The following SMART goals outline the maternity team’s planned outcomes for implementing PKB within the maternity pathway. These goals are designed to improve patient safety, enhance engagement, and streamline clinical workflows through the use of digital records and care plans. By empowering women to access their test results, care plans, and educational resources in real time, the maternity team aims to support informed decision-making, improve birth experiences, and reduce administrative costs.

Each goal is specific, measurable, achievable, relevant, and time-bound, ensuring progress can be monitored and sustained over time.

Goal 1 – Provide Every Maternity Patient with a PKB Record

Specific:
Improve patient outcomes and safety by ensuring every maternity patient receives a PKB record, enabling access to test results, clinic letters, and care plans.

Measurable:
Register at least 25% of all maternity patients each month. Progress will be monitored weekly via PKB registration reports. By nine months post-go-live, 100% of new patients will be onboarded, with registration confirmed by the second midwife appointment.

Achievable:

• Team level: All staff trained on PKB; patients invited and reminded at every appointment; clear comms sent during the maternity pathway.

• Trust level: Full PKB integration so blood results, clinic letters, and appointment letters are visible in the patient record.

Relevant:
Access to PKB empowers patients to understand their pregnancy, reduces calls for results, and frees up clinical time. Patients can access their data online in real time, supporting informed decision-making.

Time-Bound:
Weekly monitoring; aim for sustained 25% monthly growth for the first nine months. From month nine, 100% onboarding of new patients.

Goal 2 – “My Choices for Pregnancy, Birth and Beyond” Digital Care Plan

Specific:
Improve birth outcomes and patient experience by introducing a digital “My Choices” care plan at the first appointment, reviewed at each follow-up from 30 weeks onward.

Measurable:
Compare the percentage of patients with a completed and reviewed birth plan before PKB vs. after PKB go-live. Target: 80% of patients registered with PKB by six months post-go-live.

Achievable:

• All patients invited to register with PKB at the first appointment.

• Midwives trained on PKB and care plan functionality.

• Library resources available to support patient completion of birth plans.

Relevant:
Digital care plans empower patients to record and share their preferences, enabling midwives to review and update at key stages.

Time-Bound:
Care plan workflow live at team go-live. Review engagement at 3, 6, and 9 months post-go-live.

Goal 3 – Reduce Costs Through Digital Care Plans and Resources

Specific:
Reduce printing costs by replacing paper maternity notes (25 pages per patient) and patient leaflets with digital versions in PKB.

Measurable:
Track monthly patient numbers and calculate savings by comparing pre-PKB printing volumes with post-PKB digital delivery. Include projected annual savings.

Achievable:

• Team level: All patients registered with PKB; digital library available.

• Trust level: Full integration of test results, letters, and resources into PKB.

Relevant:
Digital records improve clinic efficiency, reduce duplication, enhance safety, and remove reliance on patients bringing paper notes.

Time-Bound:
Within 9 months post-go-live, all maternity patients will use digital notes instead of paper. 80% of patients will have accessed their maternity PKB.

Goal 4 – Achieve 50% Registration by 20 Weeks Gestation

Specific:
Ensure 50% of all maternity patients are registered with PKB by 20 weeks of gestation.

Measurable:
Use PKB’s weekly registration stats to monitor progress. Monthly growth target: 25% increase in registrations until goal is achieved.

Achievable:
Mass registration via integration; patients invited at first appointment with follow-up reminders; midwives trained to capture email addresses and add carers.

Relevant:
Digital records improve access to care plans, appointments, and clinical documentation while ensuring completeness and legibility.

Time-Bound:
Within 9 months post-go-live, all maternity patients will have an active PKB record.