Making a difference in healthcare
Designing for meaningful, measurable change
Most research describes the problem. TRANSFORM is designed to solve it.
While the program is in its early stages, it has been intentionally designed to generate measurable benefits for people, providers and the health system, and to produce evidence that can inform long-term reform. The evaluation framework spans implementation, outcomes, cost-effectiveness and scalability, ensuring every innovation tested in the three regions generates findings useful to policymakers, commissioners and health services beyond Melbourne.
What impact will look like
TRANSFORM is working toward improvements across four key areas:
1. Better experiences for people and families
Care that is easier to navigate
Fewer gaps, delays and repeated information
More coordinated and person-centred support
2. More connected and effective care
Stronger coordination between primary care, hospitals and community services
Smoother transitions between services
Reduced duplication and fragmentation
3. A more sustainable health system
Reduced preventable hospital use
More efficient use of resources
Greater value from existing services
4. Stronger capability for ongoing improvement
Increased capacity for co-design, implementation and evaluation
Stronger partnerships across sectors
A foundation for continuous learning and system improvement
From local change to system reform
Running across three regions isn’t just practical, it’s the research design. North West, Outer East and South East Melbourne each serve different populations facing different pressures. By running parallel co-design processes across all three, TRANSFORM generates comparative evidence that a single-site program never could.
By working across three regions and generating shared learning, the program will:
Identify models that can be adapted and scaled
Provide evidence to support policy and funding decisions
Contribute to broader health system reform
How we measure impact
TRANSFORM uses a structured evaluation approach to understand what works, for whom, and at what cost.
We will assess impact across:
Experience: Consumer, carer and clinician experiences of care
Outcomes: Health and wellbeing outcomes for people with chronic illness
System performance: Service use, coordination and efficiency
Value and cost: Cost-effectiveness, cost-benefit analysis and implications for funding and commissioning models, including economic experiments to quantify consumer-valued outcomes
Implementation: Feasibility, acceptability and scalability of innovations
This approach ensures that innovations are not only effective, but also practical and sustainable in real-world settings.
What we will publish and share
As the program progresses, TRANSFORM will produce:
Evidence on what works in improving integrated care
Economic analyses to inform investment decisions
Implementation guidance for services and regions
Policy-relevant insights for government and system leaders
Looking ahead
Findings and insights from TRANSFORM will be shared progressively as innovations are implemented and evaluated.