The concept and determinants of return on investment for quality improvement in mental health NHS Foundation Trusts

心理健康质量改善投资回报的概念和决定因素 NHS 基金会信托

• 批准号: 2475523
• 金额: --
• 依托单位: King's College London
• 依托单位国家: 英国
• 项目类别: Studentship
• 财政年份: 2020
• 资助国家: 英国
• 起止时间: 2020 至 无数据
• 项目状态: 已结题
• 来源: https://gtr.ukri.org/projects?ref=studentship-2475523
• 关键词: concept; determinants; return; investment; quality

The CASE PhD studentship project will develop a measurement system for evaluating return on investment (ROI) of quality improvement projects in mental health services of the South London and Maudsley (SLaM) NHS Foundation Trust. Quality improvement in healthcare has seen a surge of investment amidst times of austerity in the UK. Very little guidance exists for evaluating return on investment, particularly in mental health NHS Foundation Trusts. This impedes communication with healthcare leaders and boards regarding the extent quality improvement is achieving its full potential within the organisation. A robust ROI measure will make it possible to generate regular reports for healthcare leaders. These routine reports can provide a big picture to give healthcare leaders strategic insights about the extent resource commitments in quality improvement paid off. On this basis, decisions can be made about investment strategies for capacity building and training. We would also be able to compare NHS Foundation Trusts in terms of ROI of their organisational strategies and quality priorities. By generating insights on ROI, the routine use of this measure can also foster a culture of organisational learning that is pivotal for a learning healthcare system. The research will involve integrating knowledge and methods from psychometrics, health economics, and the interdisciplinary social science fields of implementation and improvement sciences. The first priority is to clarify the concept of ROI so that we have an appropriate basis to generate insights for healthcare leaders. The links between ROI and Value Based Healthcare will be of particular interest. Across King's Health Partners, Value Based Healthcare is established as a key approach to achieve better outcomes and experiences for every person with the equitable, sustainable and transparent use of the available resources. We will explore these links in the research literature as well as through individual/group interviews with the executive leadership team (e.g., Chief Medical /Financial / Operating Officer) as well as the senior management team (e.g., Clinical / Service Directors). Based on these initial insights, we will develop field-test version of a ROI measure through group consultation in various stages. The groups comprise both the executive leadership and senior management teams who will review content validity and item design, as well as debate on implementation issues like acceptability, reach, and sustainability of routine ROI reports. The newly developed ROI measure will be field-tested with data from three psychiatric hospitals of SLaM (Bethlem Royal Hospital, Lambeth Hospital and the Maudsley Hospital). The validation study will refine the field-test version and derive a final version that can be embedded in routine evaluation to inform organisational decision making on quality improvement investments.

CASE博士研究生项目将开发一个测量系统，用于评估南伦敦和Maudsley（SLaM）NHS基金会信托的心理健康服务质量改进项目的投资回报率（ROI）。在英国紧缩时期，医疗保健质量的改善导致投资激增。很少有指导存在评估投资回报，特别是在精神卫生NHS基金会信托。这阻碍了与医疗保健领导者和董事会就质量改进在组织内充分发挥潜力的程度进行沟通。一个强大的投资回报率衡量标准将使人们有可能为医疗保健领导者生成定期报告。这些常规报告可以提供一个大局，为医疗保健领导者提供关于质量改进中资源承诺回报程度的战略见解。在此基础上，可以就能力建设和培训的投资战略作出决定。我们也将能够比较NHS基金会信托在投资回报率方面的组织战略和质量的优先事项。通过生成对ROI的见解，该措施的常规使用还可以培养组织学习的文化，这对学习型医疗保健系统至关重要。该研究将涉及整合心理测量学，卫生经济学以及实施和改进科学的跨学科社会科学领域的知识和方法。首要任务是澄清ROI的概念，以便我们有适当的基础为医疗保健领导者提供见解。投资回报率和基于价值的医疗保健之间的联系将特别感兴趣。在King's Health Partners中，基于价值的医疗保健是通过公平、可持续和透明地使用可用资源为每个人实现更好结果和体验的关键方法。我们将在研究文献中探索这些联系，并通过与执行领导团队的个人/小组访谈（例如，首席医疗/财务/运营官）以及高级管理团队（例如，临床/服务总监）。基于这些初步的见解，我们将在各个阶段通过小组咨询开发ROI测量的现场测试版本。这些小组包括行政领导和高级管理团队，他们将审查内容的有效性和项目设计，并就常规ROI报告的可接受性、覆盖范围和可持续性等实施问题进行辩论。新开发的投资回报率测量将进行现场测试的数据从三个精神病医院的SLaM（Bethlem皇家医院，兰贝斯医院和Maudsley医院）。验证研究将完善现场测试版本，并得出一个最终版本，可以嵌入到日常评估，为组织决策提供信息的质量改进投资。