Embedding the Activity Participation Outcome Measure within electronic healthcare records.

St Andrews Healthcare, a registered healthcare charity is the first service in the UK to embed the Activity Participation Outcome Measure (APOM) within the RIO electronic healthcare system. 

The practice context is within a registered mental healthcare Charity compiling of fifteen integrated practice units (IPU’s). IPU’s are specialised units with dedicated multi-disciplinary teams focusing on outcome driven care. L.Jeffries (Senior OT) initiated the project, working on Robinson ward, a recognised Centre of Excellence for use of the model in clinical practice between 2015-2019).  

The process began in April 2018 has evolved over an 18 month period, involving the following process:

  • Initial discussions with the Clinical and operational Leads 
  • Liaison with Business Analyst to investigate how the APOM data can be integrated into the outcomes dashboard which assists analysis against a wide range of measures, assessments and outcome measures. 
  • An MDT meeting held with Daleen Casteleijn, the designer of the APOM, to discuss practical and legal issues 
  • Drafting a Memorandum of Understanding (MoU) as an agreement for the licence of the APOM, costings and potential data sharing
  • Meeting held with the Charity's legal team to agree MoU
  • Licence purchased for use of the APOM 
  • Meeting held with IT to explore how the APOM could be embedded within the RIO system. Liaison with Daleen Casteleijn was essential to ensure RIO replicated the APOM as per Excel document. 

The APOM is now embedded within the RIO system, however there are restrictions for its use. 

Only qualified occupational therapists who have received the APOM training can have access to edit the document, however all other members of staff throughout the charity have access to view the record. 

L.Jeffries and the Business Analyst are now in the process of exploring ways to display the APOM data in to the charity's outcomes dashboard. Discussions have also taken place of potential analysis against other measures used within the charity, for example Honos, HCR-20 and START. 

If you would like any further information please contact ljeffries@standrew.co.uk 


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