4 A paper version of shared care plan is forwarded to relevant clinicians. 5 There is no process to share the care plan outside the practice/service. 6 Other. Please describe: How useful has My Health Record been for sharing care plans with patients and/ or their carer/ family? 1 Very useful 2 Moderately useful 3 Limited 4 Not useful 5 Can’t say/don’t know How useful has My Health Record been for sharing care plans with other clinical staff outside the practice involved with the clinical care delivered to the patient? 1 Very useful 2 Moderately useful 3 Limited 4 Not useful 5 Can’t say/don’t know The following questions are about patient engagement and activation. Do clinical staff in the practice use a standardised tool to assess the level of patient engagement/ activation? If yes, what is the name of the tool? 1 Yes 2 No Name of tool/s: Since the commencement of the HCH program, what is your assessment of changes in the levels of patient engagement/ activation at this practice/ service? 1 Significant improvement in the level of engagement/activation of patients 2 Moderate improvement in the level of engagement/activation of patients 3 Small improvement in the level of engagement/activation of patients 4 No improvement/reduction in the level of engagement/activation of patients 5 Can’t say/don’t know What have been the (up to) top three factors that have contributed improvements in the level of patient engagement/ activation? 1. 2. 3.
4 A paper version of shared care plan is forwarded to relevant clinicians. 5 There is no process to share the care plan outside the practice/service. 6 Other. Please describe: How useful has My Health Record been for sharing care plans with patients and/ or their carer/ family? 1 Very useful 2 Moderately useful 3 Limited 4 Not useful 5 Can’t say/don’t know How useful has My Health Record been for sharing care plans with other clinical staff outside the practice involved with the clinical care delivered to the patient? 1 Very useful 2 Moderately useful 3 Limited 4 Not useful 5 Can’t say/don’t know The following questions are about patient engagement and activation. Do clinical staff in the practice use a standardised tool to assess the level of patient engagement/ activation? If yes, what is the name of the tool? 1 Yes 2 No Name of tool/s: Since the commencement of the HCH program, what is your assessment of changes in the levels of patient engagement/ activation at this practice/ service? 1 Significant improvement in the level of engagement/activation of patients 2 Moderate improvement in the level of engagement/activation of patients 3 Small improvement in the level of engagement/activation of patients 4 No improvement/reduction in the level of engagement/activation of patients 5 Can’t say/don’t know What have been the (up to) top three factors that have contributed improvements in the level of patient engagement/ activation? 1. 2. 3.
Evaluation%20plan.docx