Health policies and data

Health Care Quality Indicators

 

What is the Health Care Quality Indicators project?


The OECD Health Care Quality Indicators project, initiated in 2002, aims to measure and compare the quality of health service provision in the different countries. An Expert Group has developed a set of quality indicators at the health systems level, which allows to assess the impact of particular factors on the quality of health services.

Our approach is to complement and coordinate efforts of national and other international bodies. These efforts will offer policy makers and other stakeholders a toolkit to stimulate cross-national learning.


Value and Quality of Care


Quality of care is one of the key dimensions of value. Through ongoing national and international efforts, such as the System of Health Accounts, information on health care spending is expanding, yet information on the value that health services create is still limited.

At the end of 2010, a public Forum on the Quality of Care was held to raise awareness to the importance of measuring quality for the good of patients and health budgets alike. A key publication, Improving Value in Health Care was released for this event. This year, a series of country reviews are being initiated in this area.


Areas of work


The OECD Health Care Quality Framework
Primary Care
Acute Care
Mental Health Care
Cancer Care
Patient Safety
Responsiveness/Patient Experiences
Strengthening Health Information Infrastructure
Cardiovascular Disease and Diabetes


Data


OECD and several non-OECD countries provided data on quality of care indicators, and data and charts are available below. 

Primary Care
Avoidable admissions: respiratory diseases
Asthma hospital admission
COPD hospital admission
Avoidable admissions: uncontrolled diabetes
Uncontrolled diabetes hospital admission

Acute  Care
In-hospital mortality following acute myocardial infarction
In-hospital case fatality within 30 days after admission for AMI
In-hospital mortality following stroke
In-hospital case fatality within 30 days after admission for ischemic stroke
In-hospital case fatality within 30 days after admission for hemorrhagic stroke

Mental Health Care
Excess mortality from mental disorders
Excess mortality from schizophrenia
Excess mortality from bipolar disorder

Cancer Care
Screening survival and mortality for cervical cancer
Cervical cancer screening in  women aged 20-69
Cervical cancer five-year relative survival
Cervical cancer mortality in women
Screening, survival and mortality for breast cancer
Mammography screening in women aged 50-69
Breast cancer five-year relative survival
Breast cancer mortality in women
Survival and mortality for colorectal cancer
Colorectal cancer, five-year relative survival
Colorectal cancer mortality

Patient Safety
Obstetric trauma
Obstetric trauma, vaginal delivery with instrument
Obstetric trauma, vaginal delivery without instrument
Procedural or postoperative complications
Foreign body left in during procedure
Postoperative pulmonary embolism or deep vein thrombosis

Postoperative sepsis

Responsiveness/
Patient Experiences
Regular doctor spending enough time with patients during the consultation
Regular doctor giving opportunity to ask questions or raise concerns to their doctor
Regular doctor providing easy-to-understand explanations by their doctor
Regular doctor involving patients in decisions about care or treatment

Data and information on quality indicators for communicable diseases (screening and immunisation), cancer (screening and mortality) along with various other indicators related to lifestyle and prevention can be found through the database OECD Health Statistics and in Health at a Glance 2013.


Related Work and Documents

Information on related initiatives and collaborations as well as a full list of HCQI related publications are available by clicking here.


Contact

Niek Klazinga
niek.klazinga@oecd.org
Tel.: +33 1 45 24 76 11
Fax: +33 1 45 24 90 98

Generic contact: hcqi.contact@oecd.org

Permanent URL: http://www.oecd.org/health/hcqi

 

Related Documents

 

OECD Series on Health Care Quality Reviews

Forum on the Quality of Care

European Diabetes Leadership Forum (EDLF), Copenhagen, 25-26 April 2012

 

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