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Quality Measurement Framework

Indicator Information

NHS National Services Scotland ISD Scotland & NHS National Services Scotland

Indicator Information

This page provides the following details about each indicator (note some of the links provided below will navigate to external websites):

  • a publication timetable indicating the frequency of publication of the data available
  • indicator definition
  • the title of the publication (or relevant file name) providing the latest results
  • the publisher of the latest results; and
  • the data source(s) from which the results are drawn.
Publication Timetable 2017 - Quality Outcome Indicators

Topic Jan Feb Mar April May June July Aug Sep Oct Nov Dec
Key: Q - Quarterly publication Bi - Biennial publication (latest results published 2016)

       A - Annual Publication Qu - Quinquennial publication (latest results published 2012)
Footnote: Indicators under development - Employee Engagement; Resource Use; Safe Care.
Care Experience Bi
Emergency Admissions A
End of Life Care A
Healthcare Associated Infection (HAI) Qu
Healthy Birthweight A
Hospital Standardised Mortality Ratios (HSMR) Q Q Q Q
Personal Outcomes Bi
Premature Mortality A
Self-assessed General Health A

Care Experience

Definition:

The Care Experience Quality Outcome indicator is a measure of patients' experiences of GP care and inpatient care.

The GP practice component of the indicator is calculated by taking the mean scores for individual patients' answers on the following questions in the Health and Care Experience survey:

  • Overall, how would you rate the arrangements for getting to see a doctor/and or nurse in your GP practice? (As there are separate questions about doctors and nurses, the mean score of the answers are used)
  • Overall, how would you rate the care provided by your GP practice?

The inpatient component uses the Scotland Performs 'Healthcare Experience' National Indicator which is calculated by taking the mean scores for individual peoples' answers on the following questions in the Inpatient Experience Survey.

  • Overall, how would you rate your admission to hospital (i.e. the period after you arrived at hospital until you got to a bed on the ward)?
  • Overall, how would you rate the care and treatment you received during your time in the A&E?
  • Overall, how would you rate the hospital and ward environment?
  • Overall. how would you rate your care and treatment during your stay in hospital?
  • Overall, how would you rate all the staff you came into contact with?
  • Overall, how would you rate the arrangements made for your leaving hospital?

The score for each question for each patient is: 0 for very poor; 25 for poor; 50 for fair; 75 for good; 100 for excellent.

The final Quality Outcome indicator is calculated by taking the mean of the GP and inpatient components. This results in a score between 0 and 100 with higher scores representing better experiences.

Latest publications:

Inpatient Experience Survey 2016 Volume 1: National Results
Health and Care Experience Survey 2015/16 Volume 1: National Results

Published by:
Scottish Government - Health and Community Care Statistics

Data sources:
Scottish Government Care Experience Survey Programme - Health and Care Experience Survey, and
Scottish Government Care Experience Survey Programme - Inpatient Patient Experience Survey

Emergency Admissions

Definition:
Rate of emergency admissions per 100,000 population for all age groups; and rate of emergency bed days per 100,000 population for all age groups.

Latest publication:

Rates per 100,000 population are published annually (see link below). Note that quarterly updates on total numbers of emergency admissions (from which annual rates could be calculated) are also available, and may be of interest to users looking for more up to date information.
These annual and quarterly figures are available from ISD - Hospital Care - Inpatient and Day Case Activity or directly from the links below.
Emergency Admission published October 2016 (annual publication - includes rate per 100,000)
Quarterly summary information including inpatient/daycase activity by NHS Board of Treatment (quarterly information - does not include rate per 100,000)

Published by:
ISD - Hospital Care

Data source:
ISD - Data Dictionary - derived from SMR01 hospital data (general acute inpatients/day cases)

Employee Engagement

This Quality Outcome Indicator is still under development. No results currently available.

A workforce which is sufficiently supported and engaged is necessary in order to achieve the Quality Ambitions of Effective, Safe and Person-centred. It is necessary for the Health Service to be proactive in order to ensure that engagement is a reality, and it needs to be aware of aspects where there is progress that is made.

