Measuring Success: A Framework for Benchmarking Health Care System Performance – The Conference Board of Canada – September 2012

Posted on October 2, 2012. Filed under: Clin Governance / Risk Mgmt / Quality, Health Mgmt Policy Planning | Tags: , |

Measuring Success: A Framework for Benchmarking Health Care System Performance – The Conference Board of Canada – September 2012

“This current report, Measuring Success: A Framework for Benchmarking Health Care System Performance, provides a foundation for the upcoming provincial and international benchmarking reports. In this report, we discuss the benefits of benchmarking; the benchmarking process and methods; benchmarking frameworks used by other organizations, both within Canada and internationally; and the benchmarking framework that we propose to guide the provincial benchmarking study to be conducted in the fall of 2012. This framework includes a full description of the performance indicators, the rationale for their inclusion, and the ranking methodology.”

… continues

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National Scorecard on U.S. Health System Performance, 2011 – The Commonwealth Fund – 18 October 2011

Posted on October 25, 2011. Filed under: Health Mgmt Policy Planning | Tags: , , |

National Scorecard on U.S. Health System Performance, 2011 – The Commonwealth Fund – 18 October 2011

“Overview
The National Scorecard on U.S. Health System Performance, 2011, updates a series of comprehensive assessments of U.S. population health and health care quality, access, efficiency, and equity. It finds substantial improvement on quality-of-care indicators that have been the focus of public reporting and collaborative initiatives. However, U.S. health system performance continues to fall far short of what is attainable, especially given the enormity of public and private resources devoted nationally to health. Across 42 performance indicators, the U.S. achieves a total score of 64 out of a possible 100, when comparing national rates with domestic and international benchmarks. Overall, the U.S. failed to improve relative to these benchmarks, which in many cases rose. Costs were up sharply, access to care deteriorated, health system efficiency remained low, disparities persisted, and health outcomes failed to keep pace with benchmarks. The Affordable Care Act targets many of the gaps identified by the Scorecard.”

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A composite index for the benchmarking of eHealth Deployment in European acute Hospitals. Distilling reality in manageable form for evidence based policy – European Commission Joint Research Centre – May 2011

Posted on May 25, 2011. Filed under: Evidence Based Practice, Health Informatics | Tags: , |

A composite index for the benchmarking of eHealth Deployment in European acute Hospitals. Distilling reality in manageable form for evidence based policy – European Commission Joint Research Centre – May 2011

Authors: Cristiano Codagnone and Francisco Lupiañez-Villanueva

“Abstract
Benchmarking is an important pillar of European policy making and has acquired a ‘quasi-regulatory’ role within the Open Method of Coordination in that it helps the Commission and MS to set target and monitor their achievement. After at least a decade of policy efforts and investments of public money to digitalise healthcare delivery it is a good time to take stock of where we stand in terms of take up, usage and impact. Applying state of the art multivariate statistical analysis to the data of survey of eHealth deployment in Acute European Hospitals funded by Unit C4 of DG INFSO, JRC-IPTS researchers have constructed a composite indicator of take up and usage of eHealth in European hospitals, as well as a typology of impacts. This combined analysis clearly show how, if methodology and substantive policy issues are rightly integrated, benchmarking can really contribute to the policy process and help decision makers fill existing gaps and invest into promising directions.”

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How to use Essence of Care 2010 – behchmarks for the fundamental aspects of care – UK – 1 October 2010

Posted on October 5, 2010. Filed under: Clin Governance / Risk Mgmt / Quality | Tags: |

How to use Essence of Care 2010 – behchmarks for the fundamental aspects of care – UK – 2010

“Essence of Care has been refreshed and now contains 12 benchmarks, following a consultation exercise late in 2009. It aims to support localised quality improvement, by providing a set of established and refreshed benchmarks supporting front line care across care settings at a local level.

The benchmarking process outlined in Essence of Care 2010 helps practitioners to take a structured approach to sharing and comparing practice, enabling them to identify the best and to develop action plans to remedy poor practice.”

ISBN 9780 11 322872 0

The benchmarks are focused on 12 topics. These were chosen because the evidence indicated that people were unhappy with these fundamental aspects of care. The 12 sets of benchmarks are:
■ Bladder, Bowel and Continence Care
■ Care Environment
■ Communication
■ Food and Drink
■ Prevention and Management of Pain
■ Personal Hygiene
■ Prevention and Management of Pressure Ulcers
■ Promoting Health and Well-being
■ Record Keeping
■ Respect and Dignity
■ Safety
■ Self Care

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Public Audit Forum [UK]: corporate services indicators – July 2010

Posted on August 20, 2010. Filed under: Health Economics, Health Mgmt Policy Planning | Tags: , |

Public Audit Forum [UK]: corporate services indicators – July 2010

“The Improvement Network was established in November 2004. It is sponsored by the following partners:
Audit Commission; Chartered Institute of Public Finance and Accountancy (CIPFA); Improvement and Development Agency (IDeA); Leadership Centre for Local Government; NHS Institute for Innovation and Improvement

Public Audit Forum … has developed a set of corporate services, which it keeps under review and plans to extend to new areas.

