furthermore the fee schedule as it stands does not fully address improving care and creating new care options for very long stay patients reimbursement could cover a wider but more specific range of treatments and services for example psychological talking therapy participation in community engagement projects or art or music therapy sessions the fee schedule could also be used to pay for services in hospitals that would help facilitate safe and earlier discharge and help improve quality of care this programme has seen some success with a positive effect on patient outcomes which were measured carefully oecd a