The development of a streamlined, coordinated and sustainable evaluation methodology for a diverse chronic disease management program

Abstract

Background. The Northern Alliance Hospital Admission Risk ProgramChronic Disease Management comprises 13 services delivering care to those with chronic disease and older people with complex care needs, who are frequent hospital users. Aims. To develop and implement a system-wide approach to the evaluation of this existing program. Methods. The Northern Clinical Research Centre audited all existing, routinely collected administrative data within the program and then met with each service to develop service specific outcome measures. The evaluators then developed and implemented a system-wide evaluation approach to measure performance in terms of: client profile; access and entry; service effi..