Dimensions of Quality & Implementation Outcomes Defined
The following interactive visual provides definitions of the dimensions of health service quality outlined in the Alberta Quality Matrix for Health and Enola Proctor’s recommended list of implementation outcomes. Both frameworks have been adapted to fit the current Alberta context using the updated British Columbia Health Quality Matrix, Alberta Health Services Innovation Pipeline, and the RE-AIM evaluation framework. Hover your cursor over an outcome to reveal its definition.
Ease with which health and wellness services are reached
Accessibility
ACCESSIBILITY
Optimal and sustainable use of resources to yield maximum value
Efficiency
EFFICIENCY
Care that is known to achieve intended outcomes
Effectiveness
EFFECTIVENESS
Fair distribution of services according to population need
Equity
EQUITY
Quality - Honouring a person's choices, needs and values
Implementation -Satisfaction with what is being
implemented
Acceptability
ACCEPTABILITY
Quality - Care that is relevant to a patient's needs;
Implementation - Compatibility of what is being implemented
Appropriateness
APPROPRIATENESS
Resources and costs required to implement an intervention
Implementation Cost
IMPLEMENTATION COST
Extent to which the intervention is maintained or institutionalized
Sustainability
SUSTAINABILITY
Practicality of what is being implemented
Feasibility
FEASIBILITY
Willingness to participate in an intervention
Reach
REACH
Degree to which an intervention was used or implemented as intended
Fidelity
FIDELITY
Intention or attempt to use or implement an intervention
Adoption/ Uptake
ADOPTION/ UPTAKE
Avoiding harm and fostering security
Safety
SAFETY
Dimensions of Quality & Implementation Outcomes
Perspectives to consider in an evaluation
The tool outlines several perspectives to consider in an evaluation: patients, healthcare providers, support teams, and organizations. These perspectives take into account the various roles involved in implementation as well as the broader context. They are based on the Interactive Systems Framework and Alberta Health Services Quadruple Aim. Hover your cursor over a perspective to reveal its definition.
Perspectives Defined
PATIENTS
Individuals with personal experience of a health issues and/or caregivers, family members and friends
HEALTHCARE PROVIDERS
Those responsible for delivering healthcare services
HEALTHCARE PROVIDERS
SUPPORT
SUPPORT
Intermediaries responsible for supporting healthcare providers and driving innovation
ORGANIZATIONS
The system that healthcare services are delivered in
References
1. Health Quality Council of Alberta [Website]. The Alberta Quality Matrix for Health [cited 2020 Dec 17]. Available from: https://www.hqca.ca/about/how-we-work/the-alberta-quality-matrix-forhealth-1/
2. Proctor E, Silmere H, Raghavan R, Hovmand P, Aarons G, Bunger A, et al. Outcomes for Implementation Research: Conceptual Distinctions, Measurement Challenges, and Research Agenda. Adm Policy Ment Health (2011) 38:65-76. Available from: https://link.springer.com/article/10.1007%2Fs10488-010-0319-7 doi: 10.1007/s10488-010-0319-7
3. RE-AIM [Website]. REACH [cited 2020 Dec 17]. Available from: https://www.re-aim.org/about/what-is-re-aim/reach/
4. BC Patient Safety & Quality Council [Website]. BC Health Quality Matrix [cited 2020 Dec 17]. Available from: https://bcpsqc.ca/resource/bc-health-quality-matrix/
5. Waye A, Hughes B, Mrklas K, Fraser N. Innovation Pipeline: Intent to Scale for Impact. Alberta Health Services; 2020. Available from: https://www.albertahealthservices.ca/assets/about/scn/ahs-scn-so-innov-pipeline-primer.pdf
6. Mettert K, Lewis C, Dorsey C, Halko H, Weiner B. Measuring implementation outcomes: An updated systematic review of measures’ psychometric properties. Implementation Research and Practice (2020) 1:1-29. Available from: https://journals.sagepub.com/doi/full/10.1177/2633489520936644 doi: 10.1177/2633489520936644
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7. Khadjesari Z, Boufked S, Vitoratou S, Schatte L, Ziemann A, Daskalopoulou C, et al. Implementation outcome instruments for use in physical healthcare settings: a systematic review. Implement Sci (2020) 15:66. Available from: https://implementationscience.biomedcentral.com/articles/10.1186/s13012-020-01027-6 doi: 10.1186/s13012-020-01027-6
8. Willmeroth T, Wesselborg B, Kuske S. Implementation Outcomes and Indicators as a New Challenge in Health Services Research: A Systematic Scoping Review. Inquiry (2019) 56:1-17. Available from: https://journals.sagepub.com/doi/full/10.1177/0046958019861257 doi: 10.1177/0046958019861257
9. Wandersman A, Duffy J, Flaspohler P, Noonan R, Lubell K, Stillman L, et al. Bridging the Gap Between Prevention Research and Practice: The Interactive Systems Framework for Dissemination and Implementation. Am J Community Psychol (2008) 41:171–181. Available from: https://onlinelibrary.wiley.com/doi/epdf/10.1007/s10464-008-9174-z doi: 10.1007/s10464-008-9174-z
10. Alberta Health Services. Enhancing Care in the Community [cited 2021 Mar 19]. Available from: https://www.albertahealthservices.ca/about/Page13457.aspx