20:27:27 +0000)
@OTalk_Occhat RT @uk_james : http://t.co/ewJrEiGT for more on LTCs – brill resource #OTalk (Tue, 05 Feb 2013 20:27:33 +0000)
@claireOT #OTalk by doing this, we could understand how to meet the needs of people who are harder to hear for commissioners (and have higher risks)(Tue, 05 Feb 2013 20:27:51 +0000)
@BillWongOT @anyadei @uk_james That I agree. #bpdchat community comes to mind. #otalk (Tue, 05 Feb 2013 20:27:52 +0000)
@uk_james Here’s an example of how risk stratification can help identify people http://t.co/cR7loGDs #OTalk (Tue, 05 Feb 2013 20:27:56 +0000)
@Nursey_JimBob @uk_james #OTalk I can well believe it(Tue, 05 Feb 2013 20:28:02 +0000)
@uk_james Has anyone here seen risk stratification tools in action yet? #OTalk (Tue, 05 Feb 2013 20:29:12 +0000)
@OTalk_Occhat RT @uk_james : Here’s an example of how risk stratification can help identify people http://t.co/cR7loGDs #OTalk (Tue, 05 Feb 2013 20:29:12 +0000)
@claireOT @DearPharmacist yes, sure, e.g. might have 1)diabetes 2)COPD 3)osteoarthritis in hip and planning elective hip arthoplasty #Otalk (Tue, 05 Feb 2013 20:29:29 +0000)
@BillWongOT @uk_james This is great! Client involvement is definitely important here! #otalk (Tue, 05 Feb 2013 20:29:38 +0000)
@claireOT @uk_james nope, but I’m all ears! #OTalk (Tue, 05 Feb 2013 20:29:52 +0000)
@RebeccaTwinley @nchadborn Yes, not explicit but thats what I took I to mean #OTalk (Tue, 05 Feb 2013 20:30:10 +0000)
@kirstyes @Nursey_JimBob @uk_james Guessing that’s where the integrated teams bit might come in. Also supports general professional training #OTalk (Tue, 05 Feb 2013 20:30:17 +0000)
@helen_whiteside @uk_james : Has anyone here seen risk stratification tools in action yet? #OTalk ” yep and i then no full med reviews on pts flagged up(Tue, 05 Feb 2013 20:30:36 +0000)
@uk_james . @BillWongOT key that clients know and involved – especially of we approach them and say we want to work proactively, diff approach #OTalk (Tue, 05 Feb 2013 20:30:43 +0000)
@OTalk_Occhat @emma_4286 Integrated health and social care neighbourhood care teams is the topic of our next LTC chat. #OTalk (Tue, 05 Feb 2013 20:30:45 +0000)
@DearPharmacist @claireOT #OTalk thanks. I will need to look at local policy to see if I can input in some way.(Tue, 05 Feb 2013 20:30:51 +0000)
@OTalk_Occhat RT @uk_james : Has anyone here seen risk stratification tools in action yet? #OTalk (Tue, 05 Feb 2013 20:31:06 +0000)
@kirstyes @Nursey_JimBob @uk_james by general training I mean not splitting up into condition specialists necessarily. E.g. OT not MHOT etc #OTalk (Tue, 05 Feb 2013 20:31:07 +0000)
@uk_james RT @helen_whiteside : ” @uk_james : Has anyone here seen risk stratification tools in action yet? #OTalk ” yep and i then no full med reviews on pts flagged up(Tue, 05 Feb 2013 20:31:12 +0000)
@nchadborn Does risk stratification include demographics etc as well as past access to health resources? ‘hard to reach’ may have low access #OTalk (Tue, 05 Feb 2013 20:31:50 +0000)
@uk_james . @helen_whiteside tell us more about your experience – do you use the tool yourself? #OTalk (Tue, 05 Feb 2013 20:31:52 +0000)
@helen_whiteside #OTalk @uk_james . last sweet no= do med reviews(Tue, 05 Feb 2013 20:32:01 +0000)
@MariWardahp @uk_james yes models being developed in scotland linking nursing and ahps to manage LTCs preventing needing for secondary care #otalk (Tue, 05 Feb 2013 20:32:08 +0000)
@BillWongOT @uk_james yes… I think motivational interviewing will be a good tool to use here- have the clients to think of their solutions. #otalk (Tue, 05 Feb 2013 20:32:10 +0000)
@anyadei ? @Nursey_JimBob : @uk_james @kirstyes #OTalk most LTC have evidence of a mental component to there care, but is often never supported? KEY!(Tue, 05 Feb 2013 20:32:40 +0000)
@uk_james . @kirstyes @Nursey_Jimbob – a great reason for MDT training and non-profession or non-specific #OTalk (Tue, 05 Feb 2013 20:32:44 +0000)
@uk_james . @BillWongOT motivational interviewing great #selfcare intervention. We’re covering this in the #OTalk in April! #OTalk (Tue, 05 Feb 2013 20:33:16 +0000)
@clarewilding #OTalk are risk stratification used by therapists or policy makers?(Tue, 05 Feb 2013 20:34:06 +0000)
@uk_james RT @helen_whiteside : #OTalk @uk_james . last sweet no= do med reviews. Community pharmacists involvement so important #OTalk (Tue, 05 Feb 2013 20:34:22 +0000)
@BillWongOT @uk_james even in the beginning stage is helpful too… as mentioned in stage 1 of your link. #otalk (Tue, 05 Feb 2013 20:34:23 +0000)
@anyadei @anyadei : @Nursey_JimBob @uk_james @kirstyes as a patient, the mental component can have the most significant positive impact for me #OTalk (Tue, 05 Feb 2013 20:34:38 +0000)
@uk_james So, what do you think the “stratification” in risk stratification is all about? #OTalk (Tue, 05 Feb 2013 20:34:50 +0000)
@CharOTReilly @BillWongOT @uk_james i definately agree, service users are the people who know what keeps them out of hospital, #otalk (Tue, 05 Feb 2013 20:35:19 +0000)
@kirstyes @uk_james @nursey_jimbob As in Inter-profess education at undergrad and postgrad levels? (Not generic undergrad training though?). #OTalk (Tue, 05 Feb 2013 20:35:22 +0000)
