Table 3

Professional quotes on integrating the model during RMoC implementation experience

Integrating the model
The metricsDifficult to see value
I found it hard to understand how the outcome measures of the measurement tools that we needed to use applied to the Model of Care. … [I was] excited that we were kind of there and what more we were going to learn, but didn’t quite get the connection of how the two roles blended with the Model of Care.’ (Focus Group 7 Participant)
Some metrics problematic
I think the issue with some of the mandatory indicators is there’s not a lot of play in it. So if you’re already scoring a nine or a ten from day one, where is the challenge? And that’s what I see as a scorecard is like as team can we then use that to challenge ourselves, push ourselves even further into client-centred-ness? But we’re stuck to those and I don’t want to add in another outcome measure right onto our clients’ back.’ (Focus Group 10 Participant)
Access to data
There was just a lot of trouble getting information back about it, so it was really hard for staff and unit perspective because we’d have loved to have given it back to staff. But it took probably like eight nine ten months to get any bulk number back in order to support staff by giving them that feedback and so that was really rough.’ (Focus Group 5 Participant)
Model vs programmeNovelty
If they didn’t have a strong understanding of the Model it kind of came out as well in those expressions of interest because they weren’t necessarily linked really strongly with the Model. But we were also learning what the Model was as well. … So I felt quite a long time for me to get from starting the position and the teams coming on to really feeling I’m fairly solid in what the Model meant, so that was challenging.’ (Focus Group 11 Participant)
One or other
‘I still to this day we haven’t had any formal orientation or information on the rehab Model of Care. All of a sudden this new one was shared with us by the way it flashed up on the screen at the last learning session this is what we’re doing now and I remember asking okay so can you provide us with documents like you did for the original community rehab model of care so we can understand what’s different. … Don’t tell us to roll something out if you’re not providing us with the information. You may theoretically understand it but how does it work at a practical level?’ (Focus Group 7 Participant)
‘I think probably the most challenging was just the paperwork part because like we scaled down what we were giving them initially ‘cause we do need data about just kind of where they’re coming from, just health issue stuff and then to add on all the other stuff because we already do an outcome measure pre and post.’ (Focus Group 6 Participant)
Available informationAvoid extraneous info
We do not clutter our minds with things that do not concern us.’ (Focus Group 9 Participant)
Team lead access
It feels like there’s been certain players that have contributed to ILC. So certain members of the team. But it hasn’t been dispersed amongst all members of the team, so I know certain people we will attend meetings and that kind of thing but doesn’t necessarily involve the whole team.’ (Focus Group 4 Participant)
In-person memorable
And for me I really like the face to face way better than the Skype and doing all these learning sessions on webinar. Again when your one or two people in a room and you’re looking at this outcome measure that you’ve never seen and they’re using all their analytic, and yeah you’re like what? That was a little bit overwhelming. I feel like a face to face and working through that in a group would have been better, but that’s just my learning style.’ (Focus Group 1 Participant)
  • RMoC, Rehabilitation Model of Care.