Several low- and middle-income countries are interested in extending their existing health insurance for specific groups to eventually cover their entire populations. The timing and mechanism of reporting on indicators were not consistent between countries, nor were they always internally consistent. People performance management is important and doing it well has a big impact on the quality of care that your service provides. Effective improvements in health care require methods to evaluate professional practice. Social Care Key Performance Indicators - Performance to 30 November 2012 For Period Torbay Torbay exc. CMH Community Mental Heath (CMH) Domain 1 - Enhancing the quality of life for people with care and support needs 40% 46% 5% The set of performance indicators provided in this article should help policy makers to monitor the development of social health insurance schemes … Understand, in particular, how the performance of adult social care and NHS services are dependent on each other, and that there is a shared imperative to prevent health SAGE Publications Ltd, unless otherwise noted. Indicators reported locally (at regional levels) occur via the Dutch Hospital Database. Van den Berg, M, Heijink, R, Zwakhals, L. National Institute for Health and Clinical Excellence . Comparison of Crude Population-Level Indicators of Opioid Use and Rela... Smith, P, Papanicolas, I. 3. In this study, the eight countries selected for review were using indicators and had implemented a performance framework, several over more than a decade. The number and focus of frameworks varied greatly between the eight countries, but typically included reference to both monitoring and improving quality and efficiency of the healthcare system. We conducted our study in four stages. Performance indicators are used to observe progress and to measure actual results compared to expected results. the site you are agreeing to our use of cookies. Approached in this way, performance management can promote excellence in service delivery and result in a more highly motivated and involved workforce. Background: There is continuing demand to demonstrate effectiveness and efficiency in health and social care and to communicate this at boardroom level. The reason is simple—quality of care can be enhanced by incorporating the management concepts of continuous quality improvement (CQI). There appears to be considerable overlap between the definitions of many of the domains such as effectiveness and appropriateness. 2010-11 is the last year of the NIS indicators and the Social Care and Mental Health indicators are being replaced by the Adult Social Care Outcomes Framework for 2011-12 onwards. Braithwaite, J, Matsuyama, Y, Mannion, R. Healthcare reform, quality and safety: perspectives, participants, partnerships and prospects in 30 countries. Key performance indicators in healthcare present you with a visual and easy-to-digest means of analyzing your operations. Secondly, it reviews the evidence as to how we might develop targets and indicators as Key Performance Indicators define factors the institution needs to benchmark and monitor. Most of the eight countries have an overarching framework for the selection and reporting of indicators which establish the broader aims for their implementation activity and play a large role in indicator selection and use. Performance indicators are quantitative tools and are usually expressed as a rate, ratio or percentage. Indicators tend to be more specifically linked to a clinical condition or disease group in some countries such as Denmark.30. 12). For monitoring long-term progress, there are 12 Quality Outcome Indicators (QOIs) which do not have specific targets; short-term priority areas are focussed on by the ‘HEAT’ targets: Health improvement for the people of Scotland (H), Efficiency and governance improvements (E), Access to services (A) and Treatment appropriate to individuals (T); and the third category includes all other national and local reporting requirements. The PAF consists of 48 national indicators: 31 indicators for Medicare Locals now called Primary Health Care Networks; (geographically based primary care co-ordinating agencies) and 17 indicators for performance of Local Hospital Networks and hospitals18 (see Table 1). Notwithstanding these kinds of shortcomings, it is useful to assess the frameworks and performance indicators in a sample of countries for the insights this provides. Canadian Institute for Health Information . important role in achieving our mission to provide excellent and efficient services working in partnership with residents and the wider local community Hibbert, P, Hannaford, N, Long, J. Definitions for these domains are often not explicit in the policy documents.20 Definitional consistency between countries should be the subject of more research or efforts to internationally standardise. One reports nationally (the US Department of Health and Human Services’ Agency for Healthcare Research and Quality (AHRQ)), one internationally (The Commonwealth Fund) and one locally (Hospital Compare). a number of key performance indicators (KPIs) for assessing the performance of healthcare accreditation programmes in order to contribute to the current knowledge in performance measurement and improvement in public sector and specifically health care. Instead, as a proxy framework, the Danish Institute for Quality and Accreditation in Healthcare (IKAS) manages the Danish Healthcare Quality Program (DDKM) as a national accreditation and standard–based programme. Comprehending each patient’s stay, how long they must wait for services, and how they perceive you can lead to valuable BI insights and actionable results. Health system performance comparison: an agenda for policy, information and research. The NHS Outcomes Framework 2012/13. An example of a framework which operates at multiple geographical levels is that used in England’s National Health Service (NHS). Manuscript content on this site is licensed under Creative Commons Licenses. Concepts that focus on both health promotion and risk reduction are included in the performance indicators. In doing so, policy makers can come closer to achieving universal coverage - access to appropriate healthcare for all at an affordable cost - the ultimate goal of social health insurance. Quality indicators have also been developed for home care , post-acute care ), and mental health; • Commonly-used, standardized interRAI scales (e.g., the Cognitive Performance … Nationally consistent and locally