key performance indicators in healthcare the nhs
Jan 12 2021 4:42 AM

Key performance indicators (KPIs) are defined by the NHS Institute as indicators that help you define and measure progress towards organisational goals (NHS Institute, 2008) . Performance indicators play a vital role in the management and transformation of a hospital or laboratory. 203,704 patients had a first consultant appointment for suspected cancer in October 2020 following an urgent GP referral– 8% lower than in October 2019. Percentage of face-to-face NBVs undertaken after 14 days, by a Health Visitor. We recognise that the foundations of good health throughout life lie in early childhood. Mortality rates for low birth weight and pre term babies as a % (in each category) and of total births. Annual Report on patient experience feedback from families and caregivers. This could include the development of an a single system wide HCP performance dashboard which can be used by joint commissioners to plan, evaluate and improve the quality of the HCP. Number of pregnant women as a percentage of total deliveries who are reported as smoking at the time of delivery. how current national KPIs map to HCP activities provided by services at different stages of a child’s development and; how the service-level KPI’s link to the HCP Ambitions and population health outcomes. Clarity amongst commissioners and providers regarding the contribution individual services make to the delivery of the local HCP child health outcomes. Wider determinants of health, health improvement (NHSOF, PHOF). It was the 1999 death of a 38-year-old patient in the north of England, on a waiting list Is an agreed HCP specific information sharing protocol in place in each service. The Royal College of Pathology Key Performance Indicators (KPIs) build on work the Royal College of Pathologists has been undertaking in recent years. Improving the wider determinants of health (NHSOF, PHOF). Performance indicators, embedded in clinical guidelines and peer reviews, are among the most common approaches aimed at bridging the knowledge gap, but have limited effectiveness when used alone to change physician behaviour. Current national requirements for quality assurance and monitoring of the HCP, Implementing integrated monitoring of the HCP locally, Principles for Commissioning & Delivering, Percentage of mothers receiving a booking visit and completion of appropriate screening and Family of Origin Questionnaire (FOQ) by 8-10 weeks, Reduction of perinatal mortality and infant mortality (NHSOF, PHOF). Trolley waits have been increasing each month since May 2020. To ensure delivery of public health messages and advice whilst preparing mothers and fathers for parenthood. In October 2020, one in four patients (25%) waited longer than two months to start their first treatment following an urgent GP referral for suspected cancer. Today, NHS England and NHS Digital published the latest data on key activity and performance measures for October and November of this year. Comprehending each patient’s stay, how long they must wait for services, and how they perceive you can lead to valuable BI insights and actionable results. For more information, see our A&E waiting times indicator. Field testing of the proposed new standards began in 2019, however due to the coronavirus (Covid-19) outbreak, the publication of the review’s recommendations has been delayed until later this year. A healthcare KPI, or metric, is a type of performance measurement that helps you understand how your healthcare organization or department is performing. These changes have spurred healthcare companies to look into new healthcare metrics—or key performance indicators (KPIs)—to decide if they are meeting these new standards. Health improvement, health protection (NHSOF, PHOF). HCP Vision and Ambitions: what do we want to achieve for children? Summary Report . These are: These national monitoring requirements, the ‘Must do’ KPIs and health outcomes, were mapped against the HCP pathways to provide an overview of how they relate to local service commissioning and delivery. The 6 key principles were: A number of national quality assurance and monitoring mechanisms are already in place to monitor elements of the HCP. Total number of mothers receiving vitamins via the children's centre. Monitoring the effectiveness of the local system in providing integrated care will also require an integrated monitoring framework. For urgent and emergency care, the field test sites have not been submitting four-hour performance data since May 2019. The number of joint 2-21⁄2 year reviews completed as a % of the total number of reviews. Transparent availability and joint review of performance data between the various commissioners and providers involved in the local delivery of the HCP. Percentage of mothers who received a Maternal Mood assessment, by the time the infant is aged 6-8 weeks, based on the month in which the infant reached 8 weeks of age. Effective information sharing is an essential component of integrated service delivery. In October 2020, there were over 1.6 million first outpatient attendances for general and acute specialties – more than double the low of 784,320 in April 2020 but 24% lower than in October 2019. Is a multi-agency oversight in place? Percentage of referred babies receiving audiological assessment within 4 week of decision to refer. To identify the most vulnerable and highlight the level of need and to deliver the most appropriate service. showing how individual service activities contribute to the shared child population health outcomes, underpinned In Week 49 of 2020, an average of 58 hospital beds were closed each day due to diarrhoea and vomiting (D&V)/norovirus like symptoms – almost 18 times lower than the same week last year. There is a greater risk of mortality and morbity in pre term