Australian Health Performance Framework, 2019
Indicator Set Attributes
Identifying and definitional attributes
|Metadata item type:||Indicator Set|
|Indicator set type:||COAG IGA|
Health, Superseded 13/10/2021
The Australian Health Performance Framework (AHPF) was endorsed by the Australian Health Ministers' Advisory Council in September 2017. It brings together the previous National Health Performance Framework and the Performance and Accountability Framework to provide a single vehicle for presenting information about the performance of Australia's health system and is intended to have primacy over other performance frameworks for the health sector.
The overarching objective of the AHPF is to facilitate improved health outcomes for all Australians and ensure the sustainability of the Australian health system.
The AHPF builds upon Australian and international experience of performance and outcomes scheme in recent years. It provides for both the effective categorisation of health system components, their inter-relationships and scope, and for the dynamic measurement of performance across the system. It comprises a Health System Conceptual Framework and a Health System Performance Logic Model.
The Conceptual framework for the AHPF comprises 5 key domains: Determinants of health and wellbeing, Health system, Health status, Health system context and Equity.
Determinants of health and wellbeing
This domain takes into account factors that influence the health status and health care needs of Australians. Factors within this domain may be external to the traditional view of the health system. Reporting of health determinants in relation to the performance of the health system will highlight the need for services within the health system and also the need for multi-sectoral approaches, where appropriate, to improve health outcomes. These determinants include:
This domain captures the activities and qualities of the health care system. It can be applied across all sectors, settings and organisational levels, as needed. The dimensions identified within this domain highlight the need for health care delivery to be safe, accessible, and of high quality. Measures within this domain can be viewed from both patient and provider perspectives and capture both activity levels (where relevant) outputs and the outcomes of care. These activities and qualities will include issues of:
The health status domain represents the outcomes of all the factors that shape our health, and includes impairments, disabilities and handicaps that are a consequence of disease, as well as the incidence and prevalence of conditions across the community. It reflects the status of individuals, cohorts and populations in terms of:
Health system context
This domain reflects the importance of broad contextual issues of demographics, community and social capital, governance and structure, financing, workforce and infrastructure. It also includes issues of information, research and evidence to influence decisions and actions at all levels and across all sectors. These issues provide essential context for current decisions at all levels and are key issues for the planning of a sustainable health system.
As the objective of the health system is to improve health outcomes for all Australians, equity is a domain that influences all elements of the framework: determinants of health, health status, the health system and its context. The AHPF accordingly explicitly recognises the need for monitoring equity across the determinants of health, the health system and health status for different populations and sub-groups. This will be achieved through appropriate disaggregation of performance measure data, which could include Aboriginal and Torres Strait Islander people, people living in different geographic areas, different socioeconomic groups and other population groups relevant to the measure.
Within the AHPF, equity is regarded as the minimisation of avoidable differences between groups or individuals. In applying the concept of equity to the framework, consideration will need to be given to how the concept of equity should apply to the specific indicator. While for some indicators it would be desirable to see equity across population groups (i.e. equal treatment for individuals/groups in the same circumstances), for other indicators it would be desirable to individuals/groups being treated differently according to their level of need.