Reporting health services are able to include comments to AIHW in reports, either at individual indicator level or at global level. Analysis of de-identified comments suggests the following: There is no evidence from health services’ perspective of system-wide issues in the nKPI collection process from CIS through the CAT to OCHREStreams. There have been concerns noted with the MMeX submission to OCHREStreams, however, these are well known and there are promising developments that suggest future improvements in this area which are outlined below. Many health services comment that they are working to get better at their data capture and management practices in order to improve their nKPI submission for future collections A high proportion of comments lodged to the AIHW are issues that are attributable to health services’ own clinical practices and/or their use of their Clinical Information System. Services’ contact with Improvement Foundation help desk As part of the arrangements for operating and maintaining OCHREStreams, the Improvement Foundation provides a help desk function to assist health services on a wide range of topics. Based on help desk data provided by the IF, analysis indicates that only 1.7% of total contacts with the OCHREStreams help desk during the last two years were attributable to data submission questions or problems which could not be immediately resolved by the help desk. In these cases, the IF strongly recommended that the service include a comment about the problem to the AIHW. The low proportion of data quality calls to the help desk suggests that system data quality is not perceived as a major concern by health services. Improvements across process of care indicators While the nKPI set is a new collection, to date some of the indicators have been reported up to four times by some health services (June 2012, Dec 2012, June 2013, Dec 2013). In the nKPI: First National Results (June 2012 to June 2013), the AIHW reports overall improvements in nKPIs covered by multiple reporting periods, namely: The proportion of babies with birth weight recorded MBS health assessments for adults Clients with Type 2 diabetes who received a Team Care Arrangement Recording of smoking and alcohol status Additionally, an encouraging number of health services are reporting complete, or near-complete, results for various process of care indicators, for example: 28 organisation achieved 100% recording for weight The top 25% of organisations recorded birth weight for 88% or more of their clients 8 organisations achieved 100% recording for smoking status
Reporting health services are able to include comments to AIHW in reports, either at individual indicator level or at global level. Analysis of de-identified comments suggests the following: There is no evidence from health services’ perspective of system-wide issues in the nKPI collection process from CIS through the CAT to OCHREStreams. There have been concerns noted with the MMeX submission to OCHREStreams, however, these are well known and there are promising developments that suggest future improvements in this area which are outlined below. Many health services comment that they are working to get better at their data capture and management practices in order to improve their nKPI submission for future collections A high proportion of comments lodged to the AIHW are issues that are attributable to health services’ own clinical practices and/or their use of their Clinical Information System. Services’ contact with Improvement Foundation help desk As part of the arrangements for operating and maintaining OCHREStreams, the Improvement Foundation provides a help desk function to assist health services on a wide range of topics. Based on help desk data provided by the IF, analysis indicates that only 1.7% of total contacts with the OCHREStreams help desk during the last two years were attributable to data submission questions or problems which could not be immediately resolved by the help desk. In these cases, the IF strongly recommended that the service include a comment about the problem to the AIHW. The low proportion of data quality calls to the help desk suggests that system data quality is not perceived as a major concern by health services. Improvements across process of care indicators While the nKPI set is a new collection, to date some of the indicators have been reported up to four times by some health services (June 2012, Dec 2012, June 2013, Dec 2013). In the nKPI: First National Results (June 2012 to June 2013), the AIHW reports overall improvements in nKPIs covered by multiple reporting periods, namely: The proportion of babies with birth weight recorded MBS health assessments for adults Clients with Type 2 diabetes who received a Team Care Arrangement Recording of smoking and alcohol status Additionally, an encouraging number of health services are reporting complete, or near-complete, results for various process of care indicators, for example: 28 organisation achieved 100% recording for weight The top 25% of organisations recorded birth weight for 88% or more of their clients 8 organisations achieved 100% recording for smoking status
nkpquality.docx