OECD Health Care Quality Indicator Project

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OECD Health Care Quality Indicator Project
Prague March 5th 2009 Sandra Garcia Armesto on
behalf of the HCQI team
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Current Streams of Work

• Regular data collection
• Periodic update of a set of indicators suitable
  for international comparisons
• Ongoing methodological work to improve
  international comparability
• New indicator development in priority areas
• Mental Health Care
• Patient Safety
• Health Promotion, Prevention and Primary Care
• Responsiveness/Patient Experiences

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2008-09 HCQI Data CollectionRegular set
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2008-09 HCQI Data Collection New Indicators
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Data Sources for Quality Indicators

• Mortality statistics
• Vaccination/Infection registries
• Cancer registries
• Disease specific registries
• Administrative Data-bases
• Population and Patient based surveys

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Relevant publications

• OECD HD WP http//www.oecd.org/els/health/working
  papers
• N0.23 Health Care Quality Indicators Project
  Conceptual Framework Paper 2006
• No.22 Health Care Quality Indicators Project
  Initial Indicators Report 2006
• No.29 Health Care Quality Indicators Project -
  2006 data collection update report 2007
• OECD HD TP http//www.oecd.org/els/health/techn
  icalpapers
• No. 20 Information Availability for Measuring and
  Comparing Quality of Mental Health Care Across
  OECD Countries 2008
• No. 19 Facilitating Cross-National Comparisons of
  Indicators for Patient Safety at the
  Health-System Level in the OECD Countries 2008
• No. 18 Selecting Indicators for Patient Safety at
  the Health Systems Level in OECD Countries 2004
• No. 17 Selecting Indicators for the Quality of
  Mental Health Care at the Health Systems Level in
  OECD Countries 2004
• No. 16 Selecting Indicators for the Quality of
  Health Promotion, Prevention and Primary Care at
  the Health Systems Level in OECD Countries 2004
• No. 15 Selecting Indicators for the Quality of
  Diabetes Care at the Health Systems Level in OECD
  Countries 2004
• No. 14 Selecting Indicators for the Quality of
  Cardiac Care at the Health Systems Level in OECD
  Countries 2004

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Health at a Glance

• Released every two years
• November 2007 Main new feature was the new
  chapter on health care quality indicators
• November 2009 Health care quality chapter to be
  expanded to reflect recent indicator development.

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Methodological Improvements agreed upon during
the HCQI expert meeting October 2008

• Transparency on the quality of data-sources
• representativeness
• completeness
• regular update
• stability of the data source
• capability to track patients through the system
• Standardization by age and sex where relevant

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Recommendations for Data and Information Systems

• Recording in administrative databases of
  conditions present at hospital admission
• More detailed recording in administrative
  databases of secondary diagnoses
• Enhance international comparability of procedures
• Implement the use of Unique Patient Identifiers
  in national data systems
• Establish national information systems for
  out-of-hospital care notably in primary care and
  mental health care, with similar capacity to
  generate internationally comparable data as
  hospital administrative data systems

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Work Plan 2009/10

• Data collection 2008/2009 ongoing
• Extended Chapter in Health at a Glance 2009
• Continuation work in subgroups on safety, primary
  care and responsiveness
• Start more analytical work to explore differences
  in performance and possible relations with the
  organization and financing of health care (cancer
  care, cardiovascular diseases)

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• http//www.oecd.org/els/health/hcqi
• Thank you!!!!