End of Life Care

Definition:
Percentage of last six months of life spent at home or in a community setting (i.e. outside of a hospital setting). This measure is at an early stage of development and is subject to review in future as feedback is received. Revisions to the published data may be necessary.

Latest publication:
Quality Outcome Measure 10: Percentage of last 6 months of life spent at home or in a community setting, published 2016

Published by:
ISD - Health and Social Community Care

Data source:
This measure links National Records of Scotland - deaths data with hospital bed days data (SMR01 and SMR04 linked catalogue). Accidental deaths are excluded.

Healthcare Associated Infection (HAI)

Definition:
Healthcare Associated Infection (HAI) is any infection that occurs after a patient has received healthcare. In the Scottish National Point Prevalence survey a HAI was defined as any infection that occurs two days or more after admission to hospital or present on admission originating in another hospital or is associated with a device or surgical procedure. A prevalent HAI is one where the patient has symptoms of a HAI or is being treated for a HAI on the day of the survey.

Latest publication:
Scottish National Point Prevalence Survey of Healthcare Associated Infection and Antimicrobial Prescribing 2011, published 2012

Published by:
Health Protection Scotland (HPS)

Data source:
HPS - Scottish National Point Prevalence Survey (PPS)

Healthy Birthweight

Definition:
Appropriate birthweight for gestational age (AGA).

Latest publication:
Births in Scottish Hospitals - Year ending March 2016, published November 2016

Published by:
ISD - Maternity and Births

Data source:
ISD - Data Dictionary - derived from SMR02 (maternity inpatients/day cases)

Hospital Standardised Mortality Ratios (HSMR)

Definition:
HSMR is the observed number of deaths (within 30 days of admission to hospital) divided by the number predicted by a statistical model.

Latest publication:
Hospital Standardised Mortality Ratios - Quarterly Statistics

Published by:
ISD - Quality Indicators

Data sources:
ISD - Data Dictionary - derived from SMR01 hospital data (general acute inpatients/day cases), linked with National Records of Scotland - deaths data

Personal Outcomes

Definition:
The quality outcome indicator personal outcomes is calculated using results from the patient survey on GP and community health services, asking respondents to reflect on their outcomes from recent health interventions on the three dimensions of pain, depression or anxiety and ability to carry out usual activities. The resulting indicator that is derived from answers to these survey questions provides a high level summary of peoples’ outcomes. The indicator relates to any treatment in any setting across NHS Scotland and is not attributable to any particular service. The indicator is a score between 0 and 100, but not a percentage value, with higher scores representing better outcomes.

Latest publication:
Health and Care Experience Survey 2015/16 Volume 1: National Results

Published by:
Scottish Government - Health and Community Care Statistics

Data sources:
Scottish Government - Scottish Patient Experience Survey of GP and Local NHS Services Survey

Premature Mortality

Definition:
Based on the number of deaths under the age of 75 from all causes, expressed as the rate of deaths per 100,000 population, age standardised using the 2013 European Standard Population. Data are presented as the age standardised rate of death per 100,000 population.

Latest publication:
Table 2: Under 75s age-standardised death rates for all causes and certain selected causes, Scotland, 1994 to 2015

Published by:
National Records of Scotland (NRS)

Data sources:
NRS - deaths data and NRS - population data

Resource Use

This Quality Outcome Indicator is still under development. No results currently available.

The resource use quality outcome indicator aims to capture change in the efficiency of the use of NHS resources over time. It does this by comparing the change in the volume of outputs produced by NHS Scotland with the change in the volume of inputs which have been used to produce those outputs. It is proposed that an aggregate measure of the efficiency of resource-use is adopted. This will initially be based on the volume of aggregate inputs and outputs, and will be adjusted for quality following further work.

Safe Care

This Quality Outcome Indicator is still under development. No results currently available.

Definition:
tbc

Self-assessed General Health

Definition:
The proportion of the population who report their general health as very good or good.

Latest publication:
The Scottish Health Survey 2015, Volume 1 - Main Report, published 2016

Published by:
Scottish Government - Health and Community Care Statistics

Data source:
Scottish Government - The Scottish Health Survey

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