MEASURING QUALITY IN PRIMARY CARE Ian Forde Senior

MEASURING QUALITY IN PRIMARY CARE Ian Forde Senior Analyst, O. E. C. D. Health Division. PHC Improvement Global Stakeholder Meeting Geneva, 7 th April, 2016.

Assessing health system performance Access Quality Data and analytics Country studies Efficiency Sustainability Sharing best practices

Ensuring value: OECD framework for health care quality effective safe patient centred

Ensuring value: OECD framework for health care quality effective Staying healthy Getting better safe Living with illness or disability patient centred Coping with the end of life

WHAT DO WE MEASURE?

1. PREVENTIVE CARE

Influenza vaccination coverage, population aged 65 and over, 2003 and 2013 (or nearest years)

2. CARE FOR CHRONIC CONDITIONS

Diabetes hospital admission in adults, 2008 and 2013 (or nearest years)

Diabetics with a prescription of cholesterol lowering medication in the past year, 2013

3. PATIENT EXPERIENCES

Doctor spending enough time with patient in consultation, 2013

DO THESE INDICATORS TELL US WHAT WE NEED?

Patient-centred, integrated care Patient-centred and integrated care is much discussed … … but yet to deliver much benefit for patients and their families

Patient and carer involvement Health systems are increasingly measuring patient experiences … … but remain poor at involving patients in their own care

Payments and incentives A varieity of increasingly innovative payment mechanisms exist… …but professional groups can be resistant to change

Data infrastructure The next frontier for sizeable quality gains… … but countries struggling to resolve legal and technical barriers

Primary care Primary and community care is being asked to do more and demonstrate better value for money… … but often ‘flying blind’

WHAT’S NEEDED

Better measuring PC performance More measures of effectiveness. More measures of productivity. More patient-reported measures. granular actionable routine data

Likely future directions - Effectiveness: management of long-term conditions. - Productivity: consultation rate for primary care practitioners. - Patient reported measures: care coordination and patient safety. granular actionable routine data Partnership with other international org’zns

THANK YOU ian. forde@oecd. org