performance management framework · • is the ccg improving health outcomes for patients?...
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Performance Management Framework
Governing Body
4 July 2013
Performance Management Framework
• Direction of Travel – agree?
• Governance Structure for Performance
• Hierarchy of Reports/Information
• Performance Information & Assurance
• Performance Reporting Structure
• Governing Body Performance Report
• Performance On A Page
Governance Structure for Performance
Governing Body
Audit Committee
Remuneration Committee
Quality and Patient Safety
Committee
Clinical
Executive
Performance Reporting Hierarchy
Performance Management
Performance Information
Performance Information
Performance Information
• Formal Reports to Groups/Committees
• Electronically available Information Sheets (Data Compendium)
• On-line Dashboards
• On-line to Real-time information
Performance Reports CSU
CCG Performance Assurance Questions
• Is the CCG ensuring people are getting good quality care and ensuring there are no serious quality issues (QP)? (Contract Quality measures & CQUINS, SIRIs, and including primary care)
• Is the CCG improving health outcomes for patients? (Everyone Counts outcomes –
Commissioning Outcomes Framework and local measures, and Quality Premium)
• Is the CCG ensuring patients’ rights are promoted? (NHS Constitution Pledges)
• Is the CCG delivering services within its financial plans and is the CCG managing its business efficiently? (Finance & Efficiency - including workforce ratios) (Contract Performance (health services, commissioning support and corporate – including incentive schemes, referrals, waiting lists and activity trends)
• Is the CCG delivering its Strategic plan? (Local Strategy, Operational Plan and
Delivery Plan outcomes - ?H&WB Strategy contribution) • Is the CCG ensuring that information is appropriately used to drive change? (NHS
Number)
Performance Knowledge Management Database
• NHS Outcomes Framework • Commissioning Outcomes Framework & Local 3 • NHS Constitution Pledges • Mandate Pre-existing Commitments • Quality Premium • Quality Standards in Contracts • Commissioning Assurance Framework metrics (additional) • CCG Local Strategy & local measures (inc QIPP) • Contract Activity and Hotspot information & MAR • Provider returns metrics (eg NHS Thermometer – pressure ulcers, CQC
compliance) • Benchmarking Info. Inc PH, Audit outcomes, JSNA etc. • Primary Care performance affecting delivery of health system
(referrals/budgets) • Financial Indicators and Business Efficiency Indicators
Governing Body Performance Report
Performance Report Structure
• Part A – “Performance-on-A-Page” and Narrative Highlights Summary • Part B – Financial Performance - highlights
(also including financial efficiency measures and achievement of surplus and QIPP savings targets, Contract Activity Performance (Health Services and Individual Placements) against planned activity, Referrals)
• Part C – Quality Outcomes Performance - highlights (including Patient Safety, Patient Experience, Clinical Outcomes, Commissioning Outcomes Framework & Local Targets, CQUINS and Contractual standards achievement)
• Part D – Standards Performance - highlights (including NHS Constitution Pledges, additional Local and National Targets,) (and variations against expected Primary Care Performance at Locality/GP Practice Level , Local Incentive Schemes)
• Part E – Management Performance - highlights (Operational Plan and Delivery Plan milestone achievement and QIPP milestones, CSU & Other Corporate Contracts performance, Workforce and Other Business Efficiency Indicators, Authorisation conditions)
• Part F – Hot Topics (including Areas under additional scrutiny and drill down, Winterbourne View Action Plan review, presentation of “external” reports; benchmarking; CCG Profiles, Public Health data, HPA Reports, PROMS, Clinical Audit Reports) (also presentation of financial reports – Accounts, FIMS, Programme Budgeting (successor), Reference Costs, Audit Report Recommendations, Issues and Action Plans, etc.)
Performance On A Page
Performance Management Framework
Is this the right direction???
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