Table 2 |
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|
Application of the model for improvement in the enrolled process redesign projects |
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|
Key elements of the model for improvement |
Specific and measurable aims (N)1 |
Measures of improvement1 |
Key changes1,2,3 |
PDSA1,3 |
Effect measurement (collaborative goals reached?)?4 |
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|
Provided by external change agent |
Established by the project team |
Evidence for improvement (one-stop-shop) implemented in redesign? |
Supplied change concepts used? |
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|
No. |
Patient Group |
Outcome |
Inter-mediate |
Outcome |
Process and/or intermediate |
Yes/No |
Comments |
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|
|
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|
1. |
Acute stomach complaints |
+ (1) |
+ |
n.a. |
+ |
+ |
- |
n.a. |
+ |
- |
- (?) |
|
2. |
Breast cancer |
- (0) |
+ |
+ |
- |
- |
- |
Already implemented |
+ |
- |
- (?) |
|
3. |
Breast cancer |
+ (1) |
- |
- |
- |
- |
- |
Already implemented |
+ |
. |
- (?) |
|
4. |
Chronic Obstructive Pulmonary Disease |
+ (1) |
+ |
- |
- |
+ |
- |
One-stop-shop is no solution for the existing bottleneck |
+ |
+ |
- (?) |
|
5. |
Colon cancer |
+ (4) |
+ |
+ |
+ |
- |
+ |
- |
+ |
- |
- (?) |
|
6. |
Colon cancer |
+ (1) |
+ |
+ |
- |
- |
+ |
- |
+ |
- |
- (?) |
|
7. |
Colon cancer |
- (0) |
+ |
+ |
+ |
- |
+ |
- |
+ |
+/-* |
- (?) |
|
8. |
Head- and neck cancer |
+ (7) |
+ |
+ |
+ |
+ |
+ |
- |
+ |
- |
- (?) |
|
9. |
Hematuria |
+ (2) |
+ |
+ |
- |
- |
+ |
- |
+ |
. |
- (?) |
|
10. |
Lung cancer |
+ (2) |
+ |
- |
+ |
- |
+/- |
Three-stop-shop |
+ |
+ |
- (?) |
|
11. |
Oesophageal atresia (children) |
- (0) |
+ |
n.a. |
- |
- |
- |
n.a. |
+ |
- |
- (?) |
|
12. |
Open Chest Surgery |
+ (6) |
+ |
n.a. |
+ |
+ |
- |
n.a. |
+ |
- |
- (?) |
|
13. |
Small Orthopaedic interventions |
+ (2) |
+ |
+ |
+ |
+ |
+ |
- |
+ |
+ |
- (?) |
|
14. |
Small Orthopaedic interventions |
+ (3) |
+ |
+ |
- |
+ |
+ |
- |
+ |
+ |
- (?) |
|
15. |
Benign Prostate Hypertrophy |
+ (2) |
+ |
+ |
- |
- |
+ |
- |
+ |
- |
+ (+) |
|
16. |
Colon cancer |
+ (5) |
+ |
+ |
+ |
- |
+/- |
Three-stop-shop |
+ |
- |
+ (+) |
|
17. |
Varicose veins |
+ (5) |
+ |
+ |
- |
- |
+ |
- |
+ |
- |
+ (+) |
|
|
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|
1 Data source: survey among project staff members. 2 Data source: survey among project leaders. 3 Data source: interviews among project staff members. 4 Data source: Sneller Beter database. + Yes, - No, . missing data, n.a. non applicable, because project only involves in-hospital care. * This project team used PDSA for testing and implementing a selection of the changes. |
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|
Vos et al. Implementation Science 2010 5:19 doi:10.1186/1748-5908-5-19 |
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