Table 2.

Measurement of network effectiveness by NSW and WA interviewees

Level	Measurement network effectiveness-NSW	Measurement network effectiveness-WA
Community	Short term:	Short term:
	• Extent of consultation for MoC	• Acceptance of the recommendations by everyone involved in musculoskeletal care
	• Clinician agreement with MoCs
	• Awareness of network by musculoskeletal clinicians
		Medium term:
		• Adoption of the MoCs into the health care system
	Medium term:
	• Demonstrated network outputs
		• Implementation of MoCs (extent of, timeliness)
	• Awareness of MoCs by musculoskeletal clinicians
		• Knowledge of broader clinical community of MoCs (e.g., in primary care)
	• Involvement of musculoskeletal clinicians with MoCs
		Long term:
	• Enabling and empowerment of clinicians to contribute
		• Changes in patient care, e.g., how referrals happen, timeliness of patient access, patient information, information feedback to general practitioners
	• Extent of implementation into hospitals   of MoCs and other network outputs across NSW
	• Adaptation of the MoC in NSW
		• Making a difference with grassroots service providers
	• Availability of funding for MoC implementaion
		• Alignment of care delivery with network recommendations
		• Embracing of MoCs by community
	Long term:
	• Changing and improving practice	• Sustainability of projects
	• Improvement of patient care and services for patients
	• Measureable difference in patient outcomes and satisfaction, attributable to the MoCs
Network	Short term (getting the network together):	Short term (getting the network together):
	• Developing a collegiate network of clinicians to sustain the development of the network	• Investment in network processes from Department of Health
	• Broad representation of key stakeholders in network – e.g., across continuum of care, geographically, specialist-wise and educationally	• Broad range of stakeholders on network
		• Number of members on network
	• Involvement of best clinicians in network	• Engagement with all stakeholders
	• Egalitarian processes in network	• Happy, energetic leaders
	• Movement towards network objectives	• Continuous communication in network
	• Confidence of funding bodies in network, and their perceptions of network	• Contribution of network manager
		Medium term (getting the network functioning):
	• Clinician enablement and empowerment to contribute	• Meeting network strategic plan objectives and KPIs
	• Reaching consensus on clinical indicators or outcome measures	• Development of MoCs
	• Capacity to identify a clinical problem	• Research productivity (outputs) linked to the MoCs
	• Timeliness, availability of MoCs, level of consultation for MoCs
		• Recognition of role of network – the visibility of the network
	• Commitment of network chairs	• Development of MoCs
			• Contribution of network manager
	Medium term (getting the network functioning):	• Research productivity (outputs) linked to the MoCs
	• Development of many MoCs	• Recognition of role of network – the visibility of the network
	• Capacity to identify a clinical problem	• Network outputs
	• Timeliness, availability of MoCs, level of consultation for MoCs
	• Commitment of network chairs
	• Contribution of network manager	Long term (selling the plan):
	Medium term (getting the network functioning):	• Influence on policy
	• Development of many MoCs	• Influence on planning
	• Capacity to implement measurable, practical, sustainable changes	• Influence on practice
	• Focus of attention through network on musculoskeletal issues
	• Contribution of network to development of new evidence
	Long term (selling the plan):
	• Getting people together will change behaviour through cultural change in the way clinicians treat musculoskeletal disease
	• Meeting network Key Performance Indicators, e.g., reducing refractures within the network Refracture MoC.
	• Achievement on a state-wide scale, not just for single institutions
Member	Short term:	Short term:
	• Member participation and responsiveness in the network	• Member participation and performance in network
	• Spirit of member action on their objectives and volunteer input	Medium term:
		• Honouring of people’s investment and time
	Medium term:
		Long term:
	• Recognition by hospital/LHD of member contribution to Network
		• Influence on practice of members
	Long term:
	• Embedding practice change in member’s hospital or place of work