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Challenges in Evaluating a Prototype Project in a Large Health Authority: Lessons Learned.

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Title: Challenges in Evaluating a Prototype Project in a Large Health Authority: Lessons Learned.
Authors: Snow, M. Elizabeth1 bsnow@cheos.ubc.ca, Urbina-Beggs, Michelle2, Van Tent, Tamara2
Source: Canadian Journal of Program Evaluation. Fall2015, Vol. 30 Issue 2, p177-194. 18p.
Subject Terms: Perinatal care, Motherhood, Public health, Medical decision making, Rational-legal authority
Abstract (English): A developmental evaluation was undertaken to evaluate a prototype test of a new model of perinatal healthcare across acute maternity, public health, and primary care in two hospitals in a large health authority. The project was initiated to bridge gaps in care across the acute and community settings to ensure a seamless perinatal healthcare journey for women. The objective of the evaluation was to support the prototyping process by providing data to inform decisions as the prototype was developed and by documenting decisions as they were made. Th is article explores challenges faced during the evaluation, including unfamiliarity of the health sector with prototype projects and their inherent uncertainty, a disconnect between the rapid pace of a prototype project and bureaucratic hurdles of working within a large organization, and high leadership turnover throughout the project. How these challenges were addressed, and the lessons learned for future evaluations, are discussed. [ABSTRACT FROM AUTHOR]
Abstract (French): Une évaluation évolutive a été entreprise pour évaluer un essai de prototype d'un nouveau modèle de prestation de soins de santé périnataux déployé dans les unités de soins de maternité de courte durée, de soins de santé publique et de soins de santé primaires de deux hôpitaux d'une grande régie de la santé. Le projet a été lancé pour combler les lacunes dans les soins à travers les contextes aigus et communautaires pour s'assurer que les expériences des femmes dans les soins de santé périnatale sont homogènes. L'objectif de l'évaluation était de soutenir le processus de prototypage en fournissant des données pour aider à éclairer les décisions tout au long du développement du prototype et documenter les décisions prises. Cet article explore les défis rencontrés durant l'évaluation, notamment le manque de familiarité du secteur de la santé avec les projets de mise à l'essai de prototypes et leur incertitude inhérente, le fossé entre le rythme rapide de tels projets et les obstacles bureaucratiques liés au travail au sein d'une grande organisation ainsi qu'un haut taux de roulement des personnes responsables de la direction du projet. La manière dont ces défis ont été gérés ainsi que les leçons apprises, lesquelles éclaireront les futures évaluations, sont aussi abordées. [ABSTRACT FROM AUTHOR]
Copyright of Canadian Journal of Program Evaluation is the property of University of Toronto Press and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)
Database: Education Research Complete
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Items – Name: Title
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  Data: Challenges in Evaluating a Prototype Project in a Large Health Authority: Lessons Learned.
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  Data: <searchLink fieldCode="AR" term="%22Snow%2C+M%2E+Elizabeth%22">Snow, M. Elizabeth</searchLink><relatesTo>1</relatesTo><i> bsnow@cheos.ubc.ca</i><br /><searchLink fieldCode="AR" term="%22Urbina-Beggs%2C+Michelle%22">Urbina-Beggs, Michelle</searchLink><relatesTo>2</relatesTo><br /><searchLink fieldCode="AR" term="%22Van+Tent%2C+Tamara%22">Van Tent, Tamara</searchLink><relatesTo>2</relatesTo>
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  Data: <searchLink fieldCode="JN" term="%22Canadian+Journal+of+Program+Evaluation%22">Canadian Journal of Program Evaluation</searchLink>. Fall2015, Vol. 30 Issue 2, p177-194. 18p.
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  Data: <searchLink fieldCode="DE" term="%22Perinatal+care%22">Perinatal care</searchLink><br /><searchLink fieldCode="DE" term="%22Motherhood%22">Motherhood</searchLink><br /><searchLink fieldCode="DE" term="%22Public+health%22">Public health</searchLink><br /><searchLink fieldCode="DE" term="%22Medical+decision+making%22">Medical decision making</searchLink><br /><searchLink fieldCode="DE" term="%22Rational-legal+authority%22">Rational-legal authority</searchLink>
– Name: Abstract
  Label: Abstract (English)
  Group: Ab
  Data: A developmental evaluation was undertaken to evaluate a prototype test of a new model of perinatal healthcare across acute maternity, public health, and primary care in two hospitals in a large health authority. The project was initiated to bridge gaps in care across the acute and community settings to ensure a seamless perinatal healthcare journey for women. The objective of the evaluation was to support the prototyping process by providing data to inform decisions as the prototype was developed and by documenting decisions as they were made. Th is article explores challenges faced during the evaluation, including unfamiliarity of the health sector with prototype projects and their inherent uncertainty, a disconnect between the rapid pace of a prototype project and bureaucratic hurdles of working within a large organization, and high leadership turnover throughout the project. How these challenges were addressed, and the lessons learned for future evaluations, are discussed. [ABSTRACT FROM AUTHOR]
– Name: Abstract
  Label: Abstract (French)
  Group: Ab
  Data: Une évaluation évolutive a été entreprise pour évaluer un essai de prototype d'un nouveau modèle de prestation de soins de santé périnataux déployé dans les unités de soins de maternité de courte durée, de soins de santé publique et de soins de santé primaires de deux hôpitaux d'une grande régie de la santé. Le projet a été lancé pour combler les lacunes dans les soins à travers les contextes aigus et communautaires pour s'assurer que les expériences des femmes dans les soins de santé périnatale sont homogènes. L'objectif de l'évaluation était de soutenir le processus de prototypage en fournissant des données pour aider à éclairer les décisions tout au long du développement du prototype et documenter les décisions prises. Cet article explore les défis rencontrés durant l'évaluation, notamment le manque de familiarité du secteur de la santé avec les projets de mise à l'essai de prototypes et leur incertitude inhérente, le fossé entre le rythme rapide de tels projets et les obstacles bureaucratiques liés au travail au sein d'une grande organisation ainsi qu'un haut taux de roulement des personnes responsables de la direction du projet. La manière dont ces défis ont été gérés ainsi que les leçons apprises, lesquelles éclaireront les futures évaluations, sont aussi abordées. [ABSTRACT FROM AUTHOR]
– Name: AbstractSuppliedCopyright
  Label:
  Group: Ab
  Data: <i>Copyright of Canadian Journal of Program Evaluation is the property of University of Toronto Press and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract.</i> (Copyright applies to all Abstracts.)
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        Text: English
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        Type: general
      – SubjectFull: Motherhood
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      – SubjectFull: Public health
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      – SubjectFull: Medical decision making
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      – SubjectFull: Rational-legal authority
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      – TitleFull: Challenges in Evaluating a Prototype Project in a Large Health Authority: Lessons Learned.
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              Text: Fall2015
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