The OECD Health Care Quality Indicators Project: history and background (original) (raw)
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International journal for quality in health care : journal of the International Society for Quality in Health Care / ISQua, 2015
To review and update the conceptual framework, indicator content and research priorities of the Organisation for Economic Cooperation and Development's (OECD) Health Care Quality Indicators (HCQI) project, after a decade of collaborative work. A structured assessment was carried out using a modified Delphi approach, followed by a consensus meeting, to assess the suite of HCQI for international comparisons, agree on revisions to the original framework and set priorities for research and development. International group of countries participating to OECD projects. Members of the OECD HCQI expert group. A reference matrix, based on a revised performance framework, was used to map and assess all seventy HCQI routinely calculated by the OECD expert group. A total of 21 indicators were agreed to be excluded, due to the following concerns: (i) relevance, (ii) international comparability, particularly where heterogeneous coding practices might induce bias, (iii) feasibility, when the nu...
International journal for quality in health care : journal of the International Society for Quality in Health Care / ISQua, 2016
OECD member states are involved since 2003 in a project coordinated by the OECD on Health Care Quality Indicators (HCQI). All OECD countries are biennially requested by the OECD to deliver national data on the quality indicators for international benchmarking purposes. Currently, there is no knowledge whether the OECD HCQI information is used by the countries themselves for healthcare system accountability and improvement purposes. The objective of the study is to explore the reporting and use of OECD HCQI in OECD member-states. Data were collected through a questionnaire sent to all OECD member-states containing factual questions on the reporting on all OECD HCQ-indicators. Responses were received between June and December 2014. In this timeframe, two reminders were sent to the participants. The work progress was presented during HCQI Meetings in November 2014 and May 2015. Fifteen countries reported to have a total of 163 reports in which one or more HCQIs were reported. One hundr...
A conceptual framework for the OECD Health Care Quality Indicators Project
International Journal for Quality in Health Care, 2006
Issues. The Health Care Quality Indicator (HCQI) Project of the Organization for Economic Cooperation and Development (OECD), which is aimed at developing a set of indicators for comparing the quality of health care across OECD member countries, requires a balanced conceptual framework that outlines the main concepts and domains of performance that should be captured for the current and subsequent phases of the project.
BMJ Health Care Inform, 2022
ObjectivesDespite significant advances in the science of quality of care measurement over the last decade, approaches to developing quality of care indicators for global health priorities are not clearly defined. We conducted a scoping review of concepts and methods used to develop quality of healthcare indicators to better inform ongoing efforts towards a more harmonised approach to quality of care indicator development in global health.MethodsWe conducted a systematic search of electronic databases, grey literature and references for articles on developing quality of care indicators for routine monitoring in all healthcare settings and populations, published in English between 2010 and 2020. We used well-established methods for article screening and selection, data extraction and management. Results were summarised using a descriptive analysis and a narrative synthesis.ResultsThe 221 selected articles were largely from high-income settings (89%), particularly the USA (46%), Canada...
Health care quality indicators project: conceptual framework paper
OECD Health Working Papers, 2006
This paper represents an attempt to set out a conceptual framework for the OECD's Health Care Quality Indicator (HCQI) Project. Two main issues are tackled: what concepts, or dimensions, of quality of health care should be measured and how, in principle, should they be ...
2014
Purpose. This article describes a project undertaken as part of the Organization for Economic Co-operation and Development (OECD)’s Healthcare Quality Indicator (HCQI) Project, which aimed to develop a set of quality indicators representing the domains of primary care, prevention and health promotion, and which could be used to assess the performance of primary care systems. Methods. Existing quality indicators from around the world were mapped to an organizing framework which related primary care, prevention, and health promotion. The indicators were judged against the US Institute of Medicine’s assessment criteria of importance and scientific soundness, and only those which met these criteria and were likely to be feasible were included. An initial large set of indicators was reduced by the primary care expert panel using a modified Delphi process. Results. A set of 27 indicators was produced. Six of them were related to health promotion, covering health-related behaviours that ar...
Quality Indicators for Primary Health Care
Journal of Public Health Management and Practice, 2015
D ata have indicated that countries with a strong system of Primary Health Care (PHC) are more likely to have efficient health systems and better health outcomes than countries that focus strongly on hospital services. The aim of the article was to systematically review implemented quality projects used for evaluation of quality in PHC services. A systematic literature review was conducted via MEDLINE to identify papers referring to international or national PHC quality assessment projects, published in English from 1990 to 2010. Projects were included if they had been implemented, had a holistic approach, and reported specifications of the quality indicators used. Sixteen publications were considered eligible for further analyses, referring to 10 relevant projects and a total of 556 indicators. Number and content of indicators and their domains varied across projects. Regarding raw data, lack of standardization of collection tools between projects could lead to invalid comparisons. In areas that international projects operate in parallel to national initiatives, there may be problems regarding expenses and burden of data collection, which might create competing interests and low quality of information. Further actions for alignment of quality projects on primary health care are required, for future results to become comparable.
Large-Scale Evaluation of Quality of Care in 6 Countries.pdf
When providers in 6 different countries were asked how they would care for the same patient, there was wide variation within and between countries. Nevertheless, 11% of the physicians scored over 80%, suggesting good quality of care is possible even with resource constraints. Use of validated clinical vignettes, which can be applied affordably at scale, could help improve quality of services in low-and middle-income countries.
2015
Assessing healthcare quality is a dire need on account of huge costs of mistakes by healthcare practitioners. The growth in world population as well as change in illness patterns among populations while the availability of doctors as well as healthcare indicators are not the same across the world adds another dimension to challenges faced by the healthcare sector in different countries. Maintaining or improving healthcare quality is an aim that national governments as well as hospital managements are keen on. However, the metrics employed for measuring healthcare quality would vary greatly depending upon the perspective of measurement i.e., whether it is the perspective of patients/customers, doctors/practitioners or employers. This study is in the nature of a desk study and discusses the path from research to finalized quality measures and then presents metrics employed in different parts of the world as well as approaches that are employed for successfully enhancing healthcare qua...