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Quality Measurement Framework

Summary of Progress

NHS National Services Scotland ISD Scotland & NHS National Services Scotland

Summary of Progress

Introduction

The twelve Quality Outcome Indicators listed in the left margin opposite are intended to provide a high level picture of progress towards the Quality Ambitions and Outcomes.

Individual Progress of Each Quality Outcome Indicator

The table below presents the latest individual results for each indicator including current progress over time, based on the data available. Work is underway to provide a meaningful categorisation of the current progress of each indicator, which will reflect the views of the Quality Alliance Board. This page will be updated accordingly, when the work is completed.

Users should also refer to the issues around interpreting the progress of each indicator provided below the table.

INDICATOR PROGRESS
Care Experience The latest value of the indicator is 80.9 which is a statistically significant increase of 0.6 compared to 2014. The indicator is a score between 0 and 100, with higher scores representing a better experience. The score is based on survey questions and does not represent a percentage.
Emergency Admissions In 2015/16 the rate of emergency admissions was a provisional 10,572 emergency admissions per 100,000 population. Since 2011/12, this rate has remained level at around 10,000 emergency admissions per 100,000 population, with very slight increases over the last four years.

In 2015/16 the emergency admission bed day rate was 73,210 emergency bed days per 100,000 population. This is a decrease on the previous year.

Note that the 2015/16 figures are provisional and likely to be slightly lower than the final figure.
End of Life Care The proportion of the last six months of life spent at home or in a community setting was 86.3% in the year ending March 2015. This has remained largely unchanged over the five years from 2010/11 to 2014/15.
Healthcare Associated Infection (HAI) In 2011 the prevalence of HAI was 4.9% in acute hospitals, a significant reduction since the last survey, at 9.5% in 2005/06.
Healthy Birthweight The percentage of babies born at a healthy birthweight in the year ending March 2016 increased slightly from 89.9% in 2014/15 to 90.1% in 2015/16. The longer term trend shows the proportion of babies born with a healthy birthweight increased from 88.9% to 90.1% between 2001 and 2016.
Hospital Standardised Mortality Ratios (HSMR) HSMR at Scotland-level has decreased by 8.4% between the quarter January to March 2014 and the latest quarter of January to March 2017, with the latest figure at 0.93.
Personal Outcomes The value for the Healthcare Experience Quality Outcome Indicator has remained broadly steady since its introduction in 2011/12. The indicator's value for 2015/16 is 74.0, a slight fall from 2011/12 and 2013/14, which were both 75.2.
The indicator is a score between between 0 and 100, but not a pecentage value, with higher scores representing better outcomes.
Premature Mortality In 2015, the European age-standardised mortality rate (using the 2013 European Standard Population) among those aged under 75 in Scotland was 440.5 per 100,000, an increase of 4% over the last year and a decrease of 17% over the last 10 years.
Self-assessed General Health In 2015, 74% of adults described their health in general as either 'good' or 'very good'. This is the fourth year running that the proportion has been 74%.

INDICATORS UNDER DEVELOPMENT

Employee Engagement Data not available - this indicator is under development.
Resource Use Data not available - this indicator is under development.
Safe Care Data not available - this indicator is under development.

Interpreting the Progress of Each Indicator - General Issues

As high level indicators, the QOIs will often require long time scales to demonstrate individual improvement in Healthcare. However, the data available for each indicator varies - while some indicators may have years of data available from which to draw conclusions on progress, others were recently developed and may have as few as two results published to date. It is essential that the context around each indicator also informs the interpretation of the data available. For more information about a specific indicator, select the relevant indicator from the left margin opposite.

 

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