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Table 4 Examples of criteria for selection of disinvestment projects considered in the SHARE Program

From: Sustainability in Health care by Allocating Resources Effectively (SHARE) 6: investigating methods to identify, prioritise, implement and evaluate disinvestment projects in a local healthcare setting

Criteria in the SHARE Expression of Interest application

â–ª The project must aim to remove, restrict or replace a technology or clinical practice

â–ª There must be high-quality evidence for the proposed change (as indicated by existing systematic review or body of evidence from peer reviewed articles)

â–ª Department and Program heads endorse the proposed change

â–ª Department or Program agrees to provide EFT/project leader to implement the proposed change

â–ª The current clinical pathway is documented or a commitment is given to document this pathway before the project begins

â–ª There are clear, measurable outcomes and ability to collect baseline and comparison data

Criteria that may increase the likelihood of project success or sustainability

â–ª Project leaders who have the power to make change happen in their area of responsibility such as Unit Managers or Department Heads

â–ª Project champions who are respected and trusted by the potential adopters

â–ª Interested, engaged clinicians working in the topic area

â–ª Available funding

â–ª Projects that propose reallocation of resource savings

Criteria that may be useful for selection of pilot or demonstration projects in disinvestment

â–ª Projects that are already planned for another reason that also contain an element of disinvestment

â–ª Projects to introduce a new TCP where disinvestment of an existing practice can be made a focus of the project

▪ Opportunity for a ‘quick win’

Criteria that may increase the usefulness of a pilot or demonstration projects in disinvestment

â–ª Projects that are required to collect detailed data, for example reporting requirements of external funders

â–ª Projects with robust data at baseline