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Glossary of Terms and Acronyms.

Framework for Measuring Impact (FfMI) – This website.  The FfMI has been developed using both clinical feedback and research evidence to help you measure the impact that your service is having on patient care.

Effectiveness – One of the key drivers that the FfMI is based on.  In the FfMI, effectiveness is defined as the amount of objective, measurable improvement in a pateint’s life or condition.

Efficiency - One of the key drivers that the FfMI is based on.  In the FfMI, efficiency is not concerned with directly measuring costs of service.  Instead we recommend measuring more clinically manageable outcomes, such as waiting lists.  These types of indicators can be reported to the appropriate individuals who will then be able to accurately assess cost.  Efficiency is therefore considered not just a financial concern, but is inseatd related to the overall running of the service.

Goal Setting – Goal setting aims to establish individual treatment goals with a patient.

Impact – any change that has been made to a service (or individual) based on a change in practice.  This can be linked to patient care, patient satisfaction with the service, the efficient running of a service, or a change in the way that the service works.  Generally impact is what you would be aiming to measure using the FfMI to guide you in the process.

Improvement Methods – This refers largely in the context of the FfMI to the ‘next steps’ (Stage 6 of the Framework) after you have collected your data and interpreted and reported your findings.  Improvement methods can help you to integrate your findings into practice and therefore use them to improve your service.

Measuring Impact/Impact Assessment – Assessing the difference that projects or service alterations have made to your staff, patients or the service as a whole.  This also is concerned with how and why these changes have been delivered.

Outcome – The outcome (‘end product’) of a particular aspect of service.  This can be the level of patient satisfaction with the service they received, the impact on waiting lists that a service change has made, or the outcome of a specific treatment or plan of action made with a patient on their condition.

Outcome Measure – In the context of the Framework we describe outcome measures as standardised, validated tools (often questionnaires) used to measure the outcome of a particular aspect of service or patient care.

Patient Experience – Information about a patient’s experience of the service.  Information such as how they were treated, whether they feel they received appropriate treatment, and whether they were satisfied.

Patient Outcome – Whether treatments have been successful in aiding the patient’s condition or their quality of life.  The change can be physical or a subjective change felt by the patient. 

Patient Centred Care - One of the key drivers that the FfMI is based on.  In the FfMI, person centred care is considered to involve the way in which the patient is treated; with the therapeutic relationship and mutual understanding and respect between the health care provider and the patient being key.

Process Evaluation/Implementation Evaluation - Assessing the implementation and delivery of a project or service evaluation to identify whether the project has met its aims and objectives, and what has made it successful (or otherwise!).  Stages 1 and 5 of the Framework give some guidance on recording this information and reporting it. 

Process Measure – Process measures evaluate an element of practice in the ‘real time’.  For example, performance during a consultation rather than after a treatment is complete.

Quality of Life (QoL) – The patient’s emotional, social and physical wellbeing.


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