scholarly journals Accuracy of national key performance indicator reporting from two Aboriginal medical services: potential to underestimate the performance of primary health care

2018 ◽  
Vol 42 (4) ◽  
pp. 453 ◽  
Author(s):  
Isaac Hill ◽  
David Johnson ◽  
David Scrimgeour ◽  
Robyn McDermott
Keyword(s):  
Quality Improvement ◽  
Health Service ◽  
Health Services ◽  
Performance Indicator ◽  
Data Extraction ◽  
Information Management System ◽  
Health Data ◽  
Service Performance ◽  
Key Performance Indicator ◽  
Local Quality

Objective The aim of the present study was to assess the accuracy of extracting national key performance indicator (nKPI) data for the Online Community Health Reporting Environment for Health Services (OCHREStreams) program using the Pen Computer Systems (Leichhardt, NSW, Australia) Clinical Audit Tool (CAT) from Communicare (Telstra Health Communicare Systems, Perth, WA, Australia), a commonly used patient information management system (PIMS) in Aboriginal primary care. Methods Two Aboriginal Community-Controlled Health Services (ACCHSs) were recruited to the present study. A sample of regular clients aged ≥55 years from each ACCHS was selected and a subset of 13 nKPIs was examined. A manual case note audit of the nKPI subset within Communicare was undertaken by a clinician at each participating ACCHS and acted as a ‘gold standard’ comparator for three query methods: (1) internal Communicare nKPI reports; (2) PenCS CAT nKPI manual filtering (a third-party data-extraction tool); and (3) nKPI data submitted to the Improvement Foundation qiConnect portal. Results No errors were found in nKPI data extraction from Communicare using the CAT and subsequent submission to the qiConnect portal. However, the Communicare internal nKPI report included deceased clients and past patients, and we can be very confident that deceased clients and past patients are also included in the qiConnect portal data. This resulted in inflation of client denominators and an underestimation of health service performance, particularly for nKPIs recording activity in the past 6 months. Several minor errors were also detected in Communicare internal nKPI reports. Conclusions CAT accurately extracts a subset of nKPI data from Communicare. However, given the widespread use of Communicare in ACCHSs, the inclusion of deceased clients and past patients in the OCHREStreams nKPI data program is likely to have resulted in systematic under-reporting of health service performance nationally. What is known about the topic? There has been limited validation of health data exported via data-extraction tools in Australia. More specifically, there are no current published data describing the accuracy of the CAT in mapping health data extracted from Communicare or the accuracy of internal nKPI reports generated by Communicare. Further, no systematic review has been undertaken to assess the accuracy of the nKPI data submission pathway from PIMSs at the health service level to the OCHREStreams qiConnect portal using the CAT. What does this paper add? The CAT accurately extracts a subset of nKPI data from Communicare and accurately submits this to the qiConnect portal. Minor errors exist in some Communicare internal nKPI reports. The inclusion of deceased clients and past patients in the nKPI reporting system for ACCHSs is likely to have resulted in systematic under-reporting of health service performance nationally through this program. What are the implications for practitioners? The inclusion of deceased clients and past patients in the OCHREStreams nKPI program limits the usefulness of these data for local quality improvement activities and national monitoring of health service performance for participating ACCHSs. The use of the CAT by ACCHSs independently from the OCHREStreams program can enable deceased clients and past patients to be excluded from reports that can provide more accurate nKPI data from Communicare for local quality improvement and planning purposes.

Consumer Participation in Service Evaluation and Quality Improvement: Key Ingredients for a System to Deliver National Indicators

2011 ◽  
Vol 19 (6) ◽  
pp. 493-497 ◽  
Author(s):  
Karen Oakley ◽  
Gillian Malins ◽  
Louisa Riste ◽  
John Allan
Keyword(s):  
Mental Health ◽  
Quality Improvement ◽  
Mental Health Service ◽  
Health Service ◽  
Health Services ◽  
Service Evaluation ◽  
Consumer Participation ◽  
Local Systems ◽  
Health Performance ◽  
Health Service Evaluation

Objectives: The aim of this paper is to describe the fundamental components of a system to ensure consumer participation in mental health service evaluation and quality improvement. Conclusions: The seven fundamental components identified provide the basis for a system to deliver national indicators for consumer participation in quality improvement under the National Health Performance domain of “responsiveness to consumers”. The MH-CoPES Framework satisfies these criteria and may be drawn upon as the basis for developing local systems for consumer participation in quality improvement within mental health services.

