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Developing an evaluation framework for clinical redesign programs: lessons learnt.

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Summary
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Developing an evaluation framework for clinical redesign in Australian hospitals improved patient journeys. Key lessons include using mixed-methods research and progressively applying the framework for better healthcare outcomes.

Keywords:
Balanced scorecardBusiness process managementClinical designEvaluationPatient journey

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Area of Science:

  • Healthcare Management
  • Health Services Research
  • Process Improvement

Background:

  • Clinical redesign programs aim to enhance patient care and hospital efficiency.
  • Improving discharge practices is crucial for a seamless patient journey.
  • Australian public hospitals face challenges in optimizing patient flow and satisfaction.

Purpose of the Study:

  • To present lessons learned from developing an evaluation framework for a clinical redesign program.
  • To improve patient journey through enhanced discharge practices in an Australian public hospital.
  • To connect resource use, process management, patient satisfaction, and staff well-being with program aims.

Main Methods:

  • Analysis of secondary data on discharge planning pathways.
  • Analysis of primary data, including field notes and interview transcripts.
  • Triangulation of data sets to develop the evaluation framework using business process management and a balanced scorecard.

Main Results:

  • The evaluation framework successfully linked measurable outcomes to inputs and outputs.
  • Mixed-methods research was vital for framework development and process evaluation.
  • Appropriate tools and progressive application of the framework were essential for capturing change.

Conclusions:

  • The developed evaluation framework supports benchmarking healthcare redesign initiatives.
  • The study contributes theoretically to evaluating health services improvement.
  • Progressive development and application of evaluation frameworks are valuable for clinical redesign.