The result of his proactive self-health journey? For the 19 volunteers who trained for four eight-hour days in Colonia this June in order to be able to offer those with diabetes practical tools to improve their health, the opportunity to help others enhance their lives is its own reward.
The program hits every one of the issues that diabetics or caretakers experience and offers a blueprint for how to live your life in the healthiest way possible. Amer Azizi. Sanda No More. Christa van Staden. Guru Prasad. Tamene Tadasse Bayan. Shaugat Ashraf. Johanna Ruiz. Honey Arora. Riadel Baguio. Cindy Putry. Satrio Harus Bersyukur. Chaken Samangun. Christian Rey Abcede. Usman Khalid. Kayyis Rikzatunnizza. Joyelle Kristen Tamayo. Reju Perumpulickal. Elizabeth McAdams Brightman.
Gerardo Olvera. Sections 2 and 3 focus on explaining the international context in which health quality and safety indicators have been developed and how they fit with other work currently being undertaken by the Commission. These sections also provide the particular rationale and aims of indicator development in the New Zealand context, and describe possible audiences and their likely interest in the measures. Section 4 sets out the process taken by the Commission to develop and publish the first set of indicators.
Section 5 brings the discussion of indicators to life, through presenting initial findings where these are available. The New Zealand Health Quality Safety Commission the Commission was established in to lead and co-ordinate work on monitoring and improving the quality and safety of health and disability support services to ensure all New Zealanders receive the best health and disability care within our available resources.
As part of its work on measurement and evaluation, the Commission is required under legislation to develop and regularly publish a set of indicators to drive improvement of the quality and safety of health and disability support services provided within New Zealand. It seeks to do this in a way that complements and builds on existing initiatives and learns from and involves stakeholders and key experts in the field of quality measurement.
We are interested in your views on our initial indicator set, how these indicators could be used, and our overall approach to developing the full indicator set in the longer term. Over recent decades, there has been a growing focus in the healthcare systems of developed countries on measuring health care quality through national and local performance reporting.
There are a range of definitions and understandings of what is meant by various terms used in the field of quality improvement, measurement and evaluation.
We have adopted the definition from the NHS Institute for Innovation and Improvement [2]to describe our understanding of the term, as outlined below:. International literature provides 20 years of evidence that measuring the quality of healthcare and communicating the results in a variety of ways and settings is a powerful way to stimulate improvement in healthcare. However, the literature also suggests that maximising this effect requires a clear understanding of the purpose of the measurement which in turn should influence the precise nature of the measurement.
The over-arching goal of reporting against a set of quality and safety indicators is to provide robust information to support achievement and measure progress against delivery of the outcomes articulated in the New Zealand Triple Aim framework, namely:. Developing a set of credible, robust and reliable quality and safety indicators will help us achieve the following objectives:.
In this section we describe the scope of services and quality domains that the indicators will cover. Exhibit 1 illustrates these dimensions and shows how they all fit together.
The first set of indicators published will be unable to provide coverage across the entire scope of health care. We are proposing a pragmatic approach, starting with a relatively small set of indicators to get the process rolling and to test the framework. It is likely the number of indicators will increase a little as coverage becomes more comprehensive. In designing the framework for the indicator set, our key sector stakeholders from the expert advisory group strongly advocated for a two-tier approach.
It is not essential that all indicators and contributory measures can be applied across every type of service provider. However, as we develop the quality and safety indicators we will seek to ensure a balanced spread of indicators that reflect all service areas within the defined scope. We recognise our first proposed set of indicators has a bias towards hospital care, although some of the measures can act as proxies for the effective coordination of care across the whole system.
The three outcome areas of the New Zealand Triple Aim provide the foundations for the indicator framework. As such, the set of indicators selected should represent a balanced spread relating to all contributing dimensions of quality including safety, patient experience, effectiveness, access, efficiency and equity.
A range of potential audiences will have different interests and requirements from the information provided, as outlined in Table 1 below. The Health Quality and Safety Indicator project the HQSI project was established to oversee the development and implementation of the initial set of indicators. Membership of the EAG is listed at Appendix 1.
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