In 2014, the ACI was tasked with developing a solution (a proof of concept) that would enable NSW Health to capture timely feedback from patients about their healthcare experiences and outcomes. Ultimately, this would help to inform improvements across the health system.
The ACI has led the co-design, testing, refinement and implementation of a Patient Reported Measures (PRMs) Program across NSW Health.
The design of the PRMs Program is ongoing. At the centre of this is the ACI’s approach to using co-design to ensure all aspects of the program are designed, planned and implemented with consumers, clinicians and health managers.
The diagram below outlines the timeline and key milestones for developing the PRMs Program.
Patient Reported Measures Program development timeline
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
Proof of concept sites commence collection of PRMs
Four local health districts (LHDs) self-selected to implement PRMs as early adopters. More
PRMs team commences capability development
The ACI PRMs team formally commences the capability development required to support large scale change and adoption of PRMs across NSW.More
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
Value-based healthcare vision articulated for NSW Health, including 8 Value Based Health Care initiatives identified for PRMs
8 initiatives for PRMs scoped. More
PRMs program formative evaluation
The 2017 the ACI PRMs Program formative evaluation resulted in key recommendations for future scalability More
Business case to support statewide roll-out of PRMs
The ACI PRMs team worked on formalising a business case to support world-leading processes, systems and person-centred care.
Proof of concept embedded as business as usual across sites
Data collection methods and technologies were embedded as business as usual across sites and services in NSW to collect and use PROM and PREM data.
Workshops with key stakeholders to refine user requirements
Procurement process to identify a preferred candidate to commence the initial build of the PRM platform ‘Health Outcomes and Patient Experience (HOPE)’. More
Recruitment of 32 PRM program leads to support local change and adoption
Recruitment, onboarding and capability training for 32 full-time PRM leads across local health districts, specialty health networks and primary care to support the change and adoption activities. More
Implementing PROMs into clinical practice across NSW
Mixed methods evaluation of the first year and publication of the PRM Data Governance and Management Framework.
Statewide strategic program reset, including governance and e-enablement
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.
Greater involvement and co-design opportunities for clinicians, consumers and managers in the PRM program
Change and adoption strategies expand, including publication of the Guidelines for analysis of patient-reported outcome measures. More
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 about HOPE
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.
PRM Monitoring and Evaluation framework published
Monitoring and Evaluation framework published, detailing process and outcome evaluation of the PRM Program.
Business Case for Phase 2 and 3
Business case for the continued development of HOPE. The business case includes scope for the integration of HOPE with eMR, and GP desktop.