Are we measuring the outcome of the change continuously?
Welcome to measurement, one of the eight components of the
Measuring the outcome of change continuously is crucial to provide
evidence that the change is happening and the desired results are
being achieved. This component covers the requirement to have
effective measurement of outcomes and outputs, how measurement
works, including the difference between measurement for
improvement, for judgement and for research. It also covers the
need to identify and collate relevant data.
Using appropriate measurement techniques ensures that success
can be celebrated, remedial action can be taken to mitigate risk
and the unforeseen consequences can be dealt with promptly. At the
start of any change it is important to plan for expected benefits
and return on investment as the change progresses benefits realised
must be measured to demonstrate the effectiveness of the change.
Making data available to the public increases patient power and
choice and, ethically, it is the right thing to do. Comparative
data, in particular, is a key driver for change.
Resources to support this component -
Measurement frameworks for large scale
The NHS Institute's Leading large scale change - A practical
guide tells the story of what the NHS Academy for Large Scale
Change learnt and how you can apply these principles within your
own health and healthcare setting. Chapter three gives measurement
frameworks for large scale change.
improvement expert - How to Become an Improvement Measure
Expert in 60 Minutes and the A-Z of measurement
This guide is designed to offer an interactive introduction to
the topic of improvement measurement, and features signposting to
experts and key resources.
Seven steps to
This short video describes seven key steps to effective
Evidence and evaluations
This website, collated by the NICE, gives many examples of good
Measuring safety culture
This evidence scan from the Health Foundation provides a brief
overview of some of the tools available to measure safety culture
and climate in healthcare.
Overcoming challenges to improving quality
Lessons from the Health Foundation's improvement programme
evaluations and relevant literature. Identifies 10 key challenges
to improvement and suggests ways to overcome them. The following is
relevant to the theme of Measurement: Challenge 3: Getting data
collection and monitoring systems right. This always takes much
more time and energy than anyone anticipates. It's worth investing
heavily in data from the outset. External support may be required.
Assess local systems, train people, and have quality assurance.
Engagement cycle case
studies where return on investment has been measured
Advice on how to involve patients in measuring their
Patient Safety Assessment Tool
The Manchester Patient Safety Framework (MaPSaF) is a tool to
help NHS organisations and healthcare teams assess their progress
in developing a safety culture. MaPSaF uses critical dimensions of
patient safety and for each of these describes five levels of
increasingly mature organisational safety culture.
The dimensions relate to areas where attitudes, values and
behaviours about patient safety are likely to be reflected in the
organisation's working practices. For example, how patient safety
incidents are investigated, staff education, and training in risk
management. There are different tools for different health