Page 75 - npqh NATIONAL POLICY FOR QUALITY IN HEALTHCARE : Bridging Silos, Accelerating Improvements 2022-2026

National Policy for Quality in Healthcare
National Policy for Quality in Healthcare
Bridging Silos, Accelerating Improvements
Bridging Silos, Accelerating Improvements

3.7.6 Measuring and Improving Quality

Objective measures of quality across the level of care and dimensions will foster
evidence-based policy making. This will entail the use of meaningful indicators to
assess whether or not a standard in patient care is being met. They may not provide
definitive answers but rather, are designed to indicate potential problems that might
need addressing, identifying variations within data and rectification where needed.
This will enable benchmarking against comparable organisations as a way to monitor
progress, and the identification of areas for improvement.

3.7.6.1 Measuring Quality

i) Overarching Measurement Framework: There should be a healthcare quality
framework in keeping with evolving global effort to guide what should be
measured to inform and drive efforts to improve healthcare quality.

ii) Quality Measures should:
a. be aligned with current health care needs and priorities

b. encompass targeted quality domains (STEEEPA) across the various stages
of care especially on patient outcomes (Refer to (iii) for work-in progress
for a set of STEEEPA indicators

c. be determined via the input and coordination between key stakeholders
d. be evidence-based, internationally comparable and have feasible data
collection

e. be periodically reviewed
f. embrace Donabedian's structure-process-outcome model of quality

g. comprise technical quality and experiential quality

h. be made transparent to the entire organisation and stakeholders

iii) Measuring quality according to STEEEPA domains
a. Existing monitored indicators were collected, extracted and mapped
according to STEEEPA domains from various key sources (NIA, KPI, QII,
SDG, UHC) to develop a practical set of indicators that can be feasibly
measured without undue measurement burden and provide a platform for
future development.

b. We aim for no more than 10-15 indicators to reflect each domain with a
balance across structure (input), process and outcome measures that
can best be shared and used for benchmarking, guiding and informing
improvement.

c. The initial list for STEEEPA indicators is in Appendix 8

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