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Table 1 Overview of healthcare redesign phases [6]

From: An academic perspective of participation in healthcare redesign

PhaseOverview
1MappingDetailed view of the existing processes, includes role delineation, responsibilities and what is happening as a patient moves through a healthcare service
2DiagnosisAll the information from the mapping is pulled together to determine where problems exist and why; a step-by-step questioning process opens up the current systems and allows processes to be defined and issues revealed
3SolutionsInvolves more clinical input, although a research component is necessary to ensure evidence-based solutions; during this phase, the opinions of all stakeholders is required to develop ways of moving forward and of improving the current systems as diagnosed in the first phase of redesign
4ImplementationThe most difficult step – implementing the novel solutions previously identified; involves combining project management skills with managing the human dimension of change in a complex healthcare system
5EvaluationFollowing implementation of solutions, an evaluation process must be put in place to measure the redesign outcomes; this may be patient outcomes, organisational outcomes or other quality and safety outcomes