Developing an evaluation framework for clinical redesign programs: lessons learnt
Journal of Health Organization and Management
ISSN: 1477-7266
Article publication date: 19 September 2016
Abstract
Purpose
The purpose of this paper is to present lessons learnt through the development of an evaluation framework for a clinical redesign programme – the aim of which was to improve the patient journey through improved discharge practices within an Australian public hospital.
Design/methodology/approach
The development of the evaluation framework involved three stages – namely, the analysis of secondary data relating to the discharge planning pathway; the analysis of primary data including field-notes and interview transcripts on hospital processes; and the triangulation of these data sets to devise the framework. The evaluation framework ensured that resource use, process management, patient satisfaction, and staff well-being and productivity were each connected with measures, targets, and the aim of clinical redesign programme.
Findings
The application of business process management and a balanced scorecard enabled a different way of framing the evaluation, ensuring measurable outcomes were connected to inputs and outputs. Lessons learnt include: first, the importance of mixed-methods research to devise the framework and evaluate the redesigned processes; second, the need for appropriate tools and resources to adequately capture change across the different domains of the redesign programme; and third, the value of developing and applying an evaluative framework progressively.
Research limitations/implications
The evaluation framework is limited by its retrospective application to a clinical process redesign programme.
Originality/value
This research supports benchmarking with national and international practices in relation to best practice healthcare redesign processes. Additionally, it provides a theoretical contribution on evaluating health services improvement and redesign initiatives.
Keywords
Acknowledgements
This research was undertaken by the University of Western Sydney (UWS) in partnership with the Royal Adelaide Hospital. The authors would like to extend their appreciation to the project participants for their contributions to this project.
Citation
Samaranayake, P., Dadich, A., Fitzgerald, A. and Zeitz, K. (2016), "Developing an evaluation framework for clinical redesign programs: lessons learnt", Journal of Health Organization and Management, Vol. 30 No. 6, pp. 950-970. https://doi.org/10.1108/JHOM-07-2015-0109
Publisher
:Emerald Group Publishing Limited
Copyright © 2016, Emerald Group Publishing Limited