Tools, training programs and consultative services that simplify concepts and successfully build skills are available for all steps needed to perform and successfully achieve evidence-based clinical quality improvements for value. We customize our work to meet your needs.

IMPORTANT: Because we are continually refining our tools, we recommend that you download tools just-in-time rather than storing them on your own computer to ensure you are getting our best version.

TOPICS FOR TOOLS & EDUCATIONAL MATERIALS

Delfini Primers  l Delfini White Papers & Publications l  Health Care System  l  EBM Utility  l  Evidence  l  Formulary  l  Diagnostic Testing
QI Projects  l  Cost Analysis  l  Patient-centered Tools  l  Quality Evaluation  l  Legal Professionals Tool l  Meeting Management

• Denotes a Delfini Favorite or Frequently Used tool

Delfini Primer Series — mini lessions and helpful tips

Critical Appraisal

1. • Quick Critical Appraisal Checklist for Efficacy of Therapeutic Interventions (with supplemental questions for diagnostic testing and screening) [WORD] & [PDF]
2. The Problems with Case Series [PDF] & [WORD]
3. The Problems with the Use of Observational Studies to Draw Cause and Effect Conclusions About Interventions [PDF] & [WORD]
4. The Problems with Narrative Reviews [PDF] & [WORD]
5. Evidence Essentials web page for information on a variety of important topics Online
6. Pearls: Reminders for Validity Detectives for Critical Appraisal for Efficacy of Therapies [PDF] & [WORD]
7. new! RCT Design Goals - Superiority, Equivalence & Non-inferiority [PDF] & [WORD]

Diagnostic Testing

1. Evaluating Diagnostic Tests: Challenges with Measures of Test Function [PDF] & [WORD]

Measurement (including Performance Measures)

1. Quality Measurement Efforts: Primer [PDF] & [WORD]

Delfini White Papers & Publications »

Delfini Health Care System Tool Set

1. Effective & Efficient Meetings [WORD]
2. Evidence-based Value Model for Clinical Quality Improvement — (mini-version only online)
3. EBM Organizational Readiness Tool [WORD]
4. EBM Committee Tips Tool [WORD]
5. See Formulary Management Tool Set below
6. EBM Medical Technology Assessment Committee Tips Tool — available only through programs
7. • Pharmacoeconomic Study/Health Care Economic Study Evaluation Tool [WORD]
8. • Health Care Quality System Assessment Tool — [PDF] and [WORD]
9. The Return-on-Investment for EBM [online]

Delfini EBM Utility Tool Set

1. EBM Glossary Online
2. •Searching the Medical Literature Tool [WORD]
3. Evidence Review Planning Tools
   • Ideals [WORD]
   • Search Documentation [WORD]
4. Web Links Online

Delfini Evidence Tool Set

1. Study Summary & Critique [WORD]
2. • Evidence Grading, Wording Conclusions & Results Tables [WORD]
3. • Study Validity & Evidence Usability Assessment Tool Kit – Primary Sources - long version [WORD]
   (Short Version for the EBM-experienced is also available — Quick Critical Appraisal Checklist for Efficacy of Therapeutic Interventions (with supplemental questions for diagnostic testing and screening) [WORD] & [PDF]
4. Pearls: Reminders for Validity Detectives for Critical Appraisal for Efficacy of Therapies [PDF] & [WORD]
5. • Systematic Review Validity Tool [WORD]
6. Cochrane/Clinical Evidence Summary Template [WORD]
7. Evidence Synthesis [WORD]
8. More available online help at Evidence Essentials Online
9. • Pharmacoeconomic Study/Health Care Economic Study Evaluation Tool [WORD]
10. Intervention Review Template — available only through programs
11. Content developers —
12. Intention-to-Treat Analysis Calculator [Excel]

Delfini Formulary Management Tool Set

1. See above for Health Care System Tool Set for Committee Tips Tool
2. See above for Evidence Tool Set
3. EBM Pharmacy & Therapeutics Committee Tips Tool — available only through programs
4. Intervention Review Template — available only through programs
5. Pharmacoeconomic Study/Health Care Economic Study Evaluation Tool [WORD]
6. See below for Cost Analysis Tool Set

Delfini Diagnostic Testing Tools

1. Diagnostic Testing Calculator [Excel]
2. Evaluating Diagnostic Tests: Challenges with Measures of Test Function [PDF]

Delfini QI Project Tool Set

1. Project Proposal [WORD]
2. • Project Appraisal (includes questions for evaluating health care economic studies) [WORD]
3. Project Change Assessment [WORD]
4. Project Implementation [WORD]
5. Performance Measures (including selecting good projects) — Pending
6. Performance Measures — Quick Tips Checklist [Online]

Delfini Cost Analysis Tools

1. • Pharmacoeconomic Study/Health Care Economic Study Evaluation Tool [WORD]
2. NNT Comparison Calculator [Excel]
3. Electronic Spreadsheet Templates & Approaches (for ideas only!)
   Example for projecting impacts of change - Hypothetical Venous Ulcer Project [PDF] & [Excel] (There is no guarantee on the formulas, utility or anything else — you will need to examine closely and apply your own Excel skills and common sense to use!)

• & Approaches (example online at On The Same Page™ - Flowing Evidence into Cost Analysis: Powerful Ways with NNT)
• IBS Example — Impact Assessment Template & Sample: Spreadsheet template included as an optional, customizable aid designed to help health care organizations project potential changes which may result from successful guideline implementation. A completed tool is included as an example and was constructed using assumptions generated through meetings with national medical leaders. Overwrite these assumptions to reflect your own along with your local conditions. Use to perform sensitivity analyses. Useful, when modified, for other clinical improvement projects. Click here to download the sample tool — Impact Assessment Template [Excel]

Delfini Patient-centered Tools

For Health Care Providers:

1. Patient Information & Decision Aids Tool [WORD]
2. • Rx Messaging Scripts Template— targeted treatment messaging & decision support tools for specific clinical topics; can also be used in conjunction with the Delfini Patient Information & Decision Aid Tool for greater depth of script or aid development [WORD]
3. • Patient Information & Engagement Encounter Map — communication tool. Direct help for physicians and others who directly engage with patients to provide information, decision and action-oriented information, especially during clinical encounters. [PDF] & [WORD]
4. On the Same Page ™ — for Practitioner/Patient Information & Decision Aids

For Patients:

1. Consumer Tips To Aid in Evaluating Health Care Quality [WORD]

Delfini EBM Evaluation Tools

1. • Health Care Quality System Assessment Tool — [PDF] and [WORD]
2. Consumer Tips To Aid in Evaluating Health Care Quality [WORD]
3. Law & Medicine: Checklist for Evaluating the Evidence-based Medicine Approach of Medical “Experts” [WORD]

Delfini Law & Medicine Tool

1. Checklist for Evaluating the Evidence-based Medicine Approach of Medical “Experts” [WORD]

Delfini Meeting & Office Management Tools (see above in various sections for EBM Committee tools)

1. Effective & Efficient Meetings [WORD]
2. Agenda Builder (no instructions provided and requires knowledge of Excel) [Excel]