quality indicators for hospital hygiene - nsihindividualized quality report per hospital • to...
TRANSCRIPT
QUALITY INDICATORS FOR HOSPITAL
HYGIENENew rapport
Workgroup meeting
19/11/2018
Dequeker Sara, RN, Msc
Contents
• New set of indicators
• Individualized quality report per hospital
• Quality scores
• National report
• Aggregated quality scores
• Other aggregated data
• Report 2017: publication steps
• Discussion
New set of indicators
• Indicators selected and developed by ‘Federaal Platform voor
Ziekenhuishygiëne’ (BAPCOC)
• New set of indicators for the next 3 years defined
• Contains all historical indicators (used in 2013, 2015 and 2016)
supplemented with a new group of indicators
• Collected in a ‘lastenboek’/ ‘cahier des charges’
(http://www.nsih.be/surv_iq/participation_nl.asp)
• Data 2017 collected through Healthdata
Four groups of indicators
• Organisation indicators (N=5)
• Evaluate the presence of a strategic plan, yearly action plan, …
• Means indicators (N=6)
• Evaluate the presence of means e.g. number of dedicated infection control
staff
• Activity indicators (N=41)
• Evaluate the presence of surveillances, process audits, procedures, …
• Process indicators (N=1)
• Evaluate the consumption of alcohol-based hand-gel
Individualized quality report per hospital
• To improve the quality of infection prevention and control at hospital
level
• Historical set of indicators (2013, 2015 & 2016)
• Through NSIHweb
• Quality scores (hospital and national mean)
• Individual indicators
• Public available
• Will be converted in Healthstat
Individualized quality report per hospital
• New set of indicators (2017, 2018, …)
• Through Healthstat
• Similar with report in NSIHweb
• Quality scores (hospital and national median)
• Individual indicators
• Some absolute numbers (e.g. vaccination grade)
• National percentage hospitals with a ‘1’-score (if possible)
Quality scores
• Scores developed by ‘Federaal Platform voor Ziekenhuishygiëne’
(BAPCOC)
• http://www.nsih.be/surv_iq/participation_nl.asp
• New and stable set of indicators for three years BUT scoring
evolves
• Some historical indicators get new scores
• Progressively more focus on audits and less on procedures
• Total score of 100
• Comparing over the years will not be possible for the quality scores
National report
• To evaluate infection prevention and control policy and guidelines
at national level
• To assess the quality of infection prevention and control at hospital
level
• By aggregated quality scores (national and regional)
• By aggregated quality scores for each hospital
National report: aggregated quality scores
• For each group of indicators
• National and per region
• Based on the quality scores => good, moderate or bad quality
National report: other aggregated data
• National and regional percentage hospitals with a ‘1’-score
• Comparison over the years possible (but needed?)
• Looking into trend analyses
• National and regional median for quality scores
• Comparison over the years not possible
• Percentage hospitals (national and regional) for each quality group
• Comparison over the years not possible
Report 2017: publication steps
National report
1. Collecting all the data
2. Write the report
3. Translate the report
4. Send the report to BAPCOC and FOD for approval
5. Publication with a press release
Individual report
Healthstat, hopefully sooner online
Discussion
• 53 indicators = long report
• What do you use from these reports? What is useful?
• Lacking results/data?
• Quality groups (good, moderate and bad quality)
• Easy to understand
• But are graphs useful?
• Boxplots can give more information
• Publication of national report with press release: do we sent the report
a few days earlier to the data providers in the hospitals?