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KPI Framework for NZ Mental Health and Addiction Services · KPI 16a. NGO services investment...

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1 KPI Framework for NZ Mental Health and Addiction Services July 2011
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Page 1: KPI Framework for NZ Mental Health and Addiction Services · KPI 16a. NGO services investment -Adult. KPI 19. Post-discharge community care. KPI 28. Total staff turnover. KPI 29.

1

KPI Framework for NZ Mental Health

and Addiction Services

July 2011

Page 2: KPI Framework for NZ Mental Health and Addiction Services · KPI 16a. NGO services investment -Adult. KPI 19. Post-discharge community care. KPI 28. Total staff turnover. KPI 29.

Outline

• Background• KPIs and targets defined • Published KPI data• Outcomes • Project milestones

Page 3: KPI Framework for NZ Mental Health and Addiction Services · KPI 16a. NGO services investment -Adult. KPI 19. Post-discharge community care. KPI 28. Total staff turnover. KPI 29.

Background

• Shift from information collection to information use• Provider led initiative since 2006• KPIs for quality improvement purposes• Sector-wide benchmarking • Long term view:

– benchmarking across the mental health and addiction sector

– Embedded in local, regional and national activity – Peer groupings between providers formed based

on issues of common interest

Page 4: KPI Framework for NZ Mental Health and Addiction Services · KPI 16a. NGO services investment -Adult. KPI 19. Post-discharge community care. KPI 28. Total staff turnover. KPI 29.

Use the information to…

• Understand their organisation’s comparative performance

• Introduce data and service improvement initiatives

• Improve outcomes for service users

Page 5: KPI Framework for NZ Mental Health and Addiction Services · KPI 16a. NGO services investment -Adult. KPI 19. Post-discharge community care. KPI 28. Total staff turnover. KPI 29.

The KPI project lifecycle

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Special projects

• Special projects in progress:– Development of new/and or replacement KPIs– Comparative consumer profiles – Data impact of regional service provision– NGO engagement in benchmarking

• Sub-groups of interested participants• Make recommendations to the wider project group

Page 7: KPI Framework for NZ Mental Health and Addiction Services · KPI 16a. NGO services investment -Adult. KPI 19. Post-discharge community care. KPI 28. Total staff turnover. KPI 29.
Page 8: KPI Framework for NZ Mental Health and Addiction Services · KPI 16a. NGO services investment -Adult. KPI 19. Post-discharge community care. KPI 28. Total staff turnover. KPI 29.

KPIs and targets defined

Page 9: KPI Framework for NZ Mental Health and Addiction Services · KPI 16a. NGO services investment -Adult. KPI 19. Post-discharge community care. KPI 28. Total staff turnover. KPI 29.

KPIs defined

• KPIs function as a yardstick for performance• They provide information about how well a service

is performing• KPIs are most meaningful when interpreted in

groups or clusters such as continuity of care, productivity and efficiency

Page 10: KPI Framework for NZ Mental Health and Addiction Services · KPI 16a. NGO services investment -Adult. KPI 19. Post-discharge community care. KPI 28. Total staff turnover. KPI 29.

Targets developed during Phase II

• Considerable discussion and debate • Provisional only, will require further testing • Focus on any one indicator and its target could

provide a distorted view of performance• Interrelationships between the indicators and their

targets are important• Targets are most meaningful when they are applied

to clusters of indicators

Page 11: KPI Framework for NZ Mental Health and Addiction Services · KPI 16a. NGO services investment -Adult. KPI 19. Post-discharge community care. KPI 28. Total staff turnover. KPI 29.

Targets may be expressed in different ways

• They may be:– Minimum performance (incorporates alarm concept)– Optimum performance or ‘good practice’– Alarm or alert targets

• They may be expressed as:– Equal to ‘x’– Threshold values – either ‘greater than’ or ‘less

than’– A range

Page 12: KPI Framework for NZ Mental Health and Addiction Services · KPI 16a. NGO services investment -Adult. KPI 19. Post-discharge community care. KPI 28. Total staff turnover. KPI 29.

