Page 108 - Experience Based Co-design - a toolkit for Australia
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 Experience Based Co-Design – A toolkit for Australia
Monitor and maintain
Experience based co-design initiatives should be measured to see if the changes have had the desired effect, and monitored to help maintain improvements; ideally to support ongoing continuous improvement.
Measuring the improvement can take subjective and objective approaches. For example, the
 Case Study 2
Audits at 3 and 6 months after the project found 50-80% of boards in use, and pre- packed emojis were introduced 7 months into the project.
Case Study3
Response times and referral patterns between services were monitored before and after the intervention
Case Study 4
Staff surveys demonstrated reduced
reactive work for nursing staff on the morning of the surgery, because patients were better prepared. For clerical staff reduced unnecessary paperwork because of fewer cancellations
Patient-related day-of-surgery cancellations are reported daily and have slowly improved towards our goal of <2%
Examples of objective measures from case studies
techniques from gathering information may be used to subjectively measure improvements. In the introduction, data was presented to show how improved experience can lead to better quality outcomes and safety. Measuring these outcomes is a more objective approach. Proxy outcomes or indicators, such as staff absence rates, can also be used. Examples of objective measures from the case studies are shown in the box.
Use any of the 'gather' and 'understand' tools, and comparing before and after, provides assessments of the impact of EBCD initiatives. For example:
Running the experience questionnaire
Patient and staff interviews
Emotional mapping
    In ‘set up for success’, the literature on sustainability was discussed with a range of strategies and tools to support efforts to enhance
the impact and sustainability of your EBCD project. This discussed engagement, having a communication strategy and also the use of a sustainability tool. The same strategies and tools can be used to support maintaining and continuous improvement efforts. Additional tools and strategies are described below.
Tool Description
Your communication strategy should include strategies to support dissemination of your findings. In ‘set up for success’ communication websites and visual communication were described.
Other communication approaches may include newspaper or newsletters about your project and social media.

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