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
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2014
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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
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2015
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February 2015
Proof of concept sites commence collection of PRMs
Four local health districts (LHDs) self-selected to implement PRMs as early adopters. More
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2016
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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
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2017
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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
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July 2017
Value-based healthcare vision articulated for NSW Health
Eight value-based healthcare initiatives identified for PRMs and scoped. More
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August 2017
PRMs Program formative evaluation
The ACI PRMs Program formative evaluation resulted in key recommendations for future scalability. More
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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.
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2018
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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.
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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
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2019
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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
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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.
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October 2019
Statewide strategic program reset, including governance and e-enablement
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2020
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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.
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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
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2021
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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
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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.
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August 2021
PRM Monitoring and Evaluation framework published
Monitoring and Evaluation framework published, detailing process and outcome evaluation of the PRM Program.
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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.
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2022
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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
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2023
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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
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June 2023
Aboriginal Health Data Sovereignty Framework
The ACI and KOWA Collaboration developed a Data Sovereignty Framework for use in the PRMs Program.
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2024
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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.
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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.
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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.
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2025
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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.
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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.
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September 2025
200,000 Patient-Reported Measures collected on HOPE
The program celebrated the milestone of 200,000 PRMs collected through the HOPE platform.