Womens Health Business Case Report

4.1.2 Going Forward - Proposed Outcomes Framework & Reporting NSW Health’s Commissioning for Better Value approach aims to shift the focus in health care from outputs to outcomes. The Women’s Health sector recognises that consistent assessment of improvements in health outcomes is critical to demonstrating effectiveness and the ongoing value of services. COVID disruptions hampered collaborative work with the Ministry of Health to develop standard outcomes focused measures for the Women’s Health Program, roll-out of a consistent KPI framework to Local Health Districts, and implementation of outcome assessment processes and tools across Women’s Health Centres. Despite this, Women’s Health Centres have made some progress with the introduction of both validated and non-validated tools to assess a range of Patient Reported Outcomes Measures (PROMs) and Patient Reported Experience Measures (PREMs).

EXAMPLE: Sydney Women’s Counselling Centre Sydney Women’s Counselling Centre provides trauma-informed, integrated counselling for clients with complex co-occurring D&FV, Mental Health issues, and Child and Adult Sexual Assault issues. The longer-term counselling program continues to provide regained stability and increased personal capacity to better manage clients’ own mental health, domestic & family violence and past trauma, and PTSD. Validated Tools Validated outcome measurement tools (K10 and DASS21) are used to track PROMs. Results from 2021-22 are shown below: K10 Result following # Sessions Initial 10 20 50 75 100 125 Average Score 42 19 17 8 6 5 3 % Improvement from Initial 54% 59% 81% 86% 89% 93% Non-Validated Tool Sydney Women’s Counselling Centre also uses a non-validated survey to assess both PROMs and PREMs relating to key presenting issues. 2021-22 results from this survey (shown below) indicate that clients experienced significant short- term and medium-term improvements in health and wellbeing. The degree to which Counselling has helped you to: Significantly Moderately Not at all NA Actively Solve Problems 71% 29% 0% Reduce Unhelpful Behaviours 67% 33% 0% Manage Depression Better 74% 24% 2% Manage Anxiety Better 79% 21% 0% Improve Relationships 81% 17% 2% Improve Capacity to Engage in Work/ Study 74% 26% 0% Improve Parenting Skills 90% 10% 0% Manage Financial Situation Better 52% 40% 7% Manage Overall Health Better 67% 33 0% Be Less Reliant on Meds/Hospital Admissions 24% 12% 2% 62% Feel Safer from Violence 86% 14% 0% Engage Better with Social Supports 67% 33% 0% Improve your understanding of D&FV 88% 12% 0% K10 Result following # Sessions Initial 10 17 20 17 50 10 75 100 125 Average Score % Improvement from Initial 46 6 4 3 63% 62% 79% 86% 91% 93%

Patient Reported Outcomes Measures (PROMs) - directly reported by the patient without interpretation by a clinician or anyone else and pertain to the patient’s health, quality of life, or functional status associated with care, treatment, support or education delivered. Patient Reported Experience Measures (PREMs) - questions asking service receivers to describe what happened during their experience with health- related services. Beneficial to understanding areas for continuous improvement in service delivery.

Improve your understanding of the Impacts of D&FV on Yourself/Children Improve the level of Safety for Yourself / Children from D&FV Leave an Abusive Relationship Seek Police Intervention for D&FV Engage with Other D&FV Services Manage Your Life Better After Leaving D&FV Relationship

89%

16% 0%

81%

19%

0%

68% 45% 68% 81%

32% 0% 55% 0% 32% 0% 19% 0%

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Sustainable Investment in the NSWNGOWomen’s Health Program