Monitoring and Evaluating a Health Pilot Program

Patients who undergo breast surgery, usually to treat breast cancer, are at a high risk of developing lymphoedema. Studies published in the scientific literature have found that without early intervention, people with early stages of lymphoedema following breast surgery (25% to 35% of patients) will develop chronic lymphoedema requiring life-long treatment and garments.

The Commonwealth government is providing funding to each state and territory to support a consistent approach to therapy for people with lymphoedema across Australia. The NSW Health pilot early intervention program includes the detection, surveillance and treatment of the early stages of lymphoedema. The program aims to reduce the incidence of chronic lymphoedema and to reduce demand on public lymphoedema services, including the need for specialist compression garments.

Nexus has been engaged by NSW Health to develop a framework to monitor and evaluate the program. The plan will incorporate qualitative and qualitative measures across the four domains of Value Based Healthcare – patient outcomes, patient experience of care, clinician experience of care and sustainability/efficiency.

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