Key questions or programme aims
Referral Audits
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Key questions/Programme aims
What questions will identify if the programme is achieving its aims?
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Outcomes/Programme logic
What difference do we aim to make?
What do we expect to achieve?
Who will benefit?
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Indicators
How will we know if progress is tracking well?
What changes will we look for?
What indicators will help answer our key questions?
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Methods/Data sources
What data will we collect and how?
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Establish a baseline of referral quality.
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- Develop audits and surveys, and obtain baseline data for care within the clinical streams undergoing evaluation
- Log all issues being addressed via team/SME negotiation or the CWG process
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- Review feedback
- Pathway-dependent
- Consider:
- Referral decline rates
- First specialist assessment, surgery, and follow-up rates
- Quality of referral information
- Reduced testing
- Wait times
- Did not attend (DNA) rates
- Community care rates
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- Feedback:
- Key clinical and non-clinical leaders
- CWGs
- HP programme team
- Hospital metrics (pre and post)
- Referral audits (pre and post)
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Quantify the benefits of the change:
- Is the service aligned with best practice?
- Has referral quality improved?
- Have costs reduced?
- Has care in the community increased?
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Identify:
- improvements in:
- referral quality
- E-referrals
- the wider health system
- health equity
- reductions in variation of care
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- Review feedback
- Pathway-dependent
- Consider:
- Referral decline rates
- First specialist assessment, surgery, and follow-up rates
- Quality of referral information
- Reduced testing
- Wait times
- Did not attend (DNA) rates
- Community care rates
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- Feedback
- Key clinical and non-clinical leaders
- CWGs
- HP programme team
- Hospital metrics (pre and post)
- Referral audit (pre and post)
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Determine which referral education and engagement activities are effective.
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- Increased engagement with HP by health professionals (primary and secondary clinicians)
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- Improved user experience
- User feedback on HP's impact on the quality of consultations
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- Referral audits (pre and post)
- Feedback
- Surveys
- Workgroups
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- Identify effective education and engagement activities
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- Number of promotional activities
- Estimated reach of communications
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- HP programme team
- Feedback
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Positive trends in number of:
- Page views
- Users
- Sessions
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- Determine the effect of education and engagement activities on referral quality
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- Referral quality
- Change in decline rates
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- Referral audits (pre and post)
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- Has the patient journey or experience improved?
- Have patient outcomes improved?
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- Feedback from patient experience units
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- Has patient access to specialist care improved?
- Has the patient journey improved?
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- Review feedback
- Pathway-dependent
- Consider:
- Wait times
- Did not attend (DNA) rates
- First specialist assessment, surgery, and follow-up rates
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- Feedback:
- GPs
- Specialists
- Allied health
- Hospitals
- SMEs/CEs
- Clinicians
- Hospital metrics
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