Goal Attainment Scaling

What is Goal Attainment Scaling?

Scoring system to assess/report on outcomes

Clients make the goals in collaboration with providers

Scores based on goal outcomes 5 levels of outcomes

Five Point Scale

Five Point Scale

Increase mobility and weight bearing capacity

Cannot walk around the block at all with or without an aid at

3 months

Walk around the block once per week with use

of aid at 3 months

Walk around the block two times per week with use of

an aid at 3 months Walk around the block three times per week using the aid

sparingly at 3 months

Walk around the block three times per week without

an aid at 3 months

Rehabilitation Assessment

Life Satisfaction Indicators (LSI) are identified by client

LSI creates a snapshot of the client’s satisfaction with life

LSI results assist with the Rehabilitation Assessment

Rehabilitation Plan with Scaling

Goals are made for Rehabilitation Plan based on Assessment

Up to 4 Goals 5 levels of outcomes

are defined for each goal and activities identified

Plan Progress

Goals are reassessed as required

LSI is completed6 monthly

Plan Closure

Final score given for each goal

A final LSI is completed

Success = expected outcome (0) or better (+1,+2)

Expected Benefits

Better engagement with clients

Clearer plan for clients

Clients take ownership of their goals

Clients have better understanding of rehabilitation process

Effects on Current Process

Minimal impact on DVA Staff, as providers establish the goals with clients and monitor progress

Once familiarity with process is established, minimal cost impact

Links to DVA Towards 2020

Goal Attainment Scaling is a whole-of-person rehabilitation tool

Client has direct input to their own goals

Providers can develop individualised plans for clients

Links to DVA Towards 2020

Enables reporting on the effectiveness of different types of rehabilitation

DVA can identify areas for improvements from client goal scores

Target relevant changes for implementation

Links to DVA Towards 2020

Improved communication with providers about client rehabilitation

Detailed reporting about client rehabilitation progress

New and Amended Forms

One new form D9230 Life Satisfaction Indicators & five current forms amended (see following slides)

Refer Chapter 15 Goal Attainment Scaling in DVA’s online Rehabilitation Library - http://clik.dva.gov.au/rehabilitation-library

Also visit DVA’s Rehabilitation website – http://www.dva.gov.au/health-and-wellbeing/rehabilitation

D9230 new formLIFE INDICATORS

- completed by client at rehabilitation assessment, 6 month plan progress and at plan closure

Refer to Chapter 15 Goal Attainment Scaling in CLIK

D9230 new form (cont.)JOB INDICATORS

- completed by client at rehabilitation assessment, 6 month plan progress report and at plan closure

Refer to Chapter 15 Goal Attainment Scaling in CLIK

D1334 amended form

- add Life Satisfaction Indicators data

Refer to Chapter 15 Goal Attainment Scaling in CLIK

D1347 amended form

- add Goal Attainment Scaling data (up to four goals)

Refer to Chapter 15 Goal Attainment Scaling in CLIK

D1336 amended form

- add Goal Attainment Scaling data (up to four goals)

Refer to Chapter 15 Goal Attainment Scaling in CLIK

D1330 amended form

- add Life Satisfaction Indicators data

Refer to Chapter 15 Goal Attainment Scaling in CLIK

D1335 amended form

- add Life Satisfaction Indicators data

Refer to Chapter 15 Goal Attainment Scaling in CLIK

D1335 amended form (cont.)- add Goal Attainment Scaling data

- convert Scaling scores by using Conversion Table

Refer to Chapter 15 Goal Attainment Scaling in CLIK

D1335 amended form (cont.)

Goal Attainment Scaling Scores Conversion Table

Refer to Chapter 15 Goal Attainment Scaling in CLIK