Patient Care Flashcards
Patient Experiences - Best Practice
- Tangible (People, equipment)
- Reliability (Provides service)
- Responsive (Prompt service)
- Assurance (Knowledgeable, inspires trust)
- Empathy (Individualized care)
Needs Assessment
- Find Resources
- Identify Target Audience
- Determine Viability
Steps to Plan Implementation
- Services (What are we providing)
- Staff (Which team members are implementing service)
- Practice (Local practice environment)
- Community (External environment, outside of practice)
- System (Overall health system)
Steps to Plan Implementation
- Barriers
- Services (Costs)
- Staff (Training)
- Practice (Patient demographics, accessibility)
- Community (Proximity to services, competition)
- System (Costs, taboo)
Implementation plan cycle
Plan –> Do –> Study –> Act –> Plan…
Implementation Plan Process
- Assess situation
- Determine barriers
- Find facilitators
- Develop individualized approach for practice setting
- Full scale roll out
- Monitoring and Follow Up
- Review barriers and facilitators
Types of Evaluations
Proof of Concept / Pilot Program:
- Was the service successful, should it be fully rolled out
Implementation:
- How closely did the actual implementation align with the plan
Process / Program
- Evaluation to guide program development in early stages of implementation
Outcome
- Measures the impact and determines the worth/value of the service
Factors Within Evaluation
- Reach / Penetration
- Fidelity
- Feasibility
- Service Implementation Efficiency
- Appropriateness
- Acceptability
- Cost of Implementation
Reach / Penetration
Number of people acquiring service
Fidelity
How accurate was the service to the plan
Feasibility
How well is the service carried out in practice
Service Implementation Efficiency
As service frequency increases will provider experience improve
Appropriateness
Does the service fit the needs of the community
Acceptability
Are the stakeholders satisfied
Cost of Implementation
What are the costs of the ongoing service
Internal Evaluators
- Pros and Cons
Pros: Lower costs, less threatening, enhances the sharing of information
Cons: Lack of evaluation skills, Bias in favouring the program
External Evaluators
- Pros and Cons
Pros: More objective, specialized in evaluation, more time efficient
Cons: Lack of practice site context, perceived bias, intimidating to staff
ECHO Model
Economic Outcomes
- Revenue and Expenses
- Typically quantitative
Clinical Outcomes
- Lab values, Adherence rate, Follow-up rate
- Typically quantitative, can be qualitative
Humanistics Outcomes
- Quality of life, satisfaction
- Typically qualitative, can be converted into quantitative
Dissemination
Disscuss results of evaluation
- Who is your audience
- Will stakeholders be involved
- Purpose of evaluation
- Will data be published (Needs ethics approval)
- Challenges in practice environment
