KHP Cardiovascular & Respiratory Partnership, Guy's and St Thomas' NHS Foundation Trust, London, UK
KHP Cardiovascular & Respiratory Partnership, Guy's and St Thomas' NHS Foundation Trust, London, UK.
BMJ Open Qual. 2023 Oct;12(4). doi: 10.1136/bmjoq-2023-002349.
Benefits realisation management (BRM) aims to facilitate the process of identifying, measuring and tracking desired benefits derived from a project. Improvement methodology frameworks often describe BRM as integral to identifying and measuring value derived from transformation initiatives within the National Health Service and beyond. Despite this, reporting of benefits realisation plans and methodological approaches to identifying and measuring benefits remains surprisingly scarce.This project aimed to pilot and evaluate the application of a purpose-designed benefits mapping template with seven newly funded transformation projects across three hospitals in the UK. The scope of the template was to identify key project benefits and metrics associated with the project initiatives. Plan-do-study-act (PDSA) cycles were used to capture the approach and utilisation of the template by project teams. These methods also enabled critical review of the template as an enabler to identifying relevant benefits and project metrics.Stakeholder engagement with the templates was variable. This was attributed to clinical pressures induced by the second wave of COVID-19 in the UK. Despite this, teams were able to produce completed templates outlining a number of wide-ranging benefits. Themes of benefits drawn from the maps include patient experience, patient outcomes, staff experience, access to care and efficiency. Qualitative feedback from teams included the reported value of a structured template to help recognise all the potential benefits associated with each project initiative. The PDSA cycles highlighted the template as an early step in BRM. Further components to this process are recommended to include consensus of the key metrics to be measured, a tool that summarises the reporting details of those metrics, and an effective means to collate reported metrics overtime.
效益实现管理（BRM）旨在促进识别、衡量和跟踪项目所带来的预期效益的过程。改进方法论框架通常将 BRM 描述为识别和衡量国民保健制度内外转型举措所带来价值的组成部分。尽管如此，关于效益实现计划的报告以及识别和衡量效益的方法在很大程度上仍然很少见。本项目旨在为英国三家医院的七个新资助的转型项目试点和评估一个专门设计的效益映射模板的应用。模板的范围是确定与项目举措相关的关键项目效益和衡量标准。计划-执行-研究-行动（PDSA）循环用于捕获项目团队对模板的应用和利用。这些方法还使模板能够进行关键审查，以确定相关效益和项目衡量标准。模板的利益相关者参与程度各不相同。这归因于英国第二波 COVID-19 带来的临床压力。尽管如此，各团队仍能够完成模板，列出了一系列广泛的效益。从地图中得出的效益主题包括患者体验、患者结果、员工体验、获得护理和效率。团队提供的定性反馈包括报告指出，结构化模板有助于识别与每个项目举措相关的所有潜在效益。PDSA 循环突出了模板作为 BRM 的早期步骤。建议在此过程的进一步组成部分中包括要衡量的关键指标的共识、总结这些指标报告细节的工具以及有效汇总报告指标的方法。
