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Table 2 Measurement of network effectiveness by NSW and WA interviewees

From: Net benefits: assessing the effectiveness of clinical networks in Australia through qualitative methods

Level Measurement network effectiveness-NSW Measurement network effectiveness-WA
Community Short term: Short term:
• Extent of consultation for MoC • Acceptance of the recommendations by everyone involved in musculoskeletal care
• Clinician agreement with MoCs
• Awareness of network by musculoskeletal clinicians
Medium term:
• Adoption of the MoCs into the health care system
Medium term:
• Demonstrated network outputs
• Implementation of MoCs (extent of, timeliness)
• Awareness of MoCs by musculoskeletal clinicians
• Knowledge of broader clinical community of MoCs (e.g., in primary care)
• Involvement of musculoskeletal clinicians with MoCs
Long term:
• Enabling and empowerment of clinicians to contribute
• Changes in patient care, e.g., how referrals happen, timeliness of patient access, patient information, information feedback to general practitioners
• Extent of implementation into hospitals   of MoCs and other network outputs across NSW
• Adaptation of the MoC in NSW
• Making a difference with grassroots service providers
• Availability of funding for MoC implementaion
• Alignment of care delivery with network recommendations
• Embracing of MoCs by community
Long term:
• Changing and improving practice • Sustainability of projects
• Improvement of patient care and services for patients
  • Measureable difference in patient outcomes and satisfaction, attributable to the MoCs  
Network Short term (getting the network together): Short term (getting the network together):
• Developing a collegiate network of clinicians to sustain the development of the network • Investment in network processes from Department of Health
• Broad representation of key stakeholders in network – e.g., across continuum of care, geographically, specialist-wise and educationally • Broad range of stakeholders on network
• Number of members on network
• Involvement of best clinicians in network • Engagement with all stakeholders
• Egalitarian processes in network • Happy, energetic leaders
• Movement towards network objectives • Continuous communication in network
• Confidence of funding bodies in network, and their perceptions of network • Contribution of network manager
Medium term (getting the network functioning):
• Clinician enablement and empowerment to contribute • Meeting network strategic plan objectives and KPIs
• Reaching consensus on clinical indicators or outcome measures • Development of MoCs
• Capacity to identify a clinical problem • Research productivity (outputs) linked to the MoCs
• Timeliness, availability of MoCs, level of consultation for MoCs  
• Recognition of role of network – the visibility of the network
• Commitment of network chairs • Development of MoCs
• Contribution of network manager  
Medium term (getting the network functioning): • Research productivity (outputs) linked to the MoCs
• Development of many MoCs • Recognition of role of network – the visibility of the network
• Capacity to identify a clinical problem • Network outputs
• Timeliness, availability of MoCs, level of consultation for MoCs
• Commitment of network chairs  
• Contribution of network manager Long term (selling the plan):
Medium term (getting the network functioning): • Influence on policy
• Development of many MoCs • Influence on planning
• Capacity to implement measurable, practical, sustainable changes • Influence on practice
• Focus of attention through network on musculoskeletal issues
• Contribution of network to development of new evidence
Long term (selling the plan):
• Getting people together will change behaviour through cultural change in the way clinicians treat musculoskeletal disease
• Meeting network Key Performance Indicators, e.g., reducing refractures within the network Refracture MoC.
  • Achievement on a state-wide scale, not just for single institutions  
Member Short term: Short term:
• Member participation and responsiveness in the network • Member participation and performance in network
• Spirit of member action on their objectives and volunteer input Medium term:
• Honouring of people’s investment and time
Medium term:
Long term:
• Recognition by hospital/LHD of member contribution to Network
• Influence on practice of members
Long term:
  • Embedding practice change in member’s hospital or place of work