@PresenceLearn For info on reimbursement of online #OT , visit @AOTAInc website & d/l their “telerehabilitation paper” w/ a section on funding. #OTalk (Tue, 05 Feb 2013 20:35:25 +0000)
@helen_whiteside @uk_james #OTalk used 2 tools. current 1 searchable @ practice CCG & PCT level. search can b by disease area e.g. stroke respiratory cardiac(Tue, 05 Feb 2013 20:35:33 +0000)
@uk_james . @nchadborn yes, there are various indicators in the model, a series of algorithms that sit in the background #OTalk (Tue, 05 Feb 2013 20:35:41 +0000)
@RobWebster_LCH @claireOT and providers, including GPs #otalk (Tue, 05 Feb 2013 20:35:52 +0000)
@BillWongOT @CharOTReilly @uk_james especially if they have to be frequently hospitalized. #otalk (Tue, 05 Feb 2013 20:36:05 +0000)
@claireOT ? @RobWebster_LCH : @claireOT and providers, including GPs #otalk ? <absolutely, Rob(Tue, 05 Feb 2013 20:36:46 +0000)
@DearPharmacist #otalk is there an angle pharmacists could help with. I’m working on a few interventions to lower hospital admissions for patients with LTC(Tue, 05 Feb 2013 20:36:57 +0000)
@uk_james Kings Fund did early work on predictive modelling http://t.co/qPEVp58H #OTalk (Tue, 05 Feb 2013 20:37:07 +0000)
@kirstyes @anyadei @nursey_jimbob @uk_james Totally agree. Often ignorance of this is why self care initiatives fail. #OTalk (Tue, 05 Feb 2013 20:37:34 +0000)
@CharOTReilly @BillWongOT @uk_james does there need to be a standard evaluating tool 4 people leaving hospital? Inc, what will best keep u at home #otalk (Tue, 05 Feb 2013 20:37:37 +0000)
@helen_whiteside #OTalk @uk_james data shows as low to very high risk of admission. aim to prevent medium moving to high risk. Pts identified then discussed(Tue, 05 Feb 2013 20:37:42 +0000)
@claireOT *waves* to #nurchat I would be very interested in this chat, but dammit, I’m already following #OTalk !!(Tue, 05 Feb 2013 20:37:50 +0000)
@RobWebster_LCH #otalk great topic tonight. Needs to be linked to social care data, then self care, integrated teams & technology http://t.co/RjVcscWn (Tue, 05 Feb 2013 20:37:50 +0000)
@clissa89 @emma_4286 @uk_james that sounds like a really interesting system! #OTalk (Tue, 05 Feb 2013 20:38:05 +0000)
@OTalk_Occhat RT @uk_james : Kings Fund did early work on predictive modelling http://t.co/qPEVp58H #OTalk (Tue, 05 Feb 2013 20:38:14 +0000)
@kirstyes @anyadei @nursey_jimbob @uk_james e.g. With obesity. Often we know what we should be eating but psychological issues impact too #OTalk (Tue, 05 Feb 2013 20:38:19 +0000)
@NurChat RT @claireOT : *waves* to #nurchat I would be very interested in this chat, but dammit, I’m already following #OTalk !!(Tue, 05 Feb 2013 20:38:35 +0000)
@BillWongOT @CharOTReilly @uk_james for some people that maybe home visits, for some people maybe a transition related planning. #otalk (Tue, 05 Feb 2013 20:38:37 +0000)
@RobWebster_LCH #otalk how do we get OTs more involved in MDTs in practices to support risk strat?(Tue, 05 Feb 2013 20:38:40 +0000)
@CharOTReilly @BillWongOT @uk_james those techniques be great, but as well as that some kind of evaluation form to complete? #otalk (Tue, 05 Feb 2013 20:39:50 +0000)
@BillWongOT @clissa89 @emma_4286 @uk_james I agree! #otalk (Tue, 05 Feb 2013 20:40:08 +0000)
@claireOT RT @RobWebster_LCH : #otalk how do we get OTs more involved in MDTs in practices to support risk strat?(Tue, 05 Feb 2013 20:40:28 +0000)
@BillWongOT @CharOTReilly @uk_james will it be a subjective or objective measure? #otalk (Tue, 05 Feb 2013 20:41:02 +0000)
@BillWongOT @CharOTReilly @uk_james But maybe our daily SOAP notes will be a good start. #otalk (Tue, 05 Feb 2013 20:41:57 +0000)
@uk_james Think technical glitch at my end, keep chatting…. #OTalk (Tue, 05 Feb 2013 20:42:11 +0000)
@BillWongOT @uk_james no… I don’t see anything in the past few minutes either. #otalk (Tue, 05 Feb 2013 20:42:39 +0000)
@helen_whiteside @RobWebster_LCH #OTalk @uk_james does each practice or locality have an identified OT who could link ?(Tue, 05 Feb 2013 20:42:45 +0000)
@kirstyes @uk_james No, didn’t really think about it before to be honest #OTalk Important though for future workforce planning too (and education).(Tue, 05 Feb 2013 20:42:46 +0000)
@claireOT @RobWebster_LCH great question! @uk_james how did you get involved in risk stratification- was it as part of your commissioning job? #OTalk (Tue, 05 Feb 2013 20:43:06 +0000)
@uk_james My tweets posting, just cant see what you’re all saying! #OTalk (Tue, 05 Feb 2013 20:43:18 +0000)
@OTalk_Occhat RT @kirstyes : @uk_james No, didn’t really think about it before to be honest #OTalk Important though for future workforce planning too (and education).(Tue, 05 Feb 2013 20:44:21 +0000)
@helen_whiteside @helen_whiteside @uk_james #OTalk discussed at MDT of nurse GP district nurse pharmacist social care and whoever else invited / can make it(Tue, 05 Feb 2013 20:44:28 +0000)
@RobWebster_LCH @helen_whiteside @uk_james #otalk – future model being developed in Leeds. Decision to be made about team structure & practice footprint(Tue, 05 Feb 2013 20:44:49 +0000)
@BillWongOT @uk_james I can see you… but there are no new tweets on that hash tag feed. #otalk (Tue, 05 Feb 2013 20:44:54 +0000)