Published KPI data

• 10 Test Phase indicators (13 in Phase III)• 40 + supplementary indicators • Stratified by ethnicity – Maori, Pacific, Other• Grouped in themes:

– Access to service– Continuity of care– Productivity– Efficiency– Organisational health

Page 13: KPI Framework for NZ Mental Health and Addiction Services · KPI 16a. NGO services investment -Adult. KPI 19. Post-discharge community care. KPI 28. Total staff turnover. KPI 29.

13

Core indicators

1. Inpatient change in the total HONOS scale (now percentage of HoNOS compliant discharges)

2. 28 day acute inpatient readmission rate

3. Average length of acute inpatient stay

4. Weekly community treatment days per clinical FTE

5. Community treatment days per service user

6. NGO services investment

7. Pre-admission community care

8. Post-discharge community care

9. Total staff turnover

10.Sick leave usage

Page 14: KPI Framework for NZ Mental Health and Addiction Services · KPI 16a. NGO services investment -Adult. KPI 19. Post-discharge community care. KPI 28. Total staff turnover. KPI 29.

Sub-set of supplementary indicators

Community service user-related timeSupp 44.

Percentage of HoNOS compliant dischargesSupp 27.

Percentage of total cost that is acute inpatient costSupp 29.

Percentage of total cost that is community care costSupp 30.

Pop 06 access to serviceSupp 31.

DHB adult funding per head of populationSupp 35.

Cost per acute inpatient bed ($000)Supp 16.

Cost per contact hourSupp 17.

Community care cost per contactSupp 13.

Acute inpatient unit beds per 100,000 population Supp 4.

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Published data with agreed targets

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KPI 2. 28 day acute inpatient readmission rate

Page 17: KPI Framework for NZ Mental Health and Addiction Services · KPI 16a. NGO services investment -Adult. KPI 19. Post-discharge community care. KPI 28. Total staff turnover. KPI 29.

KPI 8. Average length of acute inpatient stay

Page 18: KPI Framework for NZ Mental Health and Addiction Services · KPI 16a. NGO services investment -Adult. KPI 19. Post-discharge community care. KPI 28. Total staff turnover. KPI 29.

KPI 16a. NGO services investment - Adult

Page 19: KPI Framework for NZ Mental Health and Addiction Services · KPI 16a. NGO services investment -Adult. KPI 19. Post-discharge community care. KPI 28. Total staff turnover. KPI 29.

KPI 19. Post-discharge community care

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KPI 28. Total staff turnover

Page 21: KPI Framework for NZ Mental Health and Addiction Services · KPI 16a. NGO services investment -Adult. KPI 19. Post-discharge community care. KPI 28. Total staff turnover. KPI 29.

KPI 29. Sick leave usage

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KPI 1. Total HoNOS score (inpatient) Effect size large (simulated data)

Page 23: KPI Framework for NZ Mental Health and Addiction Services · KPI 16a. NGO services investment -Adult. KPI 19. Post-discharge community care. KPI 28. Total staff turnover. KPI 29.

Continuity of care spider web cluster 2007/2008

KPI 18. Pre-admission community care

KPI 19. Post-discharge community care

KPI 8. Average length of acute inpatient stay

KPI 28. Acute inpatient readmissions rate

Page 24: KPI Framework for NZ Mental Health and Addiction Services · KPI 16a. NGO services investment -Adult. KPI 19. Post-discharge community care. KPI 28. Total staff turnover. KPI 29.

Continuity of care spider web cluster 2008/2009

KPI 8. Average length of acute inpatient stay

KPI 18. Pre-admission community care

KPI 28. Acute inpatient readmissions rate

KPI 19. Post-discharge community care

Page 25: KPI Framework for NZ Mental Health and Addiction Services · KPI 16a. NGO services investment -Adult. KPI 19. Post-discharge community care. KPI 28. Total staff turnover. KPI 29.

