performance indicators in health and social care

The Organisation for Economic Co-operation and Development (OECD) publishes 60 internationally comparable indicators of healthcare quality.9 These are useful and influential. One tool that is frequently used to assist in performance monitoring and which can subsequently contribute to performance improvement in quality and safety, is the development and monitoring of key performance indicators (KPIs). We’ve assembled a collection of sample Key Performance Indicators for you to use as a starting point when building scorecards. 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. We searched for relevant performance indicators and their domains across the eight countries. The search found 401 indicators that fulfilled the ‘nationally consistent and locally relevant’ criteria. Papanicolas, I, Kringos, D, Klazinga, NS. 3. 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. 3. 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. For consumers, it suggests a direction for making choices on 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. Please check you selected the correct society from the list and entered the user name and password you use to log in to your society website. The process of review, seen especially in England, Canada and Australia, is critical to the continued development of performance indicators and their use. If you have the appropriate software installed, you can download article citation data to the citation manager of your choice. Meanwhile, in the Netherlands, a report detailing results for all 125 indicators is published every 2 years.38 From 2011, the information was updated via a website twice a year and from 2014, the report will be published every 4 years.38 The indicators are reported at the national level, not locally. The supervisee should prepare for the supervision and have a copy of the agenda set out from the last meeting, 4 Be able to provide professional supervision in health and social care or children and young people s work setting 4.1Support supervisees to reflect their own practice Performance indicators are a good way to measure practice because they represent the recruits of performance criteria which have … Indicators are sometimes also used to promote consumer choice at a regional or local level. 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. It seeks to answer the question ‘performance of what – and to what ends?’6 Reasons given for developing such a framework are as follows: (1) to define the scope and dimensions of measurement;24,6 (2) to help align the performance measurement system with other policy priorities and financial exigencies;43 (3) to provide a clearly defined vision to encourage buy-in by clinicians and consumers24,43 and (4) by involving potential end-users of the data in the design of the framework, to ensure its future usefulness.44 A conceptual framework encompassing multiple domains and with balanced representation across structure, process and outcome indicators is considered to be a key element of health reform over time.45. Sharing links are not available for this article. For example, every time you assess a patient you are using KPIs. 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). Key performance indicators in healthcare present you with a visual and easy-to-digest means of analyzing your operations. Domains within the performance frameworks were compared. The paucity of research examining the links between indicators and improvement may be due to the difficulty in attributing change to any particular policy initiative or intervention.49, The literature supports the use of performance indicators, suggesting that their impact is more likely to be on provider rather than consumer behaviour.43,50 However, there is a general call for more good quality studies on impact.50–52. 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). Organisation for Economic Co-operation and Development . A performance indicator is not a synonym for quality, but rather a proxy. Methodology For example, the Health Indicators 2013 report20 provides results for 88 indicators, 13 of which were additional indicators chosen to be included to measure performance by socioeconomic status at provincial and national levels.20 Although this appears confusing from an external perspective, variable reporting may be more effective in some instances, as CIHI addresses reporting needs by acknowledging different audiences and tailoring reporting for their requirements. Aims: The aim of this study was to gain consensus on key performance indicators that are appropriate and relevant for nursing and midwifery practice in the current policy context. Assessment techniques provide the mechanism for measuring and evaluating the defined factors to evaluate progress or impact. 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. Manuscript content on this site is licensed under Creative Commons Licenses. A summary of each country’s approach to performance indicator use is shown in Tables 1 and 2. NHPA commenced operations in 2012. Our single indicator menu is made up of 3 types of indicator: General practice indicators suitable for use in the QOF; General practice indicators suitable for use outside of the QOF; Clinical Commissioning Group indicators. Concepts that focus on both health promotion and risk reduction are included in the performance indicators. A systematic review, Public release of performance data in changing the behaviour of healthcare consumers, professionals or organisations, The public release of performance data: what do we expect to gain? The Care Quality Commission (CQC) introduced a new approach to inspecting and rating health and social care providers in 2013. Australian Government Department of Health and Ageing . KPIs specify what is measured and assessment techniques detail how and when it will be measured. The purpose of the table was to compile an initial ‘long-list’ of available indicators and then to identify a ‘short-list’ of those reported in multiple countries. The timing and mechanism of reporting on indicators were not consistent between countries, nor were they always internally consistent. The framework first illustrates how performance in the health financing functions of revenue collection, pooling and purchasing affects the realisation of health financing targets of resource generation, optimal resource use and financial accessibility of health services for all. The email address and/or password entered does not match our records, please check and try again. The reason is simple—quality of care can be enhanced by incorporating the management concepts of continuous quality improvement (CQI). 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