@uk_james how can identifying ?at risk? people can benefit them / deliver better outcomes? #OTalk (Tue, 05 Feb 2013 20:44:57 +0000)
@kirstyes @uk_james Isn’t this why we should treat people as people and not conditions though. Biased of course but think OTs hv tons 2 offer #OTalk (Tue, 05 Feb 2013 20:44:58 +0000)
@CharOTReilly @BillWongOT @uk_james both is ideal with a quantitative measure, but this is hard to do #otalk (Tue, 05 Feb 2013 20:45:10 +0000)
@PresenceLearn [ #OTalk Blog Post] Why More Schools Should Adopt Online Occupational Therapy http://t.co/xWf8Km0e (Tue, 05 Feb 2013 20:45:20 +0000)
@OTalk_Occhat yay your back? RT @uk_james : how can identifying ?at risk? people can benefit them / deliver better outcomes? #OTalk (Tue, 05 Feb 2013 20:45:22 +0000)
@BillWongOT RT @RobWebster_LCH : #otalk how do we get OTs more involved in MDTs in practices to support risk strat?(Tue, 05 Feb 2013 20:45:23 +0000)
@MariWardahp @uk_james hash tag not working for me just now 😦 #otalk (Tue, 05 Feb 2013 20:46:01 +0000)
@kirstyes @uk_james @clarewilding can I be controversial and suggest poor discharge planning can contribute to hospital admissions at times? #OTalk (Tue, 05 Feb 2013 20:46:04 +0000)
@BillWongOT @CharOTReilly @uk_james We should lobby the PhD’s in OT to come up with some great ones! #otalk (Tue, 05 Feb 2013 20:46:05 +0000)
@clarkmike @uk_james Geraint Lewis did lot of early work on PARR. Nuffield picked it up as DH no longer supported work. Geraint now at NHSCB #OTalk (Tue, 05 Feb 2013 20:46:12 +0000)
@BillWongOT RT @OTalk_Occhat : yay your back? RT @uk_james : how can identifying ?at risk? people can benefit them / deliver better outcomes? #OTalk (Tue, 05 Feb 2013 20:46:38 +0000)
@HelenPersey RT @RobWebster_LCH : #otalk how do we get OTs more involved in MDTs in practices to support risk strat?(Tue, 05 Feb 2013 20:46:42 +0000)
@CharOTReilly @uk_james the old phrase ‘prevention is better than cure’ if we can identify risks & manage them, will improve wel lbeing 4 SU #otalk (Tue, 05 Feb 2013 20:46:52 +0000)
@kirstyes #OTalk Thinking that our previously raised theme of raising general health literacy is important for this topic.(Tue, 05 Feb 2013 20:47:30 +0000)
@uk_james . @MariWardahp think #OTalk hashtag playing up for a few people by sounds of it… Let’s keep going!(Tue, 05 Feb 2013 20:47:34 +0000)
@claireOT I don’t think we’re being bold enough about the possibility presented by risk stratification- in delivering personalised services #OTalk (Tue, 05 Feb 2013 20:47:50 +0000)
@uk_james RT @RobWebster_LCH : @helen_whiteside @uk_james #otalk – future model being developed in Leeds. Decision to be made about team structure & practice footprint(Tue, 05 Feb 2013 20:48:09 +0000)
@OTalk_Occhat RT @kirstyes : #OTalk Thinking that our previously raised theme of raising general health literacy is important for this topic.(Tue, 05 Feb 2013 20:48:37 +0000)
@helen_whiteside @RobWebster_LCH @uk_james #OTalk Im LSE pharmacist/ IP. do med reviews 4 patients – approx 80 reviews – good outcomes and practice feedback(Tue, 05 Feb 2013 20:49:05 +0000)
@clarkmike @uk_james #OTalk CCGs who don’t use risk strat/predictive modelling could possibly run out of money – LTC costs in England = �70bn pa(Tue, 05 Feb 2013 20:49:09 +0000)
@BillWongOT @CharOTReilly @uk_james In Chinese, that will be ?????. #otalk (Tue, 05 Feb 2013 20:49:11 +0000)
@uk_james RT @clarkmike : ‘ @uk_james #OTalk CCGs who don’t use risk strat/predictive modelling could possibly run out of money – LTC costs in England = �70bn pa(Tue, 05 Feb 2013 20:49:15 +0000)
@claireOT What if we could present a case to local commissioners to provide a specific OT service for harder to hear groups? #OTalk (Tue, 05 Feb 2013 20:49:21 +0000)
@OTalk_Occhat Some tweeps having difficulty with the #OTalk , lets keep going… some still getting through.(Tue, 05 Feb 2013 20:49:28 +0000)
@kirstyes @Symbolic_Life @uk_james Yes, but I guess we still need that evidence about what the right therapy is. #OTalk (Tue, 05 Feb 2013 20:50:04 +0000)
@PresenceLearn @CharOTReilly @BillWongOT #OTalk Virtual learning with occupational therapy is definitely important for schools. http://t.co/xWf8Km0e (Tue, 05 Feb 2013 20:50:05 +0000)
@uk_james . @clarkmike @DHgovuk tell us LTCs account for 70% of #NHS and #socialcare spend #OTalk (Tue, 05 Feb 2013 20:50:07 +0000)
@BillWongOT @CharOTReilly sure… I just need to secure a position at USC first after I am done with my doctorate. #otalk (Tue, 05 Feb 2013 20:50:08 +0000)
@OTalk_Occhat RT @clarkmike : ‘ @uk_james #OTalk CCGs who don’t use risk strat/predictive modelling could possibly run out of money – LTC costs in England = �70bn pa(Tue, 05 Feb 2013 20:50:08 +0000)
@nchadborn @clarkmike @uk_james Is there robust evidence that risk strat does reduce costs? #otalk (Tue, 05 Feb 2013 20:50:15 +0000)
@claireOT RT @clarkmike : ‘ @uk_james #OTalk CCGs who don’t use risk strat/predictive modelling could possibly run out of money – LTC costs in England = �70bn pa(Tue, 05 Feb 2013 20:50:16 +0000)
@claireOT @clarkmike there seems to be some confusion on the #OTalk tag- people thinking it applies to individual interventions @uk_james (Tue, 05 Feb 2013 20:51:01 +0000)