These help public bodies to benchmark the efficiency and effectiveness of some of their major corporate functions including:

Estates management performance indicators 2009/10
Finance performance indicators 2009/10
Human resources performance indicators 2009/10
ICT performance indicators 2009/10
Legal performance indicators 2009/10
Communications indicators 2009/10
Procurement indicators 2009/10

The communications and legal services indicators are new for July 2010. The indicators are designed to ensure that public bodies are able to assess the performance and efficiency of their back office services, and compare their results against other UK public sector organisations.

While use of the indicators is voluntary, they are recommended to audited and inspected bodies (AIBs) as a powerful tool to improve value for money.

The indicator definitions can be freely downloaded. In addition, several organisations are providing benchmarking services to the public sector based on the indicators.

The Operational Efficiency Programme (led by Sir Michael Bichard and reported with the Budget in April 2009) recommended that all public sector bodies employing more than 250 people should adopt the back-office efficiency indicators.”

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International benchmarking of healthcare quality: A review of the literature by: Ellen Nolte – RAND – 2010

Posted on March 3, 2010. Filed under: Clin Governance / Risk Mgmt / Quality | Tags: , |

International benchmarking of healthcare quality: A review of the literature by: Ellen Nolte – RAND – 2010
Pages: 62
Document Number: TR-738-DH

“There is growing interest in the systematic assessment and international benchmarking of quality of care provided in different healthcare systems, and major work is under way to support this process through the development and validation of quality indicators that can be used internationally.

Recognising that cross-national data comparison remains a challenge, there is now a considerable body of data that allow for comparisons of healthcare quality in selected areas of care. The report includes a description of existing indicators that could be used to compare healthcare quality in different countries, along with a discussion of specific problems in making comparisons at this level of detail. This is illustrated with case studies of two measures widely used for international comparisons: avoidable mortality and cancer survival. These show both the potential power of cross-national comparisons and some of the difficulties in drawing valid interpretations from the data.

The report focuses on the three quality domains identified as important by the NHS Next Stage Review High Quality Care for All, namely effectiveness of care, patient safety and patient experience. It is however important to recognise that access is an important additional component of quality which may be a key determinant of differences in outcome between different countries. Thus comparing quality across countries is only a first step to then assess the causes underlying those differences and determining what actions may be appropriate to take to improve health outcomes.”

Free, downloadable PDF file(s) are available below.

Full Document:  (File size 0.4 MB, 2 minutes modem, < 1 minute broadband) 

Summary Only:  (File size 0.1 MB, < 1 minute modem, < 1 minute broadband)

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National Benchmarker re-released with exclusive HRG4 data – UK Audit Commission – 29 June 2009

Posted on July 1, 2009. Filed under: Health Mgmt Policy Planning | Tags: , |

National Benchmarker re-released with exclusive HRG4 data – UK Audit Commission – 29 June 2009

“The Audit Commission, supported by the NHS Information Centre, has released a brand new set of benchmarking data to assist the NHS with the introduction of healthcare resource group (HRG) 4.

As well as updating the existing indicators, we’ve also developed some brand new HRG4-specific indicators. This national retrospective analysis is only available from the Commission’s National Benchmarker and is not accessible anywhere else in the NHS.

Whether you are in a PCT, trust, hospital department or, indeed, are an individual clinician, the National Benchmarker compares acute hospital activity data, clinical coding and PbR related data with other organisations to flag up questions for concern, or for discussions about matters such as healthcare management, payments or data collection. It covers both inpatient and outpatient data, and is based on over 50 separate data quality indicators.

The tool is intuitive and easy to use with technical and non-technical views giving you user-friendly reporting. Recent improvements in the functionality of the tool allow you to target areas of specific interest such as efficiency and productivity.

A new user guide and a revised tutorial video demonstrating how to use the tool have been published. Case studies have also been developed highlighting the benefits of the tool for commissioners and providers.”

National Benchmarker for the NHS leaflet

National Benchmarker user guide
“This user guide has been designed as a landscape document to be printed off double-sided. The majority of this user guide consists of screenshots marked up with numbered arrows, and these arrows relate to descriptive text on the page preceding the screenshot. Printing this document off double-sided and stapling across the length-ways spine as shown will allow you to view the text and the screenshot together.”

PbR National Benchmarker Tutorial

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