Clinical indicators

Evidence-based clinical outcome indicators have been uncommon in occupational health. A series of new indicators have been developed for MoHaWK based on the best available evidence.

It is relatively easy to measure inputs to OH processes. The challenge has been to identify outcome indicators. A great deal of published evidence has been reviewed. From this a number of potential indicators were identified. These were considered by the clinical governance group and those that were neither robust nor practicable were discarded. Initially five clinical indicators were identified and these were then refined by further work and additional consultation.

The evidence-based clinical indicators that have been agreed are:

  • Work adjustments: Temporary or permanent modification of work arrangements should be considered for employees who have been absent from work attributable to sickness for four weeks or more.
  • Timely advice: After referral of an individual to occupational health, the individual should be seen promptly and the manager should receive timely written advice from the occupational health department.
  • Patient Satisfaction: All patients seen in occupational health departments should be afforded a high quality of care in accordance with outpatients in other medical specialties.
  • Manager Satisfaction: Written reports from occupational health departments to managers should be of sufficient quality to assist with the occupational management of the employee.
  • Post-exposure prophylaxis (PEP): Workers sustaining a needle stick injury with a high risk of HIV exposure should receive PEP within 60 minutes.
  • Hepatitis B immunity: Workers at risk of occupational exposure to hepatitis B should have their response to vaccine confirmed having completed a course of immunisation.
  • Varicella immunity: Healthcare workers with a negative or uncertain history of chickenpox and shingles should be tested for VZV antibodies

These evidence-based indicators are the foundation of MoHaWK. Other indicators are gradually being introduced to measure medium term patient outcomes, service activity, and resources.

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