Insights on the effectiveness of reward schemes from 10‐year longitudinal case studies in 2 Italian regions.

Vainieri, Milena; Lungu, Daniel Adrian; Nuti, Sabina

doi:10.1002/hpm.2496

Cited by 9 publications

(7 citation statements)

References 61 publications

(136 reference statements)

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“…The choice of whom should be involved earliest is also important: involving recognised leaders, champions, and influencers can help in engaging other colleagues and collaborators. Other managerial mechanisms can be used to improve this viral effect, such as reputation or the inclusion of PROMs data into the performance evaluation systems .The comparison of performance within a community of professional practice as well as through public disclosure of performance benchmarking can result in improved performance.…”

Section: Discussionmentioning

confidence: 99%

Implementing successful systematic Patient Reported Outcome and Experience Measures (PROMs and PREMs) in robotic oncological surgery—The role of physicians

Lungu

Pennucci

Rosis

et al. 2019

Health Planning & Management

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Int J Health Plann Mgmt. 2020;35:773-787. wileyonlinelibrary.com/journal/hpm 773 change in their relationship and communication with patients, as clinicians accept to have their job reviewed and are not afraid to be evaluated by their patients. K E Y W O R D S patient reported experience measures, patient reported outcome measures, PREMs, PROMs, robotic surgery 1 | BACKGROUND After the approval of the da Vinci Surgical System in 2000 by the Food and Drug Administration (FDA), the past two decades have been characterised by the increased diffusion of such systems and the manufacturer's data show that as of 30 September 2017, there was an installed base of 4271 units worldwide, of which more than 60% in the USA, followed by Europe and Asia 1-3 . Although initially it was employed mainly for urologic procedures (namely radical prostatectomy), the evolution of both the surgical technique and the technology made possible the introduction of robotic surgical systems to a broader range of surgical specialties: cardiac, colorectal, general surgery, gynaecology, head and neck, and thoracic surgery.At the same time, there was a rise in the oncological conditions (OCs) that pose a great challenge to health care systems due to their increasing prevalence and expenditure. Indeed, cancer is the second leading cause of death worldwide behind cardiovascular diseases. In 2015, there were 17.5 M cancer cases worldwide, an increase by 33%with respect to 2005, and 8.7 M deaths 4,5 . However, the recent developments in personalised medicine, the continuous progress of cancer research, and the advance of mini-invasive surgical techniques have raised hope for patients and considerably improved cancer survival 6-9 . At the same time, the increasing cost of cancer treatments leads to an ongoing debate regarding both the equity and the affordability of care from individual and societal perspectives 10,11 .The continuously growing number of oncological procedures delivered by means of robotic surgical systems and the controversial debate regarding their cost-effectiveness with respect to traditional surgery led to the need of performance measurement systems to evaluate the effects of treatments, including surgery, that are able to go beyond the traditional clinical view of mortality and complications rates [12][13][14][15] . Beside the objective outcome measurements evaluated by clinicians, there are also subjective measures such as patient satisfaction, quality of life, and patient experience.PROMs have received increased attention as a useful tool to evaluate the effects of treatments and the outcomes of patients who underwent robotic oncological surgery, as the importance of the patient's perspective on disease impact has been increasingly recognised 16 . PROMs data have been initially introduced in clinical trials in order to integrate the clinical data with the people's subjective perception of their health status and health-related quality of life 17 . Most studies present the results of clinical trials and focus on radical prostatec...

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Section: Discussionmentioning

confidence: 99%

Implementing successful systematic Patient Reported Outcome and Experience Measures (PROMs and PREMs) in robotic oncological surgery—The role of physicians

Lungu

Pennucci

Rosis

et al. 2019

Health Planning & Management

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“…Furthermore, this specific level of data reporting can indicate to managers the variability of performance between wards and services [42]. This internal benchmarking is an important activity for improving the patient experience [23] and reducing internal variation [43][44][45][46]. The comparison of data among homogeneous wards is also very relevant.…”

Section: Level Of Data Aggregation Benchmarking and Timelinessmentioning

confidence: 99%

Using patient-reported measures to drive change in healthcare: the experience of the digital, continuous and systematic PREMs observatory in Italy

Rosis

Cerasuolo

Nuti

2020

BMC Health Serv Res

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Background: The use of Patient Reported Experience Measures (PREMs) has great potential in healthcare service improvement, but a limited use. This paper presents an empirical case of PREMs innovation in Italy, to foster patient data use up to the ward level, by keeping strengths and addressing weaknesses of previous PREMs survey experiences. The paper reports key lessons learned in this ongoing experience of action research, directly involving practitioners. Methods: The aim of this paper is to present the results of an ongoing action research, encompassing the innovation of PREMs collection, reporting and use, currently adopted by 21 hospitals of two Italian regions. The continuous and systematic PREMs collection has been implemented between 2017 and 2019 and includes: a continuous web-based administration, using web-services; an augmented and positive questionnaire matching standard closed-ended questions with narrative sections; the inclusion and benchmarking of patient data within a shared performance evaluation system; public disclosure of aggregated anonymized data; a multi-level and real-time web-platform for reporting PREMs to professionals. The action research was carried out with practitioners in a real-life and complex context. The authors used multiple data sources and methods: observations, feedback of practitioners, collected during several workshops and meetings, and analysis of preliminary data on the survey implementation. Results: A continuous and systematic PREMs observatory was developed and adopted in two Italian regions. PREMs participation and response rates tend to increase over time, reaching stable percentages after the first months. Narrative feedback provide a 'positive narration' of episodes and behaviours that made the difference to patients and can inform quality improvement actions. Real-time reporting of quantitative and qualitative data is enabling a gratifying process of service improvement and people management at all the hospitals' levels. Conclusions: The PREMs presented in this paper has been recognized by healthcare professionals and managers as a strategic and positive tool for improving an actual use of PREMs at system and ward levels, by measuring and highlighting positive deviances, such as compassionate behaviours.

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“…A recent study on collaborative performance management found that seniority, participation in goal setting, and goal salience are factors encouraging interagency collaboration and in particular, goal factors are the most influential variables [16]. In particular, in healthcare organizations the use of salient goal setting is found to be one of the most relevant successful factor of managing performance by objectives [32].…”

Section: Performance Management In Collaborative Settingmentioning

confidence: 99%

An Integrated Framework to Measure the Performance of Inter-Organizational Programme on Health Technology Assessment

2021

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Combining insights from collaborative governance, performance management, and health technology assessment (HTA) literature, this study develops an integrated framework to systematically measure and monitor the performance of HTA network programmes. This framework is validated throughout an action research carried out in the Italian HTA network programme for medical devices. We found that when building up collaborative performance management systems, some elements such as the participation in the design and the use of context specific performance assessment framework, facilitate their acceptance by managers and policy makers especially in high professionalized and sector-specific organizations because it reflects their distinctive language and culture. The hybrid framework may help health authorities and policymakers to understand the HTA network, monitor its performance, and ensure network sustainability over time.

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Insights on the effectiveness of reward schemes from 10‐year longitudinal case studies in 2 Italian regions.

Cited by 9 publications

References 61 publications

Implementing successful systematic Patient Reported Outcome and Experience Measures (PROMs and PREMs) in robotic oncological surgery—The role of physicians

Implementing successful systematic Patient Reported Outcome and Experience Measures (PROMs and PREMs) in robotic oncological surgery—The role of physicians

Using patient-reported measures to drive change in healthcare: the experience of the digital, continuous and systematic PREMs observatory in Italy

An Integrated Framework to Measure the Performance of Inter-Organizational Programme on Health Technology Assessment

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