Measurement in Healthcare: the German Experience
Burkhard Fischer, BQS, Düsseldorf, Germany
05.03.2009
Prague
MAIN PERFORMANCE AND QUALITY INDICATORS MEASURED
26 measurement areas, 194 evidence-based QIcovering indication, process, and outcome
per-case electronic data capture (self-reported)based on software specification (integrated into HIS)patients: 3.590.000 (96,6%)hospitals: 1.605 von 1.634 (98,2%)source data validation (random sample)
individual comparative benchmarking reportsBQS Outcome, BQS Quality Report, BQS for PatientsStructured Dialogue, regional benchmarking
MAIN PERFORMANCE AND QUALITY INDICATORS MEASURED
BQS Quality Indicators 2007
regional benchmarking
KEY LESSONS LEARNED
use evidence-based, risk-adjusted quality indicatorsmandate an independent leading organisationinvolve stakeholders incl. patients
limit the data collection burdenmake measurement mandatory, remunerate providers use administrative routine data were available, suitable and valid (e.g. DRG, ICD-10, procedure codes)
give timely feedback, work on the results (Str. Dialogue)check appropriateness for public disclosure (QUALIFY)!be aware of publication bias!
BQS Quality Indicators 2007
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NEXT STEPSQuality Measurement
along hole care healthcare provision process (out-patient / in-patient)increased use of administrative routine data (DRG, diagnoses and procedures)increased use area indicatorsinclusion of chronic diseases
Quality Managementpeer review programmesexpansion of public disclosureintroduction of selective contractingpay for performance(?)
Support patient’s choiceresults to be published by new national quality institutelay understandable language and presentation
Contact and Further Information
ContactBQS Bundesgeschäftsstelle Qualitätssicherung(National Agency for Quality Measurement in Healthcare)Kanzlerstr. 4, D-40472 Düsseldorf, [email protected] - www.bqs-online.de
Further informationQUALIFY instrument http://www.bqs-qualify.com/?set_language=en&cl=en BQS Indicators www.bqs-qualitaetsindikatoren.deBQS for Patients http://www.bqs-online.com/public/bqsfp/qifp Results www.bqs-outcome.deBQS Quality Reports www.bqs-qualitaetsreport.de
www.bqs-online.de