@uk_james RT @OTalk_Occhat : Some tweeps having difficulty with the #OTalk , lets keep going… some still getting through.(Tue, 05 Feb 2013 20:51:04 +0000)
@uk_james . @OTalk_Occhat we’re a hardy lot! #OTalk
9 mins still to go….(Tue, 05 Feb 2013 20:51:48 +0000)
@claireOT @clarkmike risk stratification has meaning at population level- it is a probability measure, not applicable individually @uk_james #OTalk (Tue, 05 Feb 2013 20:51:56 +0000)
@claireOT @clarkmike I think I’ve got this right, but please do tell me if I’ve misunderstood?! #OTalk @uk_james (Tue, 05 Feb 2013 20:52:21 +0000)
@helen_whiteside @RobWebster_LCH @uk_james #OTalk if pharmacist not able to attend MDT meet we send our plan to the GP/ practice nurse to circ. to attendees(Tue, 05 Feb 2013 20:52:42 +0000)
@uk_james #OTalk people who would otherwise end up in hospital can get better outcomes by being identified early using risk stratification(Tue, 05 Feb 2013 20:52:50 +0000)
@OTalk_Occhat RT @uk_james : #OTalk people who would otherwise end up in hospital can get better outcomes by being identified early using risk stratification(Tue, 05 Feb 2013 20:53:20 +0000)
@uk_james . @kirstyes yes, health literacy and “activated” patients key
@HealthFdn have great resources on this #OTalk (Tue, 05 Feb 2013 20:54:07 +0000)
@OTalk_Occhat For anyone having problems, don’t forget we do not post to the blog for another 24hrs. So you can still input your thoughts. #OTalk (Tue, 05 Feb 2013 20:54:25 +0000)
@claireOT @uk_james so, we use computer models to add up risk, ie unmanaged diabetes+ obesity+unemployment= ++ risk? (Example!) #OTalk (Tue, 05 Feb 2013 20:55:08 +0000)
@CharOTReilly @Symbolic_Life @kirstyes @Nursey_JimBob @uk_james i think we R selling ourselves short, how can we b holisitic if we r solely MHOT? #otALK (Tue, 05 Feb 2013 20:55:11 +0000)
@uk_james . @Symbolic_Life @kirstyes @nursey_jimbob shouldn’t split MH and phys health – that’s the point of risk Strat. Non-condition specific #OTalk (Tue, 05 Feb 2013 20:55:13 +0000)
@BillWongOT @uk_james I think it’s part of our responsibility to help them in this department, especially for symptoms that are prone 2 relapse #otalk (Tue, 05 Feb 2013 20:55:19 +0000)
@clarkmike #OTalk Reason that Kaiser developed risk strat is that past history of hosp admissions is not good predictor of future – regression to mean(Tue, 05 Feb 2013 20:55:28 +0000)
@kirstyes @OTalk_Occhat yes my search seems to be stuck too. Boo #OTalk (Tue, 05 Feb 2013 20:55:37 +0000)
@uk_james RT @claireOT : @uk_james so, we use computer models to add up risk, ie unmanaged diabetes+ obesity+unemployment= ++ risk? (Example!) #OTalk (Tue, 05 Feb 2013 20:55:45 +0000)
@OTalk_Occhat Boo! RT @kirstyes : @OTalk_Occhat yes my search seems to be stuck too. Boo #OTalk (Tue, 05 Feb 2013 20:56:23 +0000)
@uk_james . @claireOT I think when we getter sophisticated at risk prediction models we’ll see diff factors included in scoring #OTalk (Tue, 05 Feb 2013 20:56:27 +0000)
@helen_whiteside @claireOT @clarkmike @uk_james it can do both #OTalk risk strat tool shows specific pts who then reviewed. commissioners use at global level(Tue, 05 Feb 2013 20:56:30 +0000)
@uk_james RT @helen_whiteside : @claireOT @clarkmike @uk_james it can do both #OTalk risk strat tool shows specific pts who then reviewed. commissioners use at global level(Tue, 05 Feb 2013 20:56:38 +0000)
@OTalk_Occhat RT @helen_whiteside : @claireOT @clarkmike @uk_james it can do both #OTalk risk strat tool shows specific pts who then reviewed. commissioners use at global level(Tue, 05 Feb 2013 20:56:51 +0000)
@claireOT Twitter, you are being very annoying. Cut it out. Love, all of us #OTalk #nurchat #lgovsm (Tue, 05 Feb 2013 20:57:00 +0000)
@uk_james . @helen_whiteside @claireot @clarkmike it can. I’ve seen used for both….. #OTalk (Tue, 05 Feb 2013 20:57:11 +0000)
@claireOT RT @clarkmike : #OTalk Reason that Kaiser developed risk strat is that past history of hosp admissions is not good predictor of future – regression to mean(Tue, 05 Feb 2013 20:57:15 +0000)
@Keeper85 @CharOTReilly @Symbolic_Life @kirstyes @Nursey_JimBob @uk_james to be holistic you don’t have to treat everything urself though #otalk (Tue, 05 Feb 2013 20:57:18 +0000)
@kirstyes @CharOTReilly @symbolic_life @nursey_jimbob @uk_james don’t think we can so why we need to fight when arguements come round. #OTalk (Tue, 05 Feb 2013 20:57:27 +0000)
@claireOT @helen_whiteside thanks, that makes sense #OTalk @clarkmike @uk_james (Tue, 05 Feb 2013 20:57:56 +0000)
@uk_james . @helen_whiteside @claireot @clarkmike was with a GP earlier looking at tool at individual level, tracking score change over time #OTalk (Tue, 05 Feb 2013 20:57:57 +0000)
@clarkmike @claireOT #OTalk There is an issue about anonymised hosp data/coding. Requires GP to unlock risk strat work to identify potential ind cases(Tue, 05 Feb 2013 20:58:03 +0000)
@NurChat RT @claireOT : Twitter, you are being very annoying. Cut it out. Love, all of us #OTalk #nurchat #lgovsm (Tue, 05 Feb 2013 20:58:10 +0000)
@claireOT @helen_whiteside I’m thinking about inclusion of economic and cultural risk factors, too #OTalk @clarkmike @uk_james (Tue, 05 Feb 2013 20:58:21 +0000)
