History of the PRMs program

The Patient Reported Measures Program began in 2014 as a proof of concept to help NSW Health capture timely feedback from patients about their healthcare experiences and outcomes.

Since then, the program has evolved through co-design, testing, and implementation across the state.  At the heart of its development is a commitment to partnering with consumers, clinicians and health managers to ensure PRMs are meaningful, practical and impactful.

Program timeline

Explore the interactive timeline below to see how the PRMs Program has grown, from early pilots to statewide rollout and integration with clinical systems.

Key milestones include:
  • 2015: Early adopters begin collecting PRMs
  • 2017: PRMs embedded into routine care
  • 2019: HOPE platform development begins
  • 2021: HOPE implementation commences
  • 2023: Integration with electronic medical records

Patient Reported Measures Program development timeline

  • 2014

  • October 2014

    ACI PRMs program development and Integrated Care Strategy announced

    The ACI was tasked with co-designing, testing, refining and implementing a statewide patient-reported measures proof of concept. More

  • 2015

  • February 2015

    Proof of concept sites commence collection of PRMs

    Four local health districts (LHDs) self-selected to implement PRMs as early adopters. More

  • 2016

  • February 2016

    PRMs team commences capability development

    The ACI PRMs team formally commenced the capability development required to support large scale change and adoption of PRMs across NSW.More

  • 2017

  • June 2017

    PRMs proof-of-concept nearing completion

    The proof of concept saw rapid expansion and growth of PRMs across NSW for the routine and systematic collection of PRMs to drive service improvement, service delivery and improved outcomes for patients. More

  • July 2017

    Value-based healthcare vision articulated for NSW Health

    Eight value-based healthcare initiatives identified for PRMs and scoped. More

  • August 2017

    PRMs Program formative evaluation

    The ACI PRMs Program formative evaluation resulted in key recommendations for future scalability. More

  • September 2017

    Business case to support statewide roll-out of PRMs

    The ACI PRMs team developed a business case to support world-leading processes, systems and person-centred care.

  • 2018

  • September 2018

    Proof of concept embedded as business as usual across sites

    PRM data collection methods and technologies were embedded across NSW sites and services to routinely collect and use PROM and PREM data.

  • November 2018

    Workshops with key stakeholders to refine user requirements

    Procurement process commenced to identify a preferred candidate to commence the initial build of the PRM platform ‘Health Outcomes and Patient Experience (HOPE)’.More

  • 2019

  • February 2019

    Recruitment of 32 PRM Program leads to support local change and adoption

    Recruitment, onboarding and capability training completed for 32 full-time PRM leads across local health districts, specialty health networks and primary care to support the change and adoption activities. More

  • June 2019

    Implementing PROMs into clinical practice across NSW

    Mixed methods evaluation of the first year and publication of the PRM Data Governance and Management Framework.

  • October 2019

    Statewide strategic program reset, including governance and e-enablement

  • 2020

  • February 2020

    Revised business case to articulate the needs of NSW Health in a PRM program and platform completed

    Governance committees realigned to support broader system objectives. New PRM Platform build of HOPE commences.

  • May 2020

    Greater involvement and co-design opportunities for clinicians, consumers and managers in the PRM program

    Change and adoption strategies expanded, including publication of the Guidelines for analysis of patient-reported outcome measures. More

  • 2021

  • February 2021

    Implementation of HOPE begins February 2021

    A phased approach to rolling out HOPE commenced in Feb 2021, this commenced with launching the Minimum Viable Product (MVP) release. Through an iterative process, co-design with key stakeholders has since enabled the release of Phase 1 and Co-HOPE Phase. More

  • May 2021

    Aboriginal Health proof of concept sites commence collection of PRMs

    Three local health districts (LHDs) commenced a proof-of-concept model implementing collection of PRMs, enabled by HOPE in the Aboriginal Health Aunty Jeans programs across their LHDs.

  • August 2021

    PRM Monitoring and Evaluation framework published

    Monitoring and Evaluation framework published, detailing process and outcome evaluation of the PRM Program.

  • December 2021

    Business Case for Phase 2

    A business case was developed for further HOPE enhancement, including EMR integration, development of new cohorts and surveys, and platform usability improvements.

  • 2022

  • June 2022

    Business case and implementation of Co-HOPE

    Successful business case to improve outcomes and experiences for people with Long COVID, this work also supported Collaborative Commissioning programs across all LHDs and PHNs in response to the COVID-19 pandemic.More

  • 2023

  • February 2023

    Phase 2.1a begins: HOPE and eMR integration

    Successful business case to commence Phase 2 integration across NSW LHDs from 21 February 2023 for endorsed cohorts.More

  • June 2023

    Aboriginal Health Data Sovereignty Framework

    The ACI and KOWA Collaboration developed a Data Sovereignty Framework for use in the PRMs Program.

  • 2024

  • February 2024

    100,000 Patient Reported Measures collected on HOPE

    The program celebrated the milestone of 100,000 Patient Reported Measures collected through the HOPE platform.

  • March 2024

    Phase 2.1b begins

    Phase 2.1b expanded HOPE’s capability with four new clinical cohorts, onboarding functionality for Justice Health and Forensic Mental Health Network, a new statewide manager role within the Reporting Portal, seven additional surveys, and more than 50 enhancements and performance improvements.

  • July 2024

    New PRM videos for CALD consumers released

    Videos explaining PRMs were released in six languages to support culturally and linguistically diverse consumers, families, and carers.

  • 2025

  • March 2025

    Phase 2 Process Evaluation begins

    A Phase 2 process evaluation commenced, focusing on the technical integration of the HOPE platform with the EMR, building on findings from the initial evaluation.

  • April 2025

    PRMs Aboriginal Health Impact Statement revised

    The Aboriginal Health Impact Statement (AHIS) was revised to strengthen alignment with NSW Health priorities and ensure PRMs continue to support culturally safe and person-centred care through ACI Strategy 2: Engaging – Partnering with agility.

  • September 2025

    200,000 Patient-Reported Measures collected on HOPE

    The program celebrated the milestone of 200,000 PRMs collected through the HOPE platform.

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