DOMAIN | Domain Weights | CRITERIA | DEFINITION | Criteria Weight | RATING SCALE | ||||||
---|---|---|---|---|---|---|---|---|---|---|---|
 |  |  |  |  | -3 | -2 | -1 | 0 | 1 | 2 | 3 |
 |  | Alignment to Mandate | 1) The service is directly related to health care or preventative health |  |  |  |  |  |  |  |  |
 |  |  | 2) The service is not provided by another organization outside VCH | 15 | Strong alignment with mandate (for releases) | Moderate alignment with mandate (for releases) | Weak alignment with mandate (for releases) | No alignment with mandate (for releases or investments) | Weak alignment with mandate (for invests) | Moderate alignment with mandate (for invests) | Strong alignment with mandate (for invests) |
 |  |  | 3) The service is not the responsibility of an organization outside VCH |  |  |  |  |  |  |  |  |
Strategic alignment | 30 | Efficiency, Effectiveness and Appropriate-ness | 1) Optimal use of resources to yield maximum benefits and results, | Â | Â | Â | Â | Â | Â | Â | Â |
 |  |  | 2) Care that is known to achieve intended outcomes | 5 | Goes against four or five of the five objectives | Goes against two or three of the five objectives | Goes against one of the five objectives | No net impact | Supports one of the five objectives | Supports two or three of the five objectives | Supports four or five of the five objectives |
 |  |  | 3) Care provided is evidence based and specific to individual clinical needs |  |  |  |  |  |  |  |  |
 |  |  | 4) Promote wellness & prevention initiatives |  |  |  |  |  |  |  |  |
 |  |  | 5) Support clients at home/returning home or self management |  |  |  |  |  |  |  |  |
 |  | Access | Impact on timely access to appropriate health care services for defined population(s). Note: the 'defined populations' are those using the services affected by the proposed changes. | 5 | Significant (more than 10%) worsening of the waiting times for more than 20% of the population or complete closure of a service | Significant (more than 10%) worsening of the waiting times 10% to 20% of the population or closure of a service for more than 25% of the time | Significant (more than 10%) worsening of the waiting times for less than 10% of the population or closure of a service for less than 25% of the time | No impact | Significant (more than 10%) improvement of the waiting times for less than 10% of the population or expansion of hours by less than 25% | Significant (more than 10%) improvement of the waiting times for 10% to 20% of the population or expansion of the hours by more than 25% | Significant (more than 10%) improvement of the waiting times for more than 20% of the population or opening of a new service facility (not a replacement) |
 |  | Flow/Integration | Impact on the coordination of health care services among programs to ensure flow and continuity of care from the patient's perspective (improve flow transitions) | 5 | Negative impact on continuity for more than 20% of clients or significant worsening for some patients | Negative impact on continuity for 10% to 20% of clients | Negative impact on continuity for 5% to 10% of clients | Impact on less than 5% of clients | Improvement in continuity for 5% to 10% of clients | Improvement in continuity for 10% to 20% of clients | Improvement in continuity for more than 20% of patients or significant improvement for some clients |
Health Impact | 45 | Numbers affected | Number of individuals affected by the proposed change | 8 | More than 1500 have less services | 251 to 1500 have less services | 1 to 250 have less services | 0 | 1 to 250 have more services | 251 to 1500 have more services | More than 1500 have more services |
 |  | Equity | Impact on the health status of recognized groups where there is a known health status gap. | 10 | More than 50% of those affected are in the most disadvantaged groups (releases) | More than 50% of those affected are in moderately disadvantaged groups (releases) | 10% to 50% of those affected are in the most disadvantaged groups (releases) | Less than 50% of those affected are in moderately disadvantaged groups (releases or investments) | 10% to 50% of those affected are in the most disadvantaged groups (invests) | More than 50% of those affected are in moderately disadvantaged groups (invests) | More than 50% of those affected are in the most disadvantaged groups (investments) |
 |  | Significance of impact | Impact on clinical outcomes for the patient/client, including risk of adverse events, as compared to current practice/service. | 11 | Significant negative impact (either more than 25% of affected clients suffer negative effects or some clients are significantly affected) | Moderate negative impact (10% to 25% of affected clients suffer negative effects) | Small negative impact (5% to 10% of affected clients suffer some negative effects) | Less than 5% of affected clients experience any changes in satisfaction of safety | Small positive impact (5% to 10% of affected clients enjoy some positive effects) | Moderate positive impact (10% to 25% of affected clients enjoy positive effects) | Significant positive impact (either more than 25% of affected clients enjoy positive effects or some clients are significantly affected) |
 |  | Health promotion and disease prevention | Impact on illness and/or injury prevention, well-being and harm reduction as measured by projected longer term improvements in health | 8 | Significant negative impact on burden of disease | Moderate negative impact on burden of disease | Small negative impact on burden of disease | No impact on burden of disease | Small positive impact on burden of disease | Moderate positive impact on burden of disease | Significant positive impact on burden of disease |
 |  | Client experience | Impact on safety, effectiveness, and client experience of health service(s) provided. | 8 | Negative impact (safety or satisfaction) for more than 20% of affected clients | Negative impact (safety or satisfaction) for 10% to 20% of affected clients | Negative impact (safety or satisfaction) for 5% to 10% of affected clients | Less than 5% of affected clients experience any changes in satisfaction of safety | Positive impact (safety or satisfaction) for 5% to 10% of affected clients | Positive impact (safety or satisfaction) for 10% to 20% of affected clients | Positive impact (safety or satisfaction) for more than 20% of affected clients |
 |  | Workplace environment | Impact on workplace environment including morale, tools and equipment, personal and professional growth and teamwork | 5 | Significant negative impact on recruitment and retention or on stress leave | Moderate negative impact on recruitment and retention or on stress leave | Small negative impact on recruitment and retention or on stress leave | No impact | Small positive impact on recruitment and retention or on stress leave | Moderate positive impact on recruitment and retention or on stress leave | Significant positive impact on recruitment and retention or on stress leave |
Organizational Impact | 25 | Innovation and knowledge transfer | Impact on the generation and/or application of new knowledge/practice. | 5 | Significant negative impact on the generation or application of new knowledge/practice | Moderate negative impact on the generation or application of new knowledge/practice | Small negative impact on the generation or application of new knowledge/practice | No impact | Small positive impact on the generation or application of new knowledge/practice | Moderate positive impact on the generation or application of new knowledge/practice | Significant positive impact on the generation or application of new knowledge/practice |
 |  | Implementation | Challenges to the implementation of proposed initiative (or reversal) | 5 | Significant political resistance and change would be very difficult to undo | Significant political resistance but change could be undone | Moderate political resistance expected | No political impact | Moderate political support expected | Strong political support expected | Strong political support and change can be reversed |
 |  | Downstream impact on service utilization | Impact of the proposed change on future use of health care services | 10 | Significant increase in future use of health care services | Moderate increase in future use of health care services | Small increase in future use of health care services | No impact on future use of services | Small decrease in future use of health care services | Moderate decrease in future use of health care services | Significant decrease in future use of health care services |