@OTalk_Occhat ok Folks last few minutes of #OTalk , but do keep your thought coming.(Tue, 05 Feb 2013 20:58:24 +0000)
@claireOT @helen_whiteside are we anywhere near there, yet? #OTalk @clarkmike @uk_james (Tue, 05 Feb 2013 20:58:35 +0000)
@uk_james . @helen_whiteside @claireot @clarkmike in Kent we’ve cross matched #socialcare data with risk Strat profile at population level #OTalk (Tue, 05 Feb 2013 20:58:38 +0000)
@NurChat @claireOT Are you having issues on #OTalk as well? #NurChat (Tue, 05 Feb 2013 20:58:45 +0000)
@BillWongOT RT @helen_whiteside : @claireOT @clarkmike @uk_james it can do both #OTalk risk strat tool shows specific pts who then reviewed. commissioners use at global level(Tue, 05 Feb 2013 20:59:11 +0000)
@uk_james RT @OTalk_Occhat : ok Folks last few minutes of #OTalk , but do keep your thought coming.(Tue, 05 Feb 2013 20:59:23 +0000)
@uk_james My final thoughts on risk stratification #OTalk – huge potential to reduce unnecessary hospital admissions and improve quality of life(Tue, 05 Feb 2013 21:00:34 +0000)
@DearPharmacist RT @uk_james : My final thoughts on risk stratification #OTalk – huge potential to reduce unnecessary hospital admissions and improve quality of life(Tue, 05 Feb 2013 21:01:14 +0000)
@claireOT @uk_james love to chat more about it- I’m just starting develop data viz tools #OTalk @helen_whiteside @clarkmike (Tue, 05 Feb 2013 21:01:26 +0000)
@uk_james #OTalk Risk stratification tools vital to proactively identify people before a crisis occurs. All health and #socialcare staff need training(Tue, 05 Feb 2013 21:01:35 +0000)
@helen_whiteside #OTalk @Keeper85 @CharOTReilly @Symbolic_Life @kirstyes @Nursey_JimBob @uk_james plan inc. referral to specialists e.g. physio/nurse/clinic(Tue, 05 Feb 2013 21:01:39 +0000)
@OTalk_Occhat RT @uk_james : #OTalk Risk stratification tools vital to proactively identify people before a crisis occurs. All health and #socialcare staff need training(Tue, 05 Feb 2013 21:01:49 +0000)
@claireOT RT @uk_james : #OTalk Risk stratification tools vital to proactively identify people before a crisis occurs. All health and #socialcare staff need training(Tue, 05 Feb 2013 21:02:01 +0000)
@BillWongOT @uk_james yes… and that’s important to reduce length of stay, given the landscape we work in health care nowadays. #otalk (Tue, 05 Feb 2013 21:02:02 +0000)
@OTalk_Occhat RT @uk_james : My final thoughts on risk stratification #OTalk – huge potential to reduce unnecessary hospital admissions and improve quality of life(Tue, 05 Feb 2013 21:02:06 +0000)
@clarkmike @uk_james #OTalk Have you developed risk strat for potential care home admissions building on GL’s work at Nuffield Trust?(Tue, 05 Feb 2013 21:02:14 +0000)
@claireOT @uk_james bingo! So, what training is planned to help ordinary clinicians know and use this data? #OTalk (Tue, 05 Feb 2013 21:02:30 +0000)
@uk_james #OTalk Risk stratification only any good if we do something good with the info. Vital to create local MDTs in community based around GP prac(Tue, 05 Feb 2013 21:02:34 +0000)
@kirstyes @helen_whiteside @keeper85 @charotreilly @symbolic_life @nursey_jimbob @uk_james Why not include client as part of MDT up front? #OTalk (Tue, 05 Feb 2013 21:02:35 +0000)
@BillWongOT @Symbolic_Life @kirstyes @CharOTReilly @Nursey_JimBob @uk_james yes… very true. Hence, the first step is very important. #otalk (Tue, 05 Feb 2013 21:02:43 +0000)
@OTalk_Occhat RT @uk_james : #OTalk Risk stratification only any good if we do something good with the info. Vital to create local MDTs in community based around GP prac(Tue, 05 Feb 2013 21:02:53 +0000)
@uk_james #OTalk and individuals need to be given self care / self management skills to manage own LTCs(Tue, 05 Feb 2013 21:03:16 +0000)
@claireOT RT @uk_james : #OTalk Risk stratification only any good if we do something good with the info. Vital to create local MDTs in community based around GP prac(Tue, 05 Feb 2013 21:03:18 +0000)
@nchadborn @clarkmike Interested to talk more about anonymity/data issues #OTalk (Tue, 05 Feb 2013 21:03:26 +0000)
@Symbolic_Life @CharOTReilly @BillWongOT @uk_james Although! not every outcome measure will work for all #otalk (Tue, 05 Feb 2013 21:03:44 +0000)
@DearPharmacist @claireOT @uk_james Where do you all see the role of pharmacy in this. We are an untapped resource. #otalk (Tue, 05 Feb 2013 21:03:47 +0000)
@uk_james @kirstyes @helen_whiteside @keeper85 @charotreilly @symbolic_life @nursey_jimbob yes, patient should be seen as part of the team #OTalk (Tue, 05 Feb 2013 21:03:57 +0000)
@OTalk_Occhat Oh thats part 3 in April RT @uk_james : #OTalk and individuals need to be given self care / self management skills to manage own LTCs(Tue, 05 Feb 2013 21:04:04 +0000)
@kirstyes @anyadei having the same difficulty with #otalk .(Tue, 05 Feb 2013 21:04:07 +0000)
@nchadborn @uk_james mixing #socialcare data with risk stratification sounds good #OTalk (Tue, 05 Feb 2013 21:04:08 +0000)
@BillWongOT @nchadborn @clarkmike yes… given more and more facilities use electronic medical records. #otalk (Tue, 05 Feb 2013 21:04:23 +0000)
