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Performance measurement in PHC презентация
Содержание
- 1. Performance measurement in PHC
- 2. From information to wisdom
- 3. What to measure? Health system is there
- 4. Donabedian model Source: http://implementationcentral.com/ebponline/?page_id=340
- 5. Conceptual framework for measurement Source: http://phcperformanceinitiative.org/about-us/measuring-phc
- 6. Hypertension* patient journey *Annually 5 visits above
- 7. How do we know whether results are good?
- 8. Satisfaction with PHC in Estonia
- 9. DPT3 coverage in Estonia
- 11. From information to wisdom
- 12. Example of a quality improvement tool
- 13. Progress of selected indicators in Estonian PHC Quality Bonus System
- 14. Doing the improvement
- 16. It is a continuing process
- 17. Thank you for your attention!
From information to wisdom
Слайд 3What to measure?
Health system is there to improve health outcomes of
people -> these need to be measured!
When we know what health status we want to achieve, we can plan a system that is able to achieve desired outcomes and measure:
Inputs (e.g. money, human resources)
Processes (e.g. what services and how are provided)
Outputs (e.g. how many visits and access to services)
Finally, we can link changes in outcomes to how we’ve changed inputs/processes/outputs
When we know what health status we want to achieve, we can plan a system that is able to achieve desired outcomes and measure:
Inputs (e.g. money, human resources)
Processes (e.g. what services and how are provided)
Outputs (e.g. how many visits and access to services)
Finally, we can link changes in outcomes to how we’ve changed inputs/processes/outputs
Слайд 5Conceptual framework for measurement
Source: http://phcperformanceinitiative.org/about-us/measuring-phc
Слайд 6Hypertension* patient journey
*Annually 5 visits above national average over all diseases
Author
of the slide: Triin Habicht
Source: The State of Health Care Integration in Estonia. The World Bank (2015)
Source: The State of Health Care Integration in Estonia. The World Bank (2015)
39% visits to specialist (mainly cardiologist), from these
67% avoidable
60% of patients returns to family doctor after one visit to specialist
10% got all tests suggested by treatment guidelines, 20% got none
84% of hospitalisations for hypertension and other cardiological diseases were avoidable
90 days after hospitalisation only 49% patients with AMI and 48% with stroke have returned to family doctor or specialist
