We ended last Wednesday's piece with a portfolio approach to Long Term Conditions. Just to reiterate, this will help to align individual projects to the overall strategic aims of the health economy, organisation, and workstream.
We'd just defined the main benefits across the whole workstream (World Class Commissioning competencies in brackets):
- quality of life (WCC 3)
- care per £ (WCC 5, 9, 11)
- units of appropriate care delivered (WCC 2, 7, 8)
- coverage of target population (WCC 3, 5, 10)
- future improvements (WCC 8, 10, 11)
- staff retention and recruitment (WCC 4)
Taking one particular area, COPD (Chronic Obstructive Pulmonary Disorder - respiratory disease)
In this case, for each of the high-level benefits listed, a benefit can also be measured within the COPD area:
|High Level Benefit||in COPD|
|Quality of life|
|Care per £|
|Units of care delivered|
|Coverage of total population|
|Future Improvements|| |
|Staff retention & recruitment|
Individual projects within COPD, such as 'Stop Smoking', 'Pulmonary Rehabilitation', 'Home Management' etc) will record improvements to one or more of these benefits.
The benefits from each individual project can be aggregated (for example, if there are 120 fewer people smoking after 12 months than there were at the start, there will always be a question how many were as a result of 'Stop Smoking' which saw 200 clients, and how many as part of 'Get Active', 'Healthy Eating' or any number of other initiatives which could have an impact? The numbers from each programme can't always be added together) and make their contribution. The combined contribution to eg User Experience (to use the four quadrants from earlier) will make a contribution to the overall PE (Patient Experience, another name for User Experience) measure across the whole health economy.
Reporting back - next