Measuring Clinical Performance in Secondary Care

1. Measuring Clinical Performance in Secondary Care Bill Shields Director of Finance & Performance Portsmouth Hospitals NHS Trust

2. Measuring Clinical Performance in Secondary Care • Where are we now? • Why is measurement important? • Future developments • Current issues

3. Where are we now? • The Impact of Payment by Results means: Activity volumes = Income • Star Ratings: Primary Targets about Waiting Times Secondary Targets include some indicators of clinical quality • Measurement of outputs NOT outcomes

4. Elective Inpatient Activity(FFCEs)

5. Day Case Activity

6. Emergency Inpatient Activity(FFCEs)

7. All New Outpatient Attendances(inc non-GP referrals)

8. NEW GP OUTPATIENT WL Shape

9. INPATIENT & DAY CASE WL Shape

10. Primary Star Targets

11. Secondary Star Targets

12. SecondaryStar Targets

13. Benchmarking • E.g. Day Case Rates; LoS; Beddays; mortality • Sources include: • CHKS • Dr Foster • Performance Investigator

14. Standards for Better Health • NHS Performance Rating developing beyond Stars • Less Quantitative measures of waiting etc • More holistic view of all aspects of NHS Organisations • More on Quality of care and Patient Experience

15. Standards for Better Health • New Framework for monitoring NHS performance • Core and Developmental Standards organised into the following domains: • Safety • Clinical & Cost Effectiveness • Governance • Patient Focus • Accessible & Responsive Care • Care Environment & Amenities • Public Health

16. Current Issues • Data Quality • Especially clinical coding – completeness, accuracy and depth • Credibility and relevance to Clinicians • Poor data quality prevents proper Clinician Engagement • Statistical significance • Improving methods for indicating whether “outliers” are significant • Especially important for “alerts”