Table 1 Overview of healthcare redesign phases [6]
From: An academic perspective of participation in healthcare redesign
Phase | Overview | |
|---|---|---|
1 | Mapping | Detailed view of the existing processes, includes role delineation, responsibilities and what is happening as a patient moves through a healthcare service |
2 | Diagnosis | All 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 |
3 | Solutions | Involves 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 |
4 | Implementation | The 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 |
5 | Evaluation | Following 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 |