OECD Health Care Quality Indicator Project

1. OECD Health Care Quality Indicator Project Prague March 5th 2009 Sandra Garcia Armesto on behalf of the HCQI team

2. Current Streams of Work • Regular data collection • Periodic update of a set of indicators suitable for international comparisons • Ongoing methodological work to improve international comparability • New indicator development in priority areas: • Mental Health Care • Patient Safety • Health Promotion, Prevention and Primary Care • Responsiveness/Patient Experiences

3. 2008-09 HCQI Data Collection“Regular set”

4. 2008-09 HCQI Data Collection New Indicators

5. Data Sources for Quality Indicators • Mortality statistics • Vaccination/Infection registries • Cancer registries • Disease specific registries • Administrative Data-bases • Population and Patient based surveys

6. Relevant publications • OECD HD WP: http://www.oecd.org/els/health/workingpapers N0.23Health Care Quality Indicators Project Conceptual Framework Paper2006 No.22Health Care Quality Indicators Project Initial Indicators Report 2006 No.29 Health Care Quality Indicators Project - 2006 data collection update report 2007 • OECD HD TP: http://www.oecd.org/els/health/technicalpapers No. 20Information Availability for Measuring and Comparing Quality of Mental Health Care Across OECD Countries 2008 No. 19Facilitating Cross-National Comparisons of Indicators for Patient Safety at the Health-System Level in the OECD Countries 2008 No. 18Selecting Indicators for Patient Safety at the Health Systems Level in OECD Countries 2004 No. 17Selecting Indicators for the Quality of Mental Health Care at the Health Systems Level in OECD Countries 2004 No. 16Selecting Indicators for the Quality of Health Promotion, Prevention and Primary Care at the Health Systems Level in OECD Countries 2004 No. 15 Selecting Indicators for the Quality of Diabetes Care at the Health Systems Level in OECD Countries 2004 No. 14Selecting Indicators for the Quality of Cardiac Care at the Health Systems Level in OECD Countries 2004

7. Health at a Glance • Released every two years • November 2007: Main new feature was the new chapter on health care quality indicators • November 2009: Health care quality chapter to be expanded to reflect recent indicator development.

8. Methodological Improvements agreed upon during the HCQI expert meeting October 2008 • Transparency on the quality of data-sources • representativeness • completeness • regular update • stability of the data source • capability to track patients through the system • Standardization by age and sex where relevant

9. Recommendations for Data and Information Systems • Recording in administrative databases of conditions present at hospital admission • More detailed recording in administrative databases of secondary diagnoses • Enhance international comparability of procedures • Implement the use of Unique Patient Identifiers in national data systems • Establish national information systems for out-of-hospital care; notably in primary care and mental health care, with similar capacity to generate internationally comparable data as hospital administrative data systems

10. Work Plan 2009/10 • Data collection 2008/2009 ongoing • Extended Chapter in Health at a Glance 2009 • Continuation work in subgroups on safety, primary care and responsiveness • Start more analytical work to explore differences in performance and possible relations with the organization and financing of health care (cancer care, cardiovascular diseases)

11. http://www.oecd.org/els/health/hcqi Thank you!!!!