Value Compass Worksheet Form PDF Details

Do you ever feel lost or unsure of how to stay true to yourself and the values that matter most? If so, then our Value Compass Worksheet Form can help. It provides an easy-to-follow, 15-question exercise that helps guide your goals and decisions based on your core beliefs and convictions. We know life throws all kinds of challenges at us and it’s easy to become overwhelmed with various work responsibilities, family obligations, or financial pressures. That's why this worksheet form is designed to provide direction and clarity through identifying personal values - thereby creating a course of action tailored specifically for you!

QuestionAnswer
Form NameValue Compass Worksheet Form
Form Length2 pages
Fillable?No
Fillable fields0
Avg. time to fill out30 sec
Other namesclinical value compass to measure outcomes, clinical value compass, clinical value compass worksheet, act values compass worksheet

Form Preview Example

Clinical Value Compass Worksheet, Side A

OUTCOMES Select a population

 

(specify patient population)

 

 

AIM

What's the general aim? Given our wish to limit or reduce the illness burden for "this type" of patient, what are the desired results?

 

 

 

 

TIPS: Path Forward

Worksheet purpose: To identify measures of outcomes/costs that contribute most to the value of care.

1.Select a clinically significant population.

2.Assemble small interdisciplinary team.

3.Use brainstorming or nominal group technique to generate "long" list of measures

4.Start with west (clinical) on the compass and go clockwise around the compass.

5.Use multivoting to identify "short" list of 4 to 12 key measures of outcomes and costs.

6.Determine what data are needed versus what data can be obtained in real time at affordable cost.

7.Use side B of worksheet to record names and definitions of selected measures of value.

VALUE Select starter set of outcomes/cost measures

Functional

Physical function

Mental health

Social/Role

Other (eg, pain, health risk

Clinical

 

 

Satisfaction

Mortality

 

 

Health care delivery

Morbidity

 

 

 

 

Perceived health

 

 

 

Complications

 

 

benefit

 

 

 

 

 

 

 

Costs

Direct medical

Indirect social

Copyright 1995 Dartmouth Hitchcock Clinic

Clinical Value Compass Worksheet, Side B

SPECIFIC OPERATIONAL DEFINITIONS for key outcome and cost measures

TIPS: Writing Definitions

Aconceptual definition is a brief statement describing a variable of interest. It should tell people what you want to measure and who "owns" it.

An operational definition is a clearly specified method for reliably sorting, classifying, or measuring a variable. It should be written as an instruction set, or protocol, that would enable two different people to measure the variable, by using the same process and thereby producing the same result. It should explain to people how a variable should be measured.

Variable name and brief conceptual definition

Source of data and operational definition

A.

Owner:

B.

Owner:

C.

Owner:

D.

Owner:

E.

Owner:

F.

Owner:

G.

Owner:

H.

Owner:

Copyright 1995 Dartmouth Hitchcock Clinic