Table 2 Measurement of network effectiveness by NSW and WA interviewees

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