What Users Want –a Perspective From a Project Business Owner Kevin-morris ACHRF 2011

7/23/2019 What Users Want a Perspective From a Project Business Owner Kevin-morris ACHRF 2011

1/14

What Users Want A Perspective

from a Project Business Owner

Kevin MorrisDirector of Clinical Services

ACC


2/14

What do I need research

evidence for? Purchasing decisions

Health economics modelling

Statistical analysis of claim duration, cost,trends

Survey of stakeholder opinion

Programme evaluation


3/14

Evaluation Challenges

Behaviour is complex changing it is difficult

Systems are complex there are multipleplayers

Data may not be reliable

Management want simple answers


4/14

Better @ Work


5/14

The Issue in 2010/11

Capacity for work certification does not fitexpected norms

20,000 clients certified as Fully Unfit for 1 monthor more

15,000 had exceeded MDA optimum

10,000 had exceeded MDA maximum


6/14

Chance of Returning to Workafter workplace injury:

70% if off for 20 days



Johnson D, Fry T. Factors Affecting Return to Work after Injury:A study for the Victorian WorkCover Authority Melbourne.Melbourne Institute of Applied Economic and Social Research;2002


7/14

Better @ Work

Evidence based

Paradigm Shift

Behaviour change through Outcome BasedPayments

Collaboration


8/14

Collaboration

Employers Employees/Unions

Practitioners

International Input


9/14

Better @ Work Process

GP consultation

Referral & Certification eACC18

Local Coordinator

Handover from coordinator to case manager atnegotiated time if incapacity ongoing

Local agreements with Emergency and A&Mclinics

Outcome & Fee for Service payments


10/14


11/14

Outcomes Wanted

Fewer Employees certificated as fully unfit bypractitioners

Accommodation at workplace

All parties are satisfied with the process


12/14

Methodology - Difference in

Difference The impact of a policy on an outcome can be

estimated by computing a double difference, oneover time (before-after) and one across sites

(between B@W and not B@W)

If average sample data is available for B@W andnot B@W for at least two time periods, the DID

method produces estimates of impacts that arein principle more plausible than those based ona single difference (either over time or betweengroups).


13/14

Statistically Significant Results

Certification of FFSW vs FUF increased by 4.5%overall

WC cost for claims that lasted 90 180 daysdecreased by 21%


14/14

Behaviour Change Findings

Financial Incentives were not the primarymotivator

Role of RTWC key for both GPs and Employers

eACC18 essential mechanism

All parties satisfied

What Users Want –a Perspective From a Project Business Owner Kevin-morris ACHRF 2011

Documents

Transcript of What Users Want –a Perspective From a Project Business Owner Kevin-morris ACHRF 2011