The consumer should be involved in: Consenting to program participation. The selection of program options. The design of resident determined goals (e.g. by using SMART Goals – refer below). Signing off on the Therapy Care Plan. Consumer feedback as part of the evaluation. SMART goals provide a guide for the health professional on how to develop (resident informed) goals and outcomes that will fit into a quality improvement approach, ensuring that the collected information is functional and fit for multiple purposes. SMART goals describe what the resident wants out of the Therapy Program, and will also be capable of forming part of an objective outcome measure. Recommendation: Information on SMART goals be inserted into the R-ACFI Assessment Pack. SMART goals (Project Smart, 2017) are an example of a standardised approach to goal setting with measurable outcomes. The acronym SMART stands for: Specific – they provide clarity, focus and direction. A specific goal identifies exactly what is intended to be achieved, not just a general intention. Measurable – objective measures are used to demonstrate the effectiveness of the goal. These are things you can ‘measure’ as improvements rather than just having a hunch that things are improving. Action-oriented – the actions provide a strategy to achieve the goals, and are part of the Care Plan. Realistic – they are to be achievable. Failure to achieve goals can impact on the resident’s motivation, interest and participation. The goal must match with the known situation. They should be realistic. Achievement of small goals can provide motivation and pleasure. Time-based – they should be current for a specific period of time. These goals can be measured at intervals, and re-evaluated on an ongoing basis. Goals need to have a time frame to determine the timing of the evaluation. Therapy Program and an Accountability Framework Does a Therapy Program belong under the accreditation standards or should it be audited with ACFI validation? The quality of a Therapy Program could be audited by both the Quality Agency and, for funding accountability purposes, via the ACFI RO validation activities. Audit criteria for the Therapy Program could include evidence of: Evidence-based assessments. Consumer involvement. Documented program delivery. Documented individualised Therapy Programs. Clearly defined and measurable goals. Documented regular evaluations of the program effectiveness (including resident and family feedback).
The consumer should be involved in: Consenting to program participation. The selection of program options. The design of resident determined goals (e.g. by using SMART Goals – refer below). Signing off on the Therapy Care Plan. Consumer feedback as part of the evaluation. SMART goals provide a guide for the health professional on how to develop (resident informed) goals and outcomes that will fit into a quality improvement approach, ensuring that the collected information is functional and fit for multiple purposes. SMART goals describe what the resident wants out of the Therapy Program, and will also be capable of forming part of an objective outcome measure. Recommendation: Information on SMART goals be inserted into the R-ACFI Assessment Pack. SMART goals (Project Smart, 2017) are an example of a standardised approach to goal setting with measurable outcomes. The acronym SMART stands for: Specific – they provide clarity, focus and direction. A specific goal identifies exactly what is intended to be achieved, not just a general intention. Measurable – objective measures are used to demonstrate the effectiveness of the goal. These are things you can ‘measure’ as improvements rather than just having a hunch that things are improving. Action-oriented – the actions provide a strategy to achieve the goals, and are part of the Care Plan. Realistic – they are to be achievable. Failure to achieve goals can impact on the resident’s motivation, interest and participation. The goal must match with the known situation. They should be realistic. Achievement of small goals can provide motivation and pleasure. Time-based – they should be current for a specific period of time. These goals can be measured at intervals, and re-evaluated on an ongoing basis. Goals need to have a time frame to determine the timing of the evaluation. Therapy Program and an Accountability Framework Does a Therapy Program belong under the accreditation standards or should it be audited with ACFI validation? The quality of a Therapy Program could be audited by both the Quality Agency and, for funding accountability purposes, via the ACFI RO validation activities. Audit criteria for the Therapy Program could include evidence of: Evidence-based assessments. Consumer involvement. Documented program delivery. Documented individualised Therapy Programs. Clearly defined and measurable goals. Documented regular evaluations of the program effectiveness (including resident and family feedback).
acfi_review_report_part_2_main_report.docx