Since 2014, the ACI has been responsible for leading the PRMs proof of concept program in NSW. The ACI has led the co-design, testing, refining and implementation into business as usual across NSW sites.
From October 2014 to 2018, several activities were undertaken to test, refine and implement various components of the PRMs program. This included:
- developing models of care to support PRMs in business as usual
- selecting validated PROM and PREM surveys
- determining clinical workflows
- education and training
- developing resources to build capability
- change management and implementation
- analysis of sustainability and scalability.
In 2017, a formative evaluation of the program resulted in key recommendations for future scalability and success:
- an information and communication technology (ICT) infrastructure
- technology that is easy to navigate, links to existing systems, does not duplicate other activities and will benefit patients and clinical staff
- identified PRMs champions
- localised PRMs training
- localised system training and support.
Following these evaluations, the ACI led the co-design of future requirements and functionalities of the HOPE system .
We are also focused on supporting local services and sites to implement PRMs, assisting administrative staff, clinicians, managers and health services.
PRMs have been implemented in a range of clinical settings in local health districts (acute care and hospital outpatients), community-based services and general practice across NSW. In particular, the focus has been diseases that are marked by morbidity but not necessarily mortality.
Some patient cohorts registered in PRMs include people living with chronic and complex conditions, such as:
- musculoskeletal conditions
- skin cancer
- drug and alcohol issues
- renal conditions
- respiratory, conditions
- cardiac conditions
Specific patient groups, such as older patients, have been registered.