Section E: Evaluation Plan
Outcome measurements or outcome evaluations are one of the most important activities of any program implementation process. Rossi, Peter, Lipsey, and Freeman (2004) stated that program evaluation is “the systematic application of social research procedures for assessing the conceptualization, design, implementation, and utility of health or social interventions (p.8). The concept or proposition of fecal microbiota (FMT) transplantation is to offer an alternate for managing and treating C. difficile. Outcome measurement through monitoring and evaluation will assist in establishing the effectiveness and success of the FMT program. The rationale for collecting measurement data include:
• What was the patient’s clinical outcome after the FMT?
• Did the FMT improve the quality of life for the patient and family members?
• Did the FMT program reduce the health care cost for managing and treating CDI?
• What changes, if any, are needed to improve the FMT program?
An FMT committee will be formed within to evaluate the clinical outcome of the FMT program. The committee, located with the Endoscopy Clinic, will consist of a team leader (gastroenterologist), two specialty nurses, one certified nurses assistant (CNA), and two clerical assistants. There are two methods the Endoscopy team can evaluate the clinical effectiveness and outcome of the FMT program;
• Interviews (in person or by telephonic communication): Interviews provide the opportunity for the FMT participant to obtain additional in-depth clinical information, clarify any confusion, and to ask questions.
• Internal Record Reviews: Internal record review involves the collection of data through the use of the hospital’s electronic medical record system (EMR). The FMT committee team will develop an electronic tracking data form (Appendix A) to assist in data collection. Staff and team training, with the health informatics department, can increase the validity and reliability of the electronically generated data.
The frequency and scheduling of data collection will be conducted in a time series format. In a time series format, evaluation data are collected at set time intervals as part of an ongoing interventional program (Polit & Beck, 2012). For the FMT, data collection will be conducted initially, post procedure (days 3, 7, 14, 30), and every 3 mother thereafter.
Resources Need for Evaluation
Outcome measurement and evaluation require resources. The Endoscopy Clinic at Sharp Memorial Hospital can manage, evaluate, and monitor the FMT program with minimal increase in the clinic’s operational cost. Supplemental staffing, including clerical assistants, may be need the augment the core staff assigned to the Endoscopy Clinic. Additional resources needed to evaluate the FMT program include computer support and communication (telephone and postage).
Feasibility, Method of Evaluation, and Future of FMT
With the establishment of core...