Performance against local service quality indicators: re-setting the indicators.
Local service quality indicators (SQIs) both for genitourinary medicine and HIV were drafted following patient and public involvement in 2009. At that time there were few published data to help in setting some of the original SQIs. Our clinical performance was audited against these SQIs in 2009 and subsequently re-audited in 2010 and 2011. The SQIs were revised based upon the results of the three audits. This paper attempts to explain the revisions based upon the audits. Commissioners are currently working with service providers around the country to develop HIV clinical outcome indicators that link payment to performance. It is vital to ensure that clinical outcome indicators are set correctly so that they are challenging but still achievable. We hope other services may wish to audit performance against our revised measures. If such data were to be pooled this could provide evidence for more robust benchmarking.
GUM Department, Derriford Hospital, Plymouth, UK. rachel@challenor.biz
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Challenor
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Warwick
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Ekanayaka
D019985:Benchmarking / Q000379:methods*; D015658:HIV Infections / Q000175:diagnosis* / Q000628:therapy*; D006801:Humans; D010043:Outcome and Process Assessment, Health Care / Q000379:methods*; D019984:Quality Indicators, Health Care