Post on 17-Mar-2020
ACHS Clinical Indicator Program
Myu Nathan
Manager, Performance and Outcomes Service
Overview
The role of the Performance and Outcomes Service
is to coordinate the:
• Development
• Collection
• Collation
• Analysis &
• Reporting of ACHS clinical indicators
Timeline
1989 – Care Evaluation Program commenced
1991 – First set of Hospital-Wide CIs developed
1993 – Introduction of CIs into the ACHS accreditation program
2009 – CI data entry commenced through PIRT online
2015 – Data repository with more than 20 years of data
What are Clinical Indicators?
Measures of elements of clinical care
May provide a method of assessing quality and safety of care at a
system level
ACHS Clinical Indicator setsSet Icon Set Icon
Anaesthesia and
Perioperative CareMaternity
Day Patient Medication Safety
Emergency Medicine Mental Health
Gastrointestinal
EndoscopyOphthalmology
Gynaecology Oral Health
Hospital in the Home Paediatrics
Hospital-Wide Pathology
Infection Control Radiation Oncology
Intensive Care Radiology
Internal Medicine Rehabilitation Medicine
ACHS Clinical Indicator Program
Voluntary program – data submitted on a 6 monthly basis
Results from more than 300 rate-based CIs across 20 clinical areas
806 HCOs submitted data in 2014
Public / Private sector HCOs (57% / 43% split)
Participation - ACHS members (no additional cost) and non-ACHS
members (subscription)
Members of the program:
Australia & New Zealand
Asia Indonesia & Hong Kong
Middle East – Saudi Arabia
Why do healthcare
organisations participate?
To improve standards of care
To benchmark their performance against a national clinical data set
To build evidence of performance monitoring and evaluation for
accreditation
To submit specific mandatory data to private health funds and the
Department of Veterans’ Affairs
Participation in 2014Set HCOs Set HCOs
Anaesthesia and
Perioperative Care261 Maternity 175
Day Patient 318 Medication Safety 269
Emergency Medicine 150 Mental Health 104
Gastrointestinal
Endoscopy78 Ophthalmology 75
Gynaecology 52 Oral Health 84
Hospital in the Home 34 Paediatrics 11
Hospital-Wide 468 Pathology 44
Infection Control 424 Radiation Oncology 14
Intensive Care 107 Radiology 41
Internal Medicine 46 Rehabilitation Medicine 105
Revision of Clinical Indicator sets
Formal process of collaboration with:
Specialist medical & nursing colleges / associations / societies
Consumer representative
Australian Private Hospitals Association (APHA)
Health Services Research Group (Uni. of Newcastle)
ACHS staff
Other experts as required
Through the convening of specialist working groups,
consultation, development, testing & refinement
Examples of collaborating
Colleges/Societies/Associations Australian and New Zealand College of
Anaesthetists (ANZCA)
Australian Day Surgery Council (ADSC)
Australasian College for Emergency
Medicine (ACEM)
Hospital in the Home Society
Australasia (HITHSA)
Royal Australasian College of Medical
Administrators (RACMA)
Australasian College for Infection
Prevention and Control (ACIPC)
Australian and New Zealand Intensive
Care Society (ANZICS)
New South Wales Therapeutic
Advisory Group (NSW TAG)
Internal Medicine Society of Australia and
New Zealand (IMSANZ)
Royal Australian and New Zealand College
of Psychiatrists (RANZCP)
Royal Australian and New Zealand College
of Ophthalmologists (RANZCO)
Royal Australasian College of Dental
Surgeons (RACDS)
Royal Australian and New Zealand College
of Obstetricians and Gynaecologists
(RANZCOG)
Royal College of Pathologists of Australasia
(RCPA)
Royal Australian and New Zealand College
of Radiologists (RANZCR)
Performance Indicator Reporting Tool
Data analysis
ACHS collaborates with the Health Services Research
Group (HSRG), at the University of Newcastle, which
provides data analysis and statistical expertise
Data are aggregated and analysed twice yearly and
results are provided in the form of comparison reports
These reports compare results across all contributing
organisations as well as providing a comparison with
'peer’ organisations based on a number of stratification
variables
General Comparison Report
Peer Comparison Report
HCO Trend Report
HOSW CI 1.1 – Unplanned and unexpected readmission within 28 days (L)
HCO Trend Report
INFC CI 1.3 – Superficial incisional SSI in knee prosthesis procedures (L)
HCO Trend Report
EMED CI 1.1 – ATS Category 1 patients attended to immediately (H)
Australasian Clinical Indicator Report
Summary data
Expert commentary
Retrospective data in
full
Statistical methods
Any questions???