The dissemination, diffusion and spread of health and care innovations

Understanding innovation

R-Outcomes’ family of short generic user-reported measures for evaluation of quality improvement  innovations address different aspects that impact their dissemination, diffusion, adoption and spread.

These measures focus not only on the product (user satisfaction and product confidence) but also the prospective users and their organisations (IT capability and innovation readiness) and project management processes (innovation process).

Benson T. Digital innovation evaluation: user perceptions of innovation readiness, digital confidence, innovation adoption, user experience and behaviour change. BMJ Health & Care Informatics 2019;26:e000018.

“R-Outcomes measures are now KPIs for several of our new models of care.”

Phil MartinezWest Hampshire CCG

What we can measure

IT Capability

IT capability, which is also called digital confidence, assesses how staff feel about using IT at work in terms of confidence, learning, getting help and solving problems.

User Satisfaction

User satisfaction focuses on staff perceptions of the value of an innovation, its ease of use, availability of help and overall satisfaction.

Innovation Readiness

People and organisations vary in how ready they are to adopt innovations. People may or may not be open to the need for change or be well-informed about what is possible. Organisations may or may not be receptive to new ideas or have the capability to make change work well.

Innovation Process

Innovation process is based on Normalisation Process Theory (NPT), which focuses on project management and engagement. (PREM, 35 words, 7 years)

Product Confidence

The Digital Confidence Score (DCS) is a short generic measure of people’s self-efficacy in using digital devices including smartphones, tablets, laptops and PCs.  The purpose of the DCS is to help is to group people according to their level of digital self-efficacy and digital inclusion, so that people who need more help get it, and those that do not need help with digital devices can get on with it.

Remote Consultations

The IT Capability measure can be adapted to any class of digital innovations, such as remote consultations, EPRs, patient access etc.