Health system performance
Dimensions of this framework
- All care/services provided meet the expectation s of the client, community, providers and payment organisations, recognizing that there may be conflicting, competing interests between stakeholders and that the needs of the clients/patients are paramount.
The ability of clients/patients to obtain care/service at the right place and the right time, based on respective needs.
Examples include waiting times, practice availability and availability of dentists.
Care/service is relevant to the clients/patients' needs and based on established standards.
Examples include inappropriately used surgery, appropriate use of ACEI at discharge for heart failure.
- An individual's knowledge and skills are appropriate to the care/service being provided.
- The ability to provide uninterrupted coordinated care/service across programs, practitioners, organisations, and levels of care/service, overtime.
The care/service, intervention or action achieves the desired result.
Examples include cancer survival, recurrence of hernia after repair, smoking cessation during pregnancy (effectiveness of maternal health care), chronic care management: admission rates for asthma, diabetes, epilepsy.
Achieving the desired results with the most cost-effective use of resources.
Examples include avoidable hospitalizations, cost per casemix-adjusted separation, cost-effective prescribing.
Potential risks of an intervention of the environment are avoided or minimized.
Examples include hospital-acquired infection rate.