title: Engaging the hearts and minds of clinicians in outcome measurement - the UK Rehabilitation Outcomes Collaborative approach.
abstract: OBJECTIVE
  This article explores the rationale for choosing the instruments included within the UK Rehabilitation Outcomes Collaborative (UKROC) data set. Using one specialist neuro-rehabilitation unit as an exemplar service, it describes an approach to engaging the hearts and minds of clinicians in recording the data.
  
  
  CONCLUSIONS
  Measures included within a national data set for rehabilitation should be psychometrically robust and feasible to use in routine clinical practice; they should also support clinical decision-making so that clinicians actually want to use them. Learning from other international casemix models and benchmarking data sets, the UKROC team has developed a cluster of measures to inform the development of effective and cost-efficient rehabilitation services. These include measures of (1) "needs" for rehabilitation (complexity), (2) inputs provided to meet those needs (nursing and therapy intervention), and (3) outcome, including the attainment of personal goals as well as gains in functional independence.
  
  
  CONCLUSIONS
  By integrating the use of the data set measures in everyday clinical practice, we have achieved a very high rate of compliance with data collection. However, staff training and ongoing commitment from senior staff and managers are critical to the maintenance of effort required to provide assurance of data quality in the longer term.
authors.affiliation: King's College London School of Medicine, Department of Palliative Care, Policy and Rehabilitation, London, UK. lynne.turner-stokes@dial.pipex.com
authors.forename: Lynne
authors.initials: L
authors.lastname: Turner-Stokes
authors.forename: Heather
authors.initials: H
authors.lastname: Williams
authors.forename: Keith
authors.initials: K
authors.lastname: Sephton
authors.forename: Hilary
authors.initials: H
authors.lastname: Rose
authors.forename: Sarah
authors.initials: S
authors.lastname: Harris
authors.forename: Aung
authors.initials: A
authors.lastname: Thu
mesh_terms: D001291:Attitude of Health Personnel; D003299:Cooperative Behavior; D003625:Data Collection / Q000295:instrumentation / Q000379:methods*; D003657:Decision Making; D006801:Humans; D017063:Outcome Assessment, Health Care / Q000379:methods / Q000592:standards; D011594:Psychometrics; D012046:Rehabilitation / Q000379:methods* / Q000458:organization & administration; D015203:Reproducibility of Results; D006113:United Kingdom