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, Germanyinfo@bqs-online.de - 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