relevant indicators by country. A large amount of comparative information about international performance indicators is now available.53 We examined the systems in use in eight countries. After the audit process is complete, the data are released publicly, including comments on the results from the audit groups.40 Reports on many of the indicators are available on the www.sundhed.dk website. The search found 401 indicators that fulfilled the ‘nationally consistent and locally relevant’ criteria. In reviewing existing targets and indicators for health and social care, this report considers first what the policy framework for public sector bodies tells us about the aims and objectives of the health and social care system. While there is no answer to questions such as how many indicators, which domains should be targeted or what should be the right mix of indicators, there is a fundamental debate centred on whether the purpose of performance indicators is accountability or quality improvement.41–43,46 Internationally, there is a split between those countries which emphasise public reporting and accountability (e.g. If you have the appropriate software installed, you can download article citation data to the citation manager of your choice. Table 4. These standards are overseen by the International Society for Quality in Healthcare (ISQua).22 The Danish National Indicator Project (DNIP) merged with the Clinical Quality Development Programme (RKKP) in 2010.8 Although Denmark lacks a formal framework, the DNIP manual outlines the thinking behind its clinical indicators and planned future indicators (1) to improve prevention, diagnostics, treatment and rehabilitation; (2) to provide documentation for setting priorities and (3) to create an information resource for patients and consumers. quality indicators; mental health; Delphi; primary care; The central role played by primary care in the recognition and delivery of care for people with mental health problems is now widely acknowledged. Table 5. Local Performance Accounts information for the Directorate for People: Adults' Social Care Services. A particular characteristic or dimension used to measure intended changes defined by an organisational unit’s results framework. For example, the OECD considers these two domains as separate while the Australian framework considers appropriateness as a subset of effectiveness.6,18 Because of this, and hierarchical relationships between domains within some frameworks, it is difficult to report the number of indicators used against each domain for each country. The quality of health care is on the agenda in most health care systems. Of these, 45 indicators are reported in more than one country. Representatives of the Netherlands’ Ministry of Health, Welfare and Sport collaborated with academic researchers to develop the conceptual framework after reviewing the strategic goals of the healthcare system, information needs of policymakers and studying existing theory and international experiences.24 The resulting framework divides healthcare into four specific community needs: (1) staying healthy, (2) getting better, (3) living independently with a chronic illness and (4) end-of-life care.25, New Zealand has included an atlas of healthcare variation as one of its four health system performance monitoring mechanisms,26–29 and other countries such as the United States and the United Kingdom utilise an atlas, too. Typically is expressed in term… Nationally consistent and locally relevant indicators by disease group. The email address and/or password entered does not match our records, please check and try again. Methodology A scoping table detailing the indicators by country was developed. The authors would like to thank their colleagues Dr Diane Watson, Bernie Harrison, Jessica Stewart, Dr Julia Langton, Jason Boyd, Jessica Herkes and Kristiana Ludlow for their support to the project. 1.2.2 Recognize that there are multiple dimensions of health. Of course, this statement masks the contested and political components of indicator development and use, which does not figure explicitly in policy documentation, academic articles or this review and is mostly country-specific.34. Devising primary care performance indicators for New Zealand, A conceptual framework for the OECD Health Care Quality Indicators Project, Primary health care reform in Australia – report to support Australia’s first National Primary Health Care Strategy, 2011 National healthcare quality and disparities reports, Rising to the challenge – results from a scorecard on local health system performance, Conceptual frameworks for health systems performance: a quest for effectiveness, quality, and improvement, Correlates of health and healthcare performance: applying the Canadian health indicators framework at the provincial-territorial level, International profiles of health care systems, Developing a national performance indicator framework for the Dutch health system, Health care performance in the Netherlands: easy access, varying quality, rising costs, OECD reviews of health care quality: Denmark: executive summary, assessment and recommendations, About the Quality and Outcomes Framework (QOF), Unintended consequences of performance measurement in healthcare: 20 salutary lessons from the English National Health Service, Health indicators 2013: definitions, data sources and rationale, Canadian Hospital Reporting Project technical notes – clinical indicators, Healthy Canadians: a federal report on comparable health indicators. the family in terms of performance of social roles. Create a link to share a read only version of this article with your colleagues and friends. In the United States, three identifiable entities report on healthcare performance. This article provides a simple framework to analyse key performance issues related to the functions of health financing within the context of social health insurance. There are national and international incentives for rating the performance of health systems. The Care Quality Commission (CQC) introduced a new approach to inspecting and rating health and social care providers in 2013. The focus of this set of indicators is directed towards the question how care homes can measure and manage improvements with regard to the quality of life of their clients, and the related issues of quality of care, management, economic performance and relationships with external stakeholders. For more information view the SAGE Journals Sharing page. 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