Table 1.
COMPONENTS | STRUCTURE (Who, What) | PRACTICE (How) |
---|---|---|
1. Governance | ▪ Overseers ▪ Policies for decision-making ▪ Transparency and accountability in all structures ▪ Requirements for addressing conflict of interesta ▪ Requirements for monitoring, evaluation and improvement of systems and processes b ▪ Requirements for reporting |
▪ Oversight ▪ Procedures, guidelines, protocols for decision-making ▪ Transparency and accountability in all practices ▪ Methods of addressing conflict of interest ▪ Methods of monitoring, evaluation and improvement of systems and processes ▪ Methods of reporting |
2. Administration | ▪ Administrators ▪ Requirements for administration ▪ Relationships and coordination ▪ Communication |
▪ Methods of administration, coordination, communication and collaboration |
3. Stakeholder engagement | ▪ Clinicians, Managers, Consumers, Technical experts, Funders, other relevant parties ▪ Requirements for stakeholder engagement |
▪ Methods of identification, recruitment and engagement |
4. Resources | ▪ Funding sources ▪ Allocation of staff ▪ Access to experts or ways to gain expertise ▪ Information sources ▪ Requirements for resources |
▪ Provision of appropriate and adequate funding, time, skills/training, information ▪ Utilisation of resources |
5. Decision-making | ▪ Decision-makers − Clinicians − Authorised individuals − Authorised groups ▪ Scope of decisions ▪ Type of decisions ▪ Requirements for decision-making |
▪ Methods of decision-making − Identification of need/application − Decision criteria − Ascertainment and use of evidence − Reminders and prompts to consider disinvestment − Deliberative process − Documentation and dissemination |
6. Implementation | ▪ Purchasers ▪ Requirements for purchasing |
▪ Methods of purchasing |
▪ Policy and guidance developers ▪ Requirements for policies and guidance documents |
▪ Methods of policy and guidance development | |
▪ Implementers ▪ Requirements for implementation |
▪ Methods of project management ▪ Methods of change management |
|
7. Evaluation | ▪ Evaluators ▪ Requirements for evaluation ▪ Type and source of data collected |
▪ Methods of evaluation |
8. (Reinvestment) | ▪ Requirements for reinvestment/reallocation | ▪ Methods of reinvestment/reallocation |
aRequirement is used in the sense of performance stipulated in accordance with policies, regulations, standards or similar rules or obligations
bItems in italics were not specified by respondents but have been added for consistency across all components