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Table 1 Program Development Resources

From: Designing and integrating a quality management program for patients undergoing head and neck resection with free-flap reconstruction

Domains Role Responsibility Hours / Week Estimated Cost (including benefits) Comment
Change Management
Clinical Design Team
Pathway Development
Computerized Order Entry
Program Lead / Champion Leads and coordinates the overall program, articulates the need for change, answers questions. Guides data collection and analysis and also development of measurement, audit and feedback system. 5 Variable funding depends on local circumstances. The program lead and clinical champion are ideally, but not necessarily, the same individual. This individual should be a respected member of the team and should have the requisite leadership skills to enable successful program design, implementation and maintenance.
Project Coordinator Coordinates project work, meetings, etc. 2 $40 / hr This role was performed by the Calgary program lead. This may not be transferable to other programs.
QI Consultant Ensures QI methodologies and measurement are being used appropriately. 4 $50 / hr This role was performed by the Calgary program lead. This may not be transferable to other programs.
Data Collection Chart abstraction and data entry for baseline cohort. 250 $20 / hr This is a one time expense for baseline data collection. This will vary depending on centre.
Analyst Cleans, validates and analyses clinical data. Develops, along with clinical lead, the measurement audit and feedback system as well as the minimum data set. 5 $52 / hr Total analytic hours during program development were 250.
Clinicians - MD Shares knowledge of clinical processes, helps with data interpretation, participates in creating new processes. 1 Variable funding depends on local circumstances. Different clinicians were more or less involved at different phases. Goal is to minimize clinician time needed for meetings. Some jursdictions compensate physicians for time spent in quality management program development.
Clinicians - RN Shares knowledge of clinical processes, helps with data interpretation, participates in creating new processes. 1 $50 / hr Different clinicians were more or less involved at different phases. Goal is to minimize clinician time needed for meetings.
Clinicans - Allied Health Shares knowledge of clinical processes, helps with data interpretation, participates in creating new processes. 1 $50 / hr Different clinicians were more or less involved at different phases. Goal is to minimize clinician time needed for meetings.
Information Techology (IT) Consultant Works with team to translate clinical pathway / protocol into the hospital electronic medical record. Liaison with order set developers with IT. 4 $50 / hr This individual works with the team on an "as-needed" basis. Total hours required are less than 50. Once order sets are developed the IT Consultant is available to implement pathway modifications.