babies. This is 26% lower than in Week 49 of 2019. Number of child & family meetings attended by HV staff, per WTE as a percentage of caseload, within a month. The total number of people waiting to start consultant-led elective treatment increased to over 4.5 million in October 2020 (reported waiting list plus the estimate of missing data). Number of pregnant women as a percentage of total booking appointments who are reported as smoking at the time of booking. However, broader definitions of outcomes have also been adopted to include, for example, measures of health status in a population to allow tracking over time or between areas (Jee, M. and Z. Multi-agency oversight is essential to ensure services are working effectively together to collectively support local children and familes. The need to develop local impact measures such as programme coverage, in addition to national key indicators, is also a view supported within the HCP. This compares to 95% occupancy in Week 49 of 2019. The HCP integrated commissioning framework defines KPIs as: KPIs can also be considered as information collected to monitor progress towards achievement of a population Percentage of infants for whom a breastfeeding status has been recorded at the 6-8 week developmental check. Therefore commissioners and providers need to ensure that effective mechanisms for multi- agency oversight of the HCP are in place through the implementation of a local integrated monitoring framework. In October 2020, 29% of patients had been waiting over six weeks for a diagnostic test. This is a third lower than in Week 49 of 2019. Percentage of total number of infants aged 6-8 weeks who receive a 6-8 week developmental check. Percentage of mothers that initiate breast feeding in the first 48 hours after delivery. Health improvement, improving the wider determinants of health (NHSOF, PHOF). Percentage of infants recorded as being totally or partially breastfed at 6-8 weeks. Compliance with neonatal bloodspot screening and effective communication with midwifery services. Accident and Emergency (A&E) performance; hospital waiting times; the numbers of cancelled operations; healthcare associated infections (HAI) numbers of patients who remain in hospital longer than they need to be (delayed discharges) numbers of hospital beds; hospital deaths; More on topics & indicators » Using NHS Performs Integrated reviews provide a more effective and robust assesment of need and enhance communication and joint working. Centre for Clinical Effectiveness, Monash Health, Melbourne, Australia. In 1999, more than . In March 2019, the Clinically-Led Review of NHS Access Standards Interim Report was released, proposing some significant changes to many of the targets reported on here. Urgent and Emergency Care Daily Situation Reports were also published for the first week of December, giving a more up-to-date analysis of how the NHS is coping this winter. The proportion of laboratory request forms including complete data prior to screening analysis, submitted to the laboratory within the recommended timeframe of 10+0 to 20+0. We report on our performance in several different ways: At Trust Board each month, our Board papers include a performance report. In each case, the report includes data frequency, source and trends over the past few years. Number of Maternal Mental Health Assessments completed as a % of total of 3-4 month HV contacts. NHS performance and waiting times 4 . In combination, or alone, the four key indicators will demonstrate that someone has a primary health need, and thus may be eligible for NHS continuing healthcare funding. Key issues that the multi-agency oversight group will wish to ensure are addressed are: Figure 7 below provides an overview of how an integrated monitoring framework might work in practice, Total number and proportion of families in UP. This work resulted in the identification of 6 key principles and underpinning indicators/evidence that would reflect achievement of the principles (see appendix 2). It is essential to have the right key performance indicator (KPI) information at your fingertips, whether you are providing insights to managers for developing teams and assuring quality standards, or to executives to help plan their strategic investments. Secretary of State and the Department of Health through NHS England and CCGs to the performance of local health systems, based on indicators that reflect what really matters to patients and the public. Pre-conception: Percentage of women that have had pre-conceptual advice to be recorded at birth. Number of families/babies receiving vitamins via the children's centre. The 18-week target has not been met for over four and a half years. For each indicator, we look at how we are performing against national standards and/or our own targets. Availability and uptake of preperation for parenting programmes as: Pregnancy Birth & Beyond - availability and uptake of jointly delivered programmes as: Ensure robust processes exist to provide effective communication between professionals. Percentage of mothers seen before 13 weeks. Whether you’re a public or private healthcare organization, you’ve likely been feeling the pressure of tightening budgets and keeping up with ever-evolving policies, processes, and regulations in … Percentage of 50 urgent referrals that recived a same day or next day response to the referrer. Waiting times have worsened for the past six consecutive months. These included more than 600 performance targets.1 The NHS Plan, published by the Department of Health (DH) in 2000, stated that the NHS must be ‘A health service designed around the patient’. A There were 347,211 emergency admissions via A&E in November 2020 – 17% lower than in November 2019. This is usually the first safety key performance indicator thrown on the safety dashboard, and it's obvious why. All