@uk_james RT @DearPharmacist : @claireOT @uk_james Where do you all see the role of pharmacy in this. We are an untapped resource. #otalk (Tue, 05 Feb 2013 21:04:24 +0000)
@Keeper85 @kirstyes @helen_whiteside @charotreilly @symbolic_life @nursey_jimbob @uk_james definitely! #otalk (Tue, 05 Feb 2013 21:04:36 +0000)
@OTalk_Occhat RT @DearPharmacist : @claireOT @uk_james Where do you all see the role of pharmacy in this. We are an untapped resource. #otalk (Tue, 05 Feb 2013 21:04:47 +0000)
@DearPharmacist @uk_james #otalk I am working on a couple of projects to help this. Where/how do I make contact to access tool?(Tue, 05 Feb 2013 21:04:52 +0000)
@claireOT @uk_james have you seen my new startup @Recovery4_Me ? Space for people in #mentalhealth #recovery #OTalk (Tue, 05 Feb 2013 21:04:58 +0000)
@RobWebster_LCH @OTalk_Occhat @uk_james any chance of summary given problems on the chat tonight #otalk :)(Tue, 05 Feb 2013 21:05:04 +0000)
@uk_james . @DearPharmacist @claireot role of pharmacist important – part of the community MDT. We’ll cover that on 5th March #OTalk (Tue, 05 Feb 2013 21:05:11 +0000)
@BillWongOT @kirstyes @anyadei same here in the US. There was like 20+ minutes of this chat went missing in the search. #otalk (Tue, 05 Feb 2013 21:05:38 +0000)
@uk_james RT @claireOT : @uk_james have you seen my new startup @Recovery4_Me ? Space for people in #mentalhealth #recovery #OTalk (Tue, 05 Feb 2013 21:05:43 +0000)
@helen_whiteside @uk_james : #OTalk Risk strat only good if we do something good with info. Vital to create local community MDTs based round GP prac” Agree(Tue, 05 Feb 2013 21:05:54 +0000)
@DearPharmacist RT @uk_james : . @DearPharmacist @claireot role of pharmacist important – part of the community MDT. We’ll cover that on 5th March #OTalk (Tue, 05 Feb 2013 21:05:56 +0000)
@claireOT @helen_whiteside depends what’s on C&B #OTalk @robwebster_lch @keeper85 @charotreilly @symbolic_life @kirstyes @nursey_jimbob @uk_james (Tue, 05 Feb 2013 21:06:05 +0000)
@kirstyes RT @uk_james : #OTalk Risk stratification tools vital to proactively identify people before a crisis occurs. All health and #socialcare staff need training(Tue, 05 Feb 2013 21:06:24 +0000)
@CharOTReilly thank you @uk_james , I learnt a lot from tonight’s #otalk on risk stratification(Tue, 05 Feb 2013 21:06:25 +0000)
@BillWongOT @CharOTReilly @Symbolic_Life @uk_james good idea. More ideas to connect with academia folks to collaborate. #otalk (Tue, 05 Feb 2013 21:06:37 +0000)
@uk_james . @MariWardahp that’s right – huge cost of residential and nursing care – often result of avoidable hosp admission #OTalk (Tue, 05 Feb 2013 21:07:08 +0000)
@kirstyes @DearPharmacist @claireot @uk_james agree. Loved having pharmacist in team I worked in. Integrated teams are wonderful. #OTalk (Tue, 05 Feb 2013 21:07:19 +0000)
@DearPharmacist @uk_james @claireOT Thanks will put in my diary. #otalk (Tue, 05 Feb 2013 21:07:44 +0000)
@uk_james Thanks everyone for tonight’s contributions to #OTalk on risk stratification(Tue, 05 Feb 2013 21:07:45 +0000)
@kirstyes RT @uk_james : #OTalk Risk stratification only any good if we do something good with the info. Vital to create local MDTs in community based around GP prac(Tue, 05 Feb 2013 21:07:58 +0000)
@clarkmike @nchadborn #OTalk – Nuffield Trust picked up the risk strat work when DH no longer supported it – plenty at http://t.co/H5JU6fiG (Tue, 05 Feb 2013 21:07:59 +0000)
@DearPharmacist RT @kirstyes : @DearPharmacist @claireot @uk_james agree. Loved having pharmacist in team I worked in. Integrated teams are wonderful. #OTalk (Tue, 05 Feb 2013 21:08:00 +0000)
@BillWongOT @Keeper85 @CharOTReilly @Symbolic_Life @uk_james yes… academia folks can develop a general model, but clinics can customize. #otalk (Tue, 05 Feb 2013 21:08:00 +0000)
@Helen_otuk #OTalk Thanks you to @uk_james for a great topic and for sticking with us through the difficulties – thanks to EVERYONE!(Tue, 05 Feb 2013 21:08:14 +0000)
@kirstyes RT @uk_james : #OTalk and individuals need to be given self care / self management skills to manage own LTCs(Tue, 05 Feb 2013 21:08:22 +0000)
@uk_james RT @clarkmike : ‘ @nchadborn #OTalk – Nuffield Trust picked up the risk strat work when DH no longer supported it – plenty at http://t.co/H5JU6fiG (Tue, 05 Feb 2013 21:08:22 +0000)
@Symbolic_Life RT @uk_james : My final thoughts on risk stratification #OTalk – huge potential to reduce unnecessary hospital admissions and improve quality of life(Tue, 05 Feb 2013 21:08:29 +0000)
@OTalk_Occhat RT @clarkmike : ‘ @nchadborn #OTalk – Nuffield Trust picked up the risk strat work when DH no longer supported it – plenty at http://t.co/H5JU6fiG (Tue, 05 Feb 2013 21:08:38 +0000)
@helen_whiteside @helen_whiteside @Keeper85 @CharOTReilly @Symbolic_Life @kirstyes @Nursey_JimBob @uk_james #OTalk pt gets chance 2 amend /change /agree plan(Tue, 05 Feb 2013 21:09:42 +0000)
@Symbolic_Life @uk_james agree! Also ‘supposedly’ the core purpose of OT.. Building coping strategies and empowerment! This model will support this! #otalk (Tue, 05 Feb 2013 21:09:45 +0000)
@Keeper85 @helen_whiteside @kirstyes @CharOTReilly @Symbolic_Life @Nursey_JimBob @uk_james clients are involved in MDT in my unit #otalk (Tue, 05 Feb 2013 21:09:56 +0000)
@uk_james @Helen_otuk phew!