Supplementary indicators with averages

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Supp 4. Acute inpatient unit beds per 100,000 population

Page 27: KPI Framework for NZ Mental Health and Addiction Services · KPI 16a. NGO services investment -Adult. KPI 19. Post-discharge community care. KPI 28. Total staff turnover. KPI 29.

Supp 13. Community care cost per contact

Page 28: KPI Framework for NZ Mental Health and Addiction Services · KPI 16a. NGO services investment -Adult. KPI 19. Post-discharge community care. KPI 28. Total staff turnover. KPI 29.

Supp 17. Cost per contact hour

Page 29: KPI Framework for NZ Mental Health and Addiction Services · KPI 16a. NGO services investment -Adult. KPI 19. Post-discharge community care. KPI 28. Total staff turnover. KPI 29.

Supp 18. DHB NGO funding per head of population

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Supp 21. Median length of stay

Page 31: KPI Framework for NZ Mental Health and Addiction Services · KPI 16a. NGO services investment -Adult. KPI 19. Post-discharge community care. KPI 28. Total staff turnover. KPI 29.

Supp 26. Percentage of discharges greater than 35 days

Page 32: KPI Framework for NZ Mental Health and Addiction Services · KPI 16a. NGO services investment -Adult. KPI 19. Post-discharge community care. KPI 28. Total staff turnover. KPI 29.

Supp 30. Percentage of total cost that is community care cost

Page 33: KPI Framework for NZ Mental Health and Addiction Services · KPI 16a. NGO services investment -Adult. KPI 19. Post-discharge community care. KPI 28. Total staff turnover. KPI 29.

Supp 31. POP 06 access to service

Page 34: KPI Framework for NZ Mental Health and Addiction Services · KPI 16a. NGO services investment -Adult. KPI 19. Post-discharge community care. KPI 28. Total staff turnover. KPI 29.

Supp 44. Community service user-related time

Page 35: KPI Framework for NZ Mental Health and Addiction Services · KPI 16a. NGO services investment -Adult. KPI 19. Post-discharge community care. KPI 28. Total staff turnover. KPI 29.

Data stratified by ethnicity

Page 36: KPI Framework for NZ Mental Health and Addiction Services · KPI 16a. NGO services investment -Adult. KPI 19. Post-discharge community care. KPI 28. Total staff turnover. KPI 29.

KPI 2. 28 day acute inpatient readmission rate Māori

Page 37: KPI Framework for NZ Mental Health and Addiction Services · KPI 16a. NGO services investment -Adult. KPI 19. Post-discharge community care. KPI 28. Total staff turnover. KPI 29.

KPI 2. 28 day acute inpatient readmission rate Pacific

Page 38: KPI Framework for NZ Mental Health and Addiction Services · KPI 16a. NGO services investment -Adult. KPI 19. Post-discharge community care. KPI 28. Total staff turnover. KPI 29.

KPI 8. Average length of acute inpatient stay Māori

Page 39: KPI Framework for NZ Mental Health and Addiction Services · KPI 16a. NGO services investment -Adult. KPI 19. Post-discharge community care. KPI 28. Total staff turnover. KPI 29.

KPI 8. Average length of acute inpatient stay Pacific

Page 40: KPI Framework for NZ Mental Health and Addiction Services · KPI 16a. NGO services investment -Adult. KPI 19. Post-discharge community care. KPI 28. Total staff turnover. KPI 29.

Supp 26. Percentage of discharges greater than 35 days - Māori

Page 41: KPI Framework for NZ Mental Health and Addiction Services · KPI 16a. NGO services investment -Adult. KPI 19. Post-discharge community care. KPI 28. Total staff turnover. KPI 29.

41

Outcomes

• Effective use of data to build the indicators at provider level

• Provider capability to collect, report and use data

• Indication of the Framework’s effectiveness to measure performance and improve quality

• Established benchmarking forums and resultant use of information for quality improvement

• Recommendations for whole of sector

implementation

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Sustainability/Future direction


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