A template approach to quality improvement activity: a primary care example

2013 ◽  
Vol 37 (4) ◽  
pp. 535 ◽  
Author(s):  
Christopher Fawcett ◽  
Helen Moriarty ◽  
Roshan Perera
Keyword(s):  
Quality Improvement ◽  
Clinical Practice ◽  
Health Service ◽  
Health Services ◽  
Community Practice ◽  
Quality And Safety ◽  
Quality Improvement Activity ◽  
Community Based ◽  
Quality Framework ◽  
Area Of Concern

Introduction. This paper demonstrates the use of a Quality Framework and Implementation Template to review processes for improving the quality and safety of opiate prescribing for chronic non-malignant pain (CNMP). Escalating use of prescription opiates for chronic pain is of national and international concern, with major implications for personal and public health as well as for patient safety and health service quality and safety. Objectives. This paper uses opiate prescribing for CNMP as a worked example to illustrate use of the Quality Framework for self-directed quality improvement in smaller specialist medical or community-based practices. Methods. An Implementation Template, comprising a series of focussed questions derived from the Quality Framework, was applied to one specific quality improvement activity arising from clinical practice (opiate prescribing for CNMP). This helped the practice team understand current systems and processes, identify actual and potential problems, and find possible solutions to institute interventions for change. Conclusion. The template approach to quality activity is very applicable within smaller specialist or community health service settings, enabling such health services to focus on their own quality improvement activities and address topics of importance to the practice in a systematic and productive manner. What is known about the topic? There are complex interactions and activities to be considered when undertaking quality improvement within community practice. Repeat opiate prescribing for CNMP is a significant issue for practices and patients. What does this paper add? This paper examines the specific case of improvements to quality and safety of repeat prescribing of opiates for CNMP in small clinics and other community-based health services. This example shows how users may utilise an Implementation Template to perform a systematic and comprehensive review of their systems and processes in relation to any chosen aspect of practice-based quality improvement activity. Services could apply these same principles to any topic of interest, or practice and/or organisational activity, to undertake systematic quality improvement. What are the implications for practitioners? The Implementation Template was designed for use by clinical practice teams. It will be helpful for practices that wish to undertake a quality improvement activity but lack the knowledge of how to proceed. Use of the template approach provides practice teams with the means to ensure that they consider the area of concern from all angles, and helps to uncover areas that might not otherwise have been considered.

Health visitor service performance in England

2020 ◽  
Vol 8 (6) ◽  
pp. 248-250
Author(s):  
David Hancock
Keyword(s):  
Public Health ◽  
Health Services ◽  
Performance Indicator ◽  
Health Visitor ◽  
Service Performance ◽  
Public Health Services ◽  
Indicator Data

Public Health England collects performance indicator data for children's public health services, including health visiting services metrics. What does the latest data reveal?

scholarly journals Gaining knowledge of Ontario’s community mental health and addictions system: linking community-based health services data with administrative health data in Toronto, Ontario, Canada

2018 ◽  
Vol 3 (4) ◽  
Author(s):  
Paul Kurdyak ◽  
Abigail Amartey ◽  
Julie Yang ◽  
Daniel Liadsky ◽  
Rachel Solomon ◽  
...  
Keyword(s):  
Mental Health ◽  
Primary Care ◽  
Health Service ◽  
Health Services ◽  
Community Health ◽  
Community Health Services ◽  
Health Data ◽  
Local Health ◽  
Community Based ◽  
Administrative Health Data