Thanks to you too! #OTalk (Tue, 05 Feb 2013 21:10:03 +0000)
@Symbolic_Life RT @kirstyes : @DearPharmacist @claireot @uk_james agree. Loved having pharmacist in team I worked in. Integrated teams are wonderful. #OTalk (Tue, 05 Feb 2013 21:10:27 +0000)
@OTalk_Occhat @uk_james Great job! Busy chat even with the difficulties! Need to have a coffee now! #OTalk (Tue, 05 Feb 2013 21:10:52 +0000)
@claireOT Thanks for tonight’s #OTalk @uk_james , I got confused in the middle, and Twitter was rubbish, but it was STILL worth it!(Tue, 05 Feb 2013 21:10:57 +0000)
@clarkmike @uk_james #OTalk Link for some of the feasibility work on #socialcare risk strat (admission to care homes) http://t.co/buYkxiEa (Tue, 05 Feb 2013 21:10:58 +0000)
@BillWongOT RT @uk_james : . @kirstyes yes, health literacy and “activated” patients key
@HealthFdn have great resources on this #OTalk (Tue, 05 Feb 2013 21:11:07 +0000)
@claireOT Thanks @helenOT_UK for sterling work on the @OTalk_Occhat account tonight #OTalk (Tue, 05 Feb 2013 21:11:32 +0000)
@Nursey_JimBob @Keeper85 @helen_whiteside @kirstyes @charotreilly @symbolic_life @uk_james #OTalk that’s basic standard for all goal planning?(Tue, 05 Feb 2013 21:11:41 +0000)
@helen_whiteside RT @RobWebster_LCH : @OTalk_Occhat @uk_james any chance of summary given problems on the chat tonight #otalk :)(Tue, 05 Feb 2013 21:11:51 +0000)
@uk_james RT @clarkmike : #OTalk Link for some of the feasibility work on #socialcare risk strat (admission to care homes) http://t.co/PUJkIiJw #OTalk (Tue, 05 Feb 2013 21:11:59 +0000)
@Symbolic_Life #otalk i have been here for 30 minutes i have learnt SO much! Thank you @uk_james for a great topic proposal… #awesome (Tue, 05 Feb 2013 21:12:13 +0000)
@nchadborn @OTalk_Occhat @uk_james Thanks good to get OT opinions on statification! (says health researcher) #otalk (Tue, 05 Feb 2013 21:12:35 +0000)
@OTalk_Occhat YAY RT @Symbolic_Life : #otalk i have been here for 30 mins i have learnt SO much! Thank you @uk_james for a great topic proposal. #awesome (Tue, 05 Feb 2013 21:12:55 +0000)
@claireOT Special thanks to @clarkmike who managed to drop key links in for #OTalk and #nurchat at the same time! Bravo, sir!(Tue, 05 Feb 2013 21:13:46 +0000)
@claireOT RT @uk_james : Thanks everyone for tonight’s contributions to #OTalk on risk stratification(Tue, 05 Feb 2013 21:13:54 +0000)
@OTalk_Occhat More yay! RT @nchadborn : @OTalk_Occhat @uk_james Thanks good to get OT opinions on statification! (says health researcher) #otalk (Tue, 05 Feb 2013 21:14:00 +0000)
@helen_whiteside #OTalk @Helen_otuk @claireOT @uk_james thanks all tech hitch here too – not duress i saw all tweets or if mine arrived. date 4 nxt RS chat?(Tue, 05 Feb 2013 21:14:54 +0000)
@OTalk_Occhat multi tasking at it’s best! MT @claireOT : Special thanks to @clarkmike who managed to drop key links in for #OTalk and #nurchat ! Bravo, sir!(Tue, 05 Feb 2013 21:15:10 +0000)
@NurChat RT @claireOT : Special thanks to @clarkmike who managed to drop key links in for #OTalk and #nurchat at the same time! Bravo, sir!(Tue, 05 Feb 2013 21:15:34 +0000)
@kirstyes @CharOTReilly @uk_james yes thanks. Look forward to seeing (and probably critiquing ;0)) some of these tools. #OTalk (Tue, 05 Feb 2013 21:15:52 +0000)
@helen_whiteside RT @claireOT : Thanks @helenOT_UK for sterling work on the @OTalk_Occhat account tonight #OTalk (Tue, 05 Feb 2013 21:16:23 +0000)
@BillWongOT @Symbolic_Life @CharOTReilly @uk_james or you can select parts of a standardized assessment. #otalk (Tue, 05 Feb 2013 21:17:12 +0000)
@BillWongOT @Symbolic_Life @CharOTReilly @uk_james yes… and possibly combine that to make a quality study. #otalk (Tue, 05 Feb 2013 21:17:38 +0000)
@kirstyes @helen_whiteside @keeper85 @charotreilly @symbolic_life @nursey_jimbob @uk_james where online technology might come in useful?? #OTalk (Tue, 05 Feb 2013 21:17:54 +0000)
@kirstyes @claireOT @helen_whiteside Ah ha. Thanks. #OTalk (Tue, 05 Feb 2013 21:19:08 +0000)
@kirstyes @claireOT @helen_whiteside maybe another #otalk topic then ;0)(Tue, 05 Feb 2013 21:20:00 +0000)
@Symbolic_Life @BillWongOT @CharOTReilly @uk_james Logically, how many standardised asssessments are formally used in practice? Time restictions? #otalk (Tue, 05 Feb 2013 21:20:18 +0000)
@kirstyes @Nursey_JimBob @keeper85 @helen_whiteside @charotreilly @symbolic_life @uk_james well Wed like to think so but?…. #OTalk (Tue, 05 Feb 2013 21:21:25 +0000)
@BillWongOT @Symbolic_Life @CharOTReilly @uk_james BOT-2 and PDMS-2 are two common ones used in peds practice. #otalk (Tue, 05 Feb 2013 21:21:27 +0000)
@BillWongOT @Symbolic_Life @CharOTReilly @uk_james then there is also the VMI, Bayley… but that is dependent on what the facility has. #otalk (Tue, 05 Feb 2013 21:22:14 +0000)
@BillWongOT @Symbolic_Life @CharOTReilly @uk_james In mental health, a common one I think is the ACLS. #otalk (Tue, 05 Feb 2013 21:22:37 +0000)
@Nursey_JimBob @kirstyes @keeper85 @helen_whiteside @charotreilly @symbolic_life @uk_james #OTalk it’s the model we are trying to set up here(Tue, 05 Feb 2013 21:22:38 +0000)
@helen_whiteside #OTalk @Helen_otuk @claireOT @uk_james tool LSE used was Tribal. CCG then chose ACG(Tue, 05 Feb 2013 21:22:48 +0000)
@BillWongOT @Symbolic_Life @CharOTReilly @uk_james though I do heard that ACLS is also used in geriatric settings in some instances. #otalk (Tue, 05 Feb 2013 21:23:02 +0000)
@BillWongOT @Symbolic_Life @CharOTReilly @uk_james of course… clinical reasoning is involved when deciding what assessment to use. #otalk (Tue, 05 Feb 2013 21:23:51 +0000)
@clarkmike #OTalk Another link on the early PARR risk strat work done at the Kings Fund http://t.co/HZWkar4L (Tue, 05 Feb 2013 21:24:27 +0000)
@Nursey_JimBob @kirstyes @keeper85 @helen_whiteside @charotreilly @symbolic_life @uk_james #OTalk will do(Tue, 05 Feb 2013 21:24:56 +0000)
