Complex Care Program Development: A New Framework for Design and Evaluation

David Labby
March 2017

This resource proposes a framework to help guide the development of programs for populations with complex needs.

  • While medical drugs and devices go through a well-established, rigorous development process, there is no formal development process for developing care management interventions.
  • A common framework for the complex care program development process would provide a way of evaluating an initiative and whether it is “on track.”
  • The proposed framework includes the following steps:
    • Prototype Development — identify potential innovative approaches to help solve systemic challenges
    • Proof of Concept Testing — initial launch and full testing in local context
    • Program Optimization — to assess whether resources are being used in the most efficient way and generating the highest possible impact
    • Program Sustainability — to examine whether the program is meeting organizational needs and priorities
  • For each phase, the brief provides questions to consider and criteria for success.
Posted to The Playbook on
Population Addressed
Adults Under 65 with Disabilities
People with Advanced Illness
Frail Older Adults
People with Multiple Chronic Conditions
People with Behavioral Health and Social Needs
Key Questions Answered
  • How can I develop and refine care management interventions?
  • What are the steps in the process of developing an intervention, and what questions should I consider for each step?
  • How will I know if each step is successful?
Level of Evidence
Expert Opinion
What does this mean?