Review of District HETI Relationship Model

District HETI was established in 2012 with a remit for the rapid development of online education and training for the NSW Health workforce. This was a time of substantial reform for the health system in NSW, with Local Health Districts (LHD), Specialty Health Networks (SHN) and pillars all being established, and governance of health service delivery devolved from the Department to providers. The shift from a locally delivered to a centralised training model required evaluation.

ARTD conducted an independent review of the District HETI Model to identify what if any changes were needed to improve the overall approach of the delivery of high-quality state-wide online education and training. Subsequently, we developed a multi-layered strategy for the monitoring and evaluation of the eLearning modules.

The review collected evidence through interviews and surveys with key District HETI stakeholders. The review team interviewed seven senior staff members of HETI and District HETI, and six Chief Executives and eight Directors of LHDs and SHNs. All Districts/ Networks and pillar Chief Executives were surveyed, with selected questions for their direct response and other questions that could be delegated to a relevant Director. In developing the Strategy, monitoring and evaluation strategy, ARTD reviewed key policy and program documents consulted key stakeholders through interviews and a workshop with 19 HETI staff. We developed a logic model, protocols for monitoring processes and systems, quality indicators, and guidance for decision-making about the conduct of future periodic impact evaluations of selected eLearning modules.

The review identified achievements and opportunities to be realised. It also provided an understanding of District HETI model workforce needs into the future and an understanding of the perceived strength of partnerships. The evaluation strategy is used to monitor and evaluate the eLearning modules.