IntroductionIn most developed countries, a significant amount of mental health and addictions care occurs in community settings. Data reflecting populations served by community-based mental health and addictions providers and the types of services provided are not available, resulting in an incomplete reflection of the entire mental health and addictions system within existing administrative data. Objectives and ApproachThe Community Business Intelligence (CBI) initiative is a data collection project that captures information on adults receiving community-based mental health, addictions, and support services in Toronto Central Local Health Integration Network (LHIN), located in Ontario, Canada. Leveraging administrative health data and data linkage capacity at the Institute for Clinical Evaluative Sciences (ICES), along with engagement of external stakeholders knowledgeable of CBI and the community health sector, we linked the 2015/16 CBI dataset to administrative health data. Demographic characteristics, health-service utilization, primary care attachment, and 30-day emergency department (ED) revisits were calculated for individuals accessing community health services. ResultsThere was an 80.8% linkage rate, of which 36.9% linked deterministically via health card number, while 43.9% linked probabilistically. After study exclusions, 37,688 individuals in the CBI dataset used community health services between April 2015 and March 2016. Compared to Toronto Central LHIN, a greater proportion in the CBI dataset were female, older than 65 years of age, and living in a low income neighbourhood. Furthermore, 95.5%of individuals had at least one outpatient physician visit, 51.3%had at least one ED visit, and 21.7%had at least one hospitalization in the past year. Few individuals in the CBI dataset were without primary care attachment (4.5%); however, a larger proportion had a 30-day ED revisit, particularly those receiving community addictions services (19%). Conclusion/ImplicationsThe availability of community health services data in the CBI dataset and its successful linkage to the administrative health data held at ICES identified health service intersections and outcomes that were previously unknown. This linkage project demonstrates a successful framework for sector-wide performance measurement to address a critical infrastructure gap.

scholarly journals Mengkaji Faktor yang Mempengaruhi Kinerja Pelayanan Organisasi RSUD Kota Tangerang

2021 ◽  
Author(s):  
Alan Budi Nugroho
Keyword(s):  
Quality Improvement ◽  
Health Service ◽  
Health Services ◽  
Quantitative Research ◽  
Service Organization ◽  
Organization Performance ◽  
Service Organisation ◽  
Or Organization ◽  
Research Show ◽  
Variable Measurement

Due to importance of the health service, therefore is needed quality improvement and health services, so there are many factors affected. In this research the factors that affected in health service is an activity results as an individual or organization who have the same goals to fullfill necessary by means of others person activity. The Purpose : (1) to determine the affect between Proffesionalism and service organization performance in RSUD Tangerang city. (2) to determine the affects between leadership and service organization performance RSUD Tangerang city. (3) to determine the affects between an authority of management and service organization performance in RSUD Tangerang city. This research is quantitative research. In this research there are four variables, Proffesionalism (X1), Leadersip (X2), an authority of managements (X3) and service organisation performance (Y). Variable measurement in this research is using ordinal scala. Data were collected through questionnaire. The result of this research show that (1) Proffesionalism variable affets to service organization performance in RSUD Tangerang city with probability value 0,0002, (2) Leadership variable affects to service organization performance in year 2016 with probability value 0,0018, (3) An authority management variable doesn’t affect to service organization performance in year 2016 with probability value 0,204.

scholarly journals Networks: a key to the future of health services

2005 ◽  
Vol 29 (3) ◽  
pp. 317 ◽  
Author(s):  
Gray Southon ◽  
Rod Perkins ◽  
David Galler
Keyword(s):  
Health Service ◽  
Health Services ◽  
Service Performance ◽  
Hierarchical Systems ◽  
Mutual Support ◽  
Expertise Development ◽  
The Future ◽  
Common Interests ◽  
Knowledge Support

Health service reforms and structures have, in general, emphasised hierarchical systems to enable control and accountability. In doing so, policies have substantially sidelined networks and their potential for contributing to health service performance. Networks play a number of roles, such as in supporting expertise development, arranging referrals, coordinating programs, undertaking projects, sharing common interests and providing mutual support in managing common conditions. They handle knowledge, support expertise and deal with complexity in ways that hierarchies are unable to, and are fundamental to supporting professionalism. Until networks are used to a greater extent, the development of health services will be substantially impeded. This will require enhancing the role and contribution that networks play, which is dependent on resources, leadership and skills.

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