@Symbolic_Life @Nursey_JimBob @kirstyes @Keeper85 @helen_whiteside @CharOTReilly @Symbolic_Life @uk_james id really like to see that! #otalk (Tue, 05 Feb 2013 21:26:15 +0000)
@helen_whiteside @Helen_otuk @uk_james @RobWebster_LCH #OTalk LSE CCG med reviews in 4 practices. 80pts RV >135 med recommendations. breakdown on 1st 60…(Tue, 05 Feb 2013 21:30:07 +0000)
@Symbolic_Life @Helen_otuk I have no clue what that is? #OTalk (Tue, 05 Feb 2013 21:30:24 +0000)
@clarkmike #otalk Good slide deck from Kaiser (2007) on popln management for chronic conditions – good use of electronic records http://t.co/Zyos6oeA (Tue, 05 Feb 2013 21:31:39 +0000)
@helen_whiteside @helen_whiteside @Helen_otuk @uk_james @RobWebster_LCH #OTalk 35% stop/reduce med, 23% drug safety/efficacy monitoring needed e.g BP U&Es(Tue, 05 Feb 2013 21:31:54 +0000)
@Symbolic_Life @BillWongOT @charotreilly @uk_james they are but recently there is more a refocus of this in services. #OTalk (Tue, 05 Feb 2013 21:32:29 +0000)
@TheOTSIProject RT @OTalk_Occhat : YAY RT @Symbolic_Life : #otalk i have been here for 30 mins i have learnt SO much! Thank you @uk_james for a great topic proposal. #awesome (Tue, 05 Feb 2013 21:33:29 +0000)
@BillWongOT @Symbolic_Life @CharOTReilly @uk_james we don’t administer every assessment, we only administer ones that are necessary, right? #otalk (Tue, 05 Feb 2013 21:36:57 +0000)
@OTalk_Occhat RT @clarkmike : #otalk Good slide deck from Kaiser (2007) on popln management for chronic conditions – good use of electronic records http://t.co/Zyos6oeA (Tue, 05 Feb 2013 21:37:56 +0000)
@OTalk_Occhat RT @clarkmike : #OTalk Another link on the early PARR risk strat work done at the Kings Fund http://t.co/HZWkar4L (Tue, 05 Feb 2013 21:38:11 +0000)
@BillWongOT @Symbolic_Life @CharOTReilly @uk_james yes… but I think we shouldn’t take too much stock on 1 assessment sometimes. #otalk (Tue, 05 Feb 2013 21:45:47 +0000)
@BillWongOT @Symbolic_Life @CharOTReilly @uk_james I have heard stories where a child performed avg in 1 assessment, but below avg in another. #otalk (Tue, 05 Feb 2013 21:46:33 +0000)
@Symbolic_Life @kirstyes @charotreilly @uk_james il join you Kirsty! Theoretical link to practical application #fan ! #OTalk (Tue, 05 Feb 2013 21:46:36 +0000)
@helen_whiteside @uk_james @claireOT #OTalk yep aim is that interventions/ better care reduces score. prevent medium risk inc. to high, high to very high etc(Tue, 05 Feb 2013 21:46:41 +0000)
@Symbolic_Life @BillWongOT @charotreilly @uk_james yea we shouldn’t! But bill that’s what’s happening… #practical #OTalk (Tue, 05 Feb 2013 21:47:59 +0000)
@BillWongOT @helen_whiteside @uk_james @claireOT or in the case of FIM, it will be increasing independence levels. #otalk (Tue, 05 Feb 2013 21:48:19 +0000)
@BillWongOT @Symbolic_Life @CharOTReilly @uk_james good ethical dilemma I guess. #otalk (Tue, 05 Feb 2013 21:49:23 +0000)
@Symbolic_Life Nearly an hour after #OTalk has ended I’m still here? I’m outta! :-). Thanks again! #itsbeenemotional #attemptingtocharmOTalk !(Tue, 05 Feb 2013 21:49:39 +0000)
@BillWongOT @Symbolic_Life @CharOTReilly @uk_james sometimes I am not too confident in making claims. :p #otalk (Tue, 05 Feb 2013 21:50:29 +0000)
@SenKidsCharity CPD Workshops for OT’s < http://t.co/lIlwiNHm> #OTalk #ot #autism #dyspraxia #sensoryprocessing Pls RT(Tue, 05 Feb 2013 21:50:50 +0000)
@BillWongOT RT @SenKidsCharity : CPD Workshops for OT’s < http://t.co/lIlwiNHm> #OTalk #ot #autism #dyspraxia #sensoryprocessing Pls RT(Tue, 05 Feb 2013 21:51:24 +0000)
@MelieKate RT @uk_james : The old way of treating people on single disease pathways isn’t future-fit. Lots of people have 2 or more LTC’s #OTalk (Tue, 05 Feb 2013 21:51:33 +0000)
@aiysha89 RT @uk_james : My final thoughts on risk stratification #OTalk – huge potential to reduce unnecessary hospital admissions and improve quality of life(Tue, 05 Feb 2013 21:52:11 +0000)
@aiysha89 RT @claireOT : #OTalk I would like to see us move towards real-time analytics of changes in service provision to understand how they impact on communities(Tue, 05 Feb 2013 21:52:33 +0000)
@skk5874 RT @kirstyes : @DearPharmacist @claireot @uk_james agree. Loved having pharmacist in team I worked in. Integrated teams are wonderful. #OTalk (Tue, 05 Feb 2013 22:17:28 +0000)
@nchadborn @BillWongOT @CharOTReilly @Symbolic_Life @uk_james We need to talk more! Mutual benefit – academics & clinicians @CLAHRC_NDL #OTalk (Tue, 05 Feb 2013 22:27:01 +0000)
@BillWongOT @nchadborn @CharOTReilly @Symbolic_Life @uk_james @CLAHRC_NDL Agreed- this network will be a good start. #otalk (Tue, 05 Feb 2013 22:28:56 +0000)
@GentleChaos @Lyndsey_OT Other things that might interest you: #OTalk #occhat etc on Tuesdays. Catch up in the a.m xx(Tue, 05 Feb 2013 23:57:58 +0000)
@kennywong886 RT @BAOTCOT : Tonight’s @otalk_occhat is on long term conditions and risk stratification – follow #otalk from 8pm to see the chat…(Wed, 06 Feb 2013 00:14:53 +0000)
@OTalk_Occhat @jfaias : The OccupationalTherapists Daily is out! http://t.co/51MQOqOZ ? Top stories today via @OTalk_Occhat #OTalk #fallschat & more.(Wed, 06 Feb 2013 08:50:30 +0000)
@Helen_otuk @mgoat73 look forward to it. #OTalk (Wed, 06 Feb 2013 08:57:24 +0000)
@jacsonot RT @uk_james : . @kirstyes Kings Fund state that a third of people with LT phys health probs also have mental health problems #OTalk (Wed, 06 Feb 2013 12:07:07 +0000)
@jacsonot RT @uk_james : #OTalk Risk stratification tools vital to proactively identify people before a crisis occurs. All health and #socialcare staff need training(Wed, 06 Feb 2013 12:09:21 +0000)
@AllSpecialEd Wed. Blog DAY: ❤ @ruthmorgan55 Speech/OT groups-there’s a method to my madness! Gr8 4 Collab. #slpeeps #OTalk #spedchat http://t.co/p4W84Y66 (Wed, 06 Feb 2013 20:26:24 +0000)

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