Home > The OECD Health Care Quality Indicator Project Third meeting of the Expert Group, Paris, December 2-3 2004

The OECD Health Care Quality Indicator Project Third meeting of the Expert Group, Paris, December 2-3 2004


 
 

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Measuring health care quality at the international level:   
 
Introduction to the OECD  
Health Care Quality Indicators Project  
 

Peter Scherer

Head, Health Division 

OECD Patient Safety Seminar – ��Safety Data for Safer Care��

Dublin – June 29-30, 2006


 
 

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Presentation Outline 

  • Purpose and basis for HCQI Project
  • Recent progress
  • Next Steps – Updating Data and Developing Indicators

 


 
 

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Broad purpose of OECD��s HCQI Project 

  • Develop indicator set  -  to raise questions about quality of health care across countries
  • Initial attention -  technical quality of health care (i.e. effectiveness)
  • Future consideration of other areas (e.g. ��Responsiveness/patient centeredness��)
  • To be representative of the main disease and risk groups in participating countries
 
 

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HCQI Foundation 

Analysis of available measures and consensus efforts 

The Nordic Council of Ministers 

1. Application of scientific criteria for indicators

  • Scientific soundness
  • Clinical and policy importance
  • Feasibility of measurement

2. Review balance of measure set

  • Structure, process and outcomes
 

HCQI Initial Measure Set 


 
 

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��Regular�� annual Collection


 
 

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HCQI Progress 

  • Project reports and dissemination -
    • OECD Health Working Paper 22 – HCQI Initial Indicators Report (2006)
    • OECD Health Working Paper 23 – HCQI Conceptual Framework Paper (2006)
    • International Journal for Quality in Health Care HCQI supplement, Fall 2006
    • European Conference on Health Economics, Budapest, Hungary (2006)
    • European Health Forum, Gastein, Austria (2005)
    • International Scientific Basis of Health Services, Montreal, Canada (2005)
    • UK EU Presidency Summit on Patient Safety, London, UK (2005)
 
 

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HCQI Initial Indicators Report  
Data Comparability Analyses 

  • Data comparability questions investigated:
    • What is the appropriate reference population for age adjustment?
    • What is the impact of different policies for handling missing data?
    • What is the impact of notification policies on cases of vaccine-preventable disease?
    • What is the impact of variation in coding practices (for asthma)?
    • What is the effect of unique identifiers when dealing with mortality rates?
 
 

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Results from the HCQI  
Initial Indicators Report 

  • No country best or worst in all indicators
  • Most countries exhibit areas of possible ��best practices��
  • All indicators raise questions for possible future investigation about why differences in quality exist
 
 

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Next Steps 

  • Examine differences across countries
  • Improve the indicator set
  • Lay foundation for future indicator development through country subgroups

 


 
 

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Improving and Updating the Measure Set 

  • Recommendations will be result of work five priority areas selected by OECD countries. 
    • Priority areas:  patient safety, mental health care, cardiac care, diabetes care and primary care and prevention. 
  • Expert Subgroups formed in patient safety and mental health
    • Subgroup teleconferences held April 2006 (approximately 10-15 countries in each group.) 
  • Major meetings of these groups are planned
    • Dublin, Ireland June 29-30, 2006; OECD Patient Safety Seminar, ��Safety Data for Safer Care.��
    • November 2006 OECD��s Mental Health Expert Subgroup. 
  • Similar work is planned in 2007 on cardiac care and diabetes care.
  • Preliminary work has also been begun in 2006 on indicators of responsiveness.
 
 

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Contact information 

  • Dr. Peter Scherer 
    Head; Health Division 
    OECD 
    peter.scherer@oecd.org
  • Dr. Edward Kelley 
    Head,  
    Health Care Quality Indicators Project 
    OECD 
    edward.kelley@oecd.org 
    +33-1-4524-9239 
 
  • Web site
    • OECD Health Care Quality Indicators – www.oecd.org/health

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