Health services research related to performance indicators and benchmarking in Europe

Abstract

This study suggests a number of themes for future research. These include testing and improving: the validity and reliability of performance indicators, especially related to avoidable mortality and other outcome indicators; the effectiveness and efficiency of embedding performance indicators in the various governance, monitoring and management models, and their effect on health systems, services and professionals; and the effectiveness and efficiency of linking performance indicators to other national and international strategies and policies such as accreditation and certification, practice guidelines, audits, quality systems, patient safety strategies, national standards on volume and/or quality, public reporting, pay-for-performance and patient/consumer involvement. The field would benefit from strengthening the clearinghouse function for research findings, training of researchers and appropriate scientific publication media. Results should be systematically shared with policy-makers and managers, and networking stimulated between the growing number of regional and national institutes involved in quality measurement and reporting.

Consistency of denominator data in electronic health records in Australian primary healthcare services: enhancing data quality

“…Even the top performers in quality and safety internationally do not rely fully on automated extraction of data from EHRs for performance improvement (Crawford et al 2013). Testing and improving the validity and reliability of performance indicators has been identified as an important area for research (Klazinga et al 2011), and more specific attention to data quality should contribute to a more realistic understanding of the challenges and to more effective and efficient strategies for implementation of EHRs (Black et al 2011).…”

The Dutch health care performance report: seven years of health care performance assessment in the Netherlands

“…These issues require macro-level policy and, accordingly, information on how the system is functioning [4-6]. The ministerial conference in Tallinn in 2008 and the resulting “Tallinn Charter” has accelerated the HSPA-movement and marked the starting point for several countries [7].…”

Routine Outcome Monitoring in Mental Health Care and Particularly in Addiction Treatment: Evidence-Based Clinical and Research Recommendations

“…The discussion on external benchmarking with ROM is further complicated by concerns about the privacy of patient data and the restriction that only pre-post treatment ROM data are used. For more discussion on external benchmarking with ROM, we refer to some relevant publications [44][45][46][47][48][49].…”

“…In the study of Crits-Christoph et al [64], patient progress across individual addiction treatment was tracked using the well-established Outcome Questionnaire-45 (OQ- 45) [28], adapted to include drug and alcohol use (Modified OQ-45). The original OQ-45, a validated instrument across a broad range of normal and client populations, is a 45-item self-report scale (5-point scale) developed specifically for tracking and assessing patient outcomes in a therapeutic setting.…”