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.
Program timeline
The diagram below outlines the timeline and key milestones for developing the PRMs Program.
Patient Reported Measures Program development timeline
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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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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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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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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, including 8 Value Based Health Care initiatives identified for PRMs
8 initiatives for PRMs scoped. More
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August 2017
PRMs program formative evaluation
The 2017 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 worked on formalising a business case to support world-leading processes, systems and person-centred care.
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September 2018
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.
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November 2018
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
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February 2019
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
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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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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 expand, including publication of the Guidelines for analysis of patient-reported outcome measures. More
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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 about HOPE
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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
Business case for the continued development of HOPE. This business case included scope for the integration of HOPE with electronic medical records across all LHDs and SHNs, development of new cohorts and surveys on HOPE, and HOPE enhan cements to improve usability.
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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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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 Evaluation
The ACI and KOWA Collaboration commence the Aboriginal Health PRM Proof of Concept Evalutation, and the development of a data sovereignty framework.