Service can demonstrate that they have an agreed HCP specific information sharing protocol. Improving the wider determinants of health, health improvement (NHSOF, PHOF). The … Agreement on an annual HCP pathway audit programme, for example: Audit of a sample of children who have a 2 – 2 1/2yr assessment to review: Proportion of children receiving Universal, Universal Plus or Universal Partnership Plus and whether this is similar to expected levels; Levels of adherence to national good practice guidance such as that recommended by NICE. Is an annual audit pathway programme in place? The identification of trends within the local health system is an impotant driver in the design, delivery and targetting of services. All referrals from whatever source (including families transferring in) will receive a response to the referrer within 5 working days, with contact made with the family within 10 working. This could include the development of, locally sensitive, integrated performance dashboards for each Children’s Centre. The percentage of patients who waited longer than two months to start their first treatment for cancer following a referral from a national screening service remained constant at 15% in October 2020, following the recent worsening to 87% in June 2020. For fifteen common diagnostic tests, including non-obstetric ultrasound, magnetic resonance imaging (MRI), and computed tomography (CT), there were 1,239,114 tests carried out in October 2020. 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. The Department of Health engaged SMS Management and Technology to review the data quality of the national Key Performance Indicators (nKPIs), a set of indicators that provides information on process of care and health outcomes, currently reported for Aboriginal and Torres Strait Islander patients of Commonwealth funded Aboriginal primary health care services. In October 2020, 35% of people waiting to start elective treatment had been waiting over 18 weeks – a slight improvement compared to September 2020. The identification of trends within the local health system is an impotant driver. This is 16% higher than in October 2019, and follows a previous fall to 838,569 in March 2020. The HCP integrated commissioning framework defines population health outcomes as: Key performance indicators (KPIs) are defined by the NHS Institute as indicators that help you define and measure Number of children and families that are known to be registered with a dentist. In light of these shifts in activity, we have added new charts and changed the presentation of some of our usual charts, to aid interpretation. Healthcare public health and preventing premature mortality (NHSOF, PHOF). Annual audit will provide service with a clear indication if pathwyas are being delivered consistently and to the quality required. Today, NHS England and NHS Digital published the latest data on key activity and performance measures for October and November of this year. Key performance indicators Our performance against national targets set by the Care Quality Commission has remained strong throughout the year. The time series presented here excludes the field testing sites and so is comparable across months and years. Clarity amongst both commissioners and providers regarding the level and nature of services being delivered in support of the local HCP. Purpose – This paper aims to propose valuable performance indicators for evaluation of an accreditation programme, as an effective external assessment scheme in health care. Disqus. Around 1 million attendances in November were to major (type 1) A&E departments. by a common service-wide understanding of local child health needs. Identify the current national ‘Must do’ KPI’s and how they map to both the HCP principles and national outcome frameworks. In Week 49 of 2020, the average number of adult critical care beds available each day was 4,415 – 20% higher than Week 49 of 2019. (minimum 65%). Percentage of 50 transfers where health records are transferred to the HV service within the new area within 2 weeks. Seek to meet the challenges of reducing health inequalities through improving maternal health ensuring the best start in life / best possible outcome. For elective care, performance of the field test sites will continue to be included in the national time series, so the data is fully comparable over time. The number of 2 year developmental checks completed by the children's centre for children within their reach area. It is also worth noting that NHS England have suspended data collection for 2020/21 for some of their performance statistics, including delayed transfers of care. The number of available early education places being accessed within the centres reach area. Number of pre term babies (less than 37 weeks) delivered per month as a % of total births. Notification of pregnancy and birth - (exception reporting) number of incidents and % of total notifications, where notification was not recived by HV service for both pregnancy and birth. Service Specific Measures (HV, maternity, children centre, GP/primary care). For more information, see our cancer waiting time targets indicator. Evaluate the amount of time your patients are staying in your facilities after … % of families on each UP and UPP pathway. The waiting time target has not been met for over two and a half years. This follows a decrease to 916,581 in April 2020 and a subsequent increase to just over 1.7 million in August 2020. We have sustained low waiting times for all our patients and ensured that over 96% of our patients have been able to access treatment in less than 18 weeks from referral by their GP. potty training, sleep. Key Performance Indicators 1 Key Performance Indicators for Hospital Reporting Citation Garrubba M, Joseph C, Melder A, Yap G . 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