Evaluation of a system redesign and clinical improvement

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Evaluation of a system redesign and clinical improvement

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Evaluation of System Redesigns and Clinical Improvements

Key questions or programme aims

What improvements has the service redesign or clinical improvement made?
Has the patient journey improved?
Review the outcomes and system redesign process.

Evaluation of System Redesigns and Clinical Improvements
Key questions/Programme aims What questions will identify if the programme is achieving its aims?	Outcomes/Programme logic What difference do we aim to make? What do we expect to achieve? Who will benefit?	Indicators How will we know if progress is tracking well? What changes will we look for? What indicators will help answer our key questions?	Methods/Data sources What data will we collect and how?
What improvements has the service redesign or clinical improvement made?	Improved: Patient outcomes Patient flow Health equity Clinical relationships (primary, secondary, tertiary) Reduced: Costs Variation in care	Pathway-dependent Consider: Referral quality Patient experience Resources used, e.g. testing Community care rates	Pathway audits Referral audits Feedback: Allied health Hospitals SMEs/CEs Clinicians Health system metrics Hospitals NGOs Allied health
Has the patient journey improved? Has patient access to specialist care improved? Have patient outcomes improved?	Patient perspectives	Pathway-dependent	Feedback from patient experience units
	Patient outcomes	Pathway-dependent	Hospital metrics (pre and post)
	Clinician opinions	Qualitative feedback from clinicians	Surveys Interviews Feedback
	Has patient access to specialist care improved?	Wait times Did not attend (DNA) rates First specialist assessment, surgery, follow-up rates	Hospital metrics (pre and post)
Review the outcomes and system redesign process. Were the desired or expected outcomes achieved? Were there unexpected or negative outcomes? What lessons were learnt during the process? Can they be shared? Was this the correct approach? Would you change anything if you had to do it again?	Patient perspectives	Pathway-dependent	Feedback from patient experience units
	Impacts and outcomes Differences between actual and pseudo pathways	Pathway-dependent	Pathway-dependent
	Clinician opinions	Interviews with key clinical and non-clinical leaders Qualitative feedback from clinicians	Surveys Interviews Feedback: Allied health Hospitals SMEs/CEs Clinicians