As new care pathways and services are introduced to support integrated care, there is a clear need to ensure that the changes are having the desired effect on quality of care, cost of care, access and citizen experience. This supports the concept of evidence-based investment, where the impact of each change is evaluated, ideally by health economists working in universities or in special agencies. Health technology assessment (HTA) is an important method here, and can be used to justify the cost of scaling up good practices to regional or national level.
- Establishing baselines (on cost, quality, access etc.) in advance of new service introduction.
- Systematically measuring the impact of new services and pathways using appropriate methods (e.g., observational studies, incremental improvement, clinical trials).
- Generating evidence that leads to faster adoption of good practice.
Indicators of maturity:
Academic institutes and agencies with experts in health economics and HTA; published health impact measurements; measurable care cost/quality improvements.
- No routine evaluation
- Evaluation exists, but not as a part of a systematic approach
- Evaluation established as part of a systematic approach
- Some initiatives and services are evaluated as part of a systematic approach
- Most initiatives are subject to a systematic approach to evaluation; published results
- A systematic approach to evaluation, responsiveness to the evaluation outcomes, and evaluation of the desired impact on service redesign (i.e., a closed loop process).