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Table 5 Assessment of sustainability

From: Sustainability in Health care by Allocating Resources Effectively (SHARE) 5: developing a model for evidence-driven resource allocation in a local healthcare setting

Structure

â–ª A Steering Committee is in place with appropriate Terms of Reference and members that can deliver the required strategic direction, influence and support

â–ª A Project Team is in place with clear timelines and deliverables

â–ª Areas of responsibility are defined and lines of reporting and accountability are clear

Skills

â–ª The Steering Committee has expertise in clinical practice, management, finances, operations, legal, ethics, research, information technology, procurement and biomedical engineering

â–ª The Project Team has expertise in evidence based practice, knowledge brokerage, implementation and evaluation of change

â–ª Additional expertise is available

  − Collection and analysis of health service utilisation and cost data (Monash Health Clinical Information Management unit)

  − Program evaluation and health economics (Consultants)

Resources

â–ª Appropriate funding has been obtained from Monash Health and Victorian Department of Human Services

â–ª Accommodation and infrastructure for project team provided within the Centre for Clinical Effectiveness

Commitment

â–ª Monash Health has committed significant funding and program activities are included in the Business Plan

â–ª The Board and Executive Management Team have endorsed the program

â–ª Three Executive Directors are on the Steering Committee

â–ª The Centre for Clinical Effectiveness has prioritised development of organisational infrastructure to support evidence-based practice as a key element in its workplan

Leadership

â–ª The same team that developed the award-winning new technology program are leading the SHARE program

â–ª Monash Health has expressed a wish to be leaders in disinvestment

â–ª The Victorian Department of Human Services has expressed a wish to be leaders in disinvestment

â–ª The Centre for Clinical Effectiveness is a leader in enabling evidence-based decision-making

â–ª The Steering Committee carries influence (Executive Directors, Program Directors, Senior Management)