Public reporting of hospital performance data: views of senior medical directors in Victoria, Australia

2018 ◽  
Vol 42 (5) ◽  
pp. 591 ◽  
Author(s):  
Rachel Canaway ◽  
Marie Bismark ◽  
David Dunt ◽  
Margaret Kelaher
Keyword(s):  
Performance Monitoring ◽  
Behavioural Change ◽  
Hospital Performance ◽  
Public Reporting ◽  
Performance Data ◽  
Public Hospitals ◽  
Performance Improvements ◽  
Australian Health ◽  
Medical Directors ◽  
And Performance

Objective The aim of the present study was to better understand senior medical directors’ perceptions of public reporting of hospital performance data, how public reporting affects institutional behavioural change towards quality improvement and how it could be improved. Methods Interviews were undertaken with 17 medical directors representing 26 metropolitan and regional public hospitals in Victoria, Australia, between June and August 2016. Data were analysed thematically. Results Medical directors are well placed to comment on clinical and administrative aspects of quality, safety and performance monitoring in public hospitals. Their responses largely suggested that public reporting of hospital performance data in Australia is immature and not fulfilling its potential. There was little consensus among informants around what public reporting is, who it is for or its purpose. Although public reporting was considered to have important functions for hospitals and consumers, it was generally considered to lack robustness and have underutilised potential to inform consumers, build trust and drive quality and performance improvements within hospitals. Conclusions The next steps needed to advance public reporting of hospital performance data in Australia include engaging clinicians and patients in selection and development of metrics, improving timeliness of reporting, and improving communication of information so that it is accessible and meaningful for different audiences. What is known about the topic? Public reporting of hospital performance data is a mechanism increasingly used in the Australian health system, but it has attracted little research. What does this paper add? This paper reveals a lack of shared understanding among medical directors in Victoria, Australia, on what public reporting of hospital performance data is, who it is for and its purpose. The paper highlights the potential importance of public reporting of hospital performance data for rural and regional healthcare consumers and how it may be strengthened. What are the implications for practitioners? Stronger systems of public reporting of hospital performance data have the potential to increase consumer engagement and improve hospital performance, quality and safety. Awareness of the discourse around public reporting of hospital performance data can increase practitioners’ engagement in debate and development of reporting systems.

Remote Thermal Performance Monitoring and Diagnostics: Turning Data Into Knowledge

2013 ◽  
Author(s):  
Xiaomo Jiang ◽  
Craig Foster
Keyword(s):  
Anomaly Detection ◽  
Gas Turbines ◽  
Performance Monitoring ◽  
Combined Cycle ◽  
Integrated System ◽  
Site Specific ◽  
Performance Improvements ◽  
Maintenance Schedule ◽  
Effectiveness Monitoring ◽  
And Performance

Gas turbine simple or combined cycle plants are built and operated with higher availability, reliability, and performance in order to provide the customer with sufficient operating revenues and reduced fuel costs meanwhile enhancing customer dispatch competitiveness. A tremendous amount of operational data is usually collected from the everyday operation of a power plant. It has become an increasingly important but challenging issue about how to turn this data into knowledge and further solutions via developing advanced state-of-the-art analytics. This paper presents an integrated system and methodology to pursue this purpose by automating multi-level, multi-paradigm, multi-facet performance monitoring and anomaly detection for heavy duty gas turbines. The system provides an intelligent platform to drive site-specific performance improvements, mitigate outage risk, rationalize operational pattern, and enhance maintenance schedule and service offerings via taking appropriate proactive actions. In addition, the paper also presents the components in the system, including data sensing, hardware, and operational anomaly detection, expertise proactive act of company, site specific degradation assessment, and water wash effectiveness monitoring and analytics. As demonstrated in two examples, this remote performance monitoring aims to improve equipment efficiency by converting data into knowledge and solutions in order to drive value for customers including lowering operating fuel cost and increasing customer power sales and life cycle value.

scholarly journals Management Practices and Performance of Public hospitals in Uganda

2015 ◽  
Vol 1 (7) ◽  
pp. 22-29
Author(s):  
John Bosco Kakooza ◽  
Immaculate Tusiime ◽  
Hojops Odoch ◽  
Vincent Bagire
Keyword(s):  
Management Practices ◽  
Health Sector ◽  
Hospital Performance ◽  
Management Style ◽  
Public Hospitals ◽  
Management Decision ◽  
Policy Makers ◽  
Policy Practice ◽  
Management Decision Making ◽  
And Performance

The Daily Monitor publications ran serialized articles showing the awful state of government hospitals across the country. While the Ministry of Health insists that the problem is not as bad as it is depicted, the level of service delivery in public hospitals has come under serious public scrutiny espousing the cause for concern about policy, practice and research. There should be glaring gaps in management practices as a possible explanation. In this study, we investigated impact of management decision making, structure, processes, communication and management style on hospital performance. The study has emphasized good management as the determinant of better performance of hospitals in the Ugandan context. Findings of this study challenges policy makers to strengthen management processes in addition to mobilizing financial, human and capital resources for hospitals. The study extends the debate on application of management theory with practice in the health sector in the Ugandan context.

scholarly journals The perceived impact of public reporting hospital performance data: interviews with hospital staff

2011 ◽  
Vol 23 (6) ◽  
pp. 697-704 ◽  
Author(s):  
J. M. Hafner ◽  
S. C. Williams ◽  
R. G. Koss ◽  
B. A. Tschurtz ◽  
S. P. Schmaltz ◽  
...  
Keyword(s):  
Hospital Staff ◽  
Hospital Performance ◽  
Public Reporting ◽  
Performance Data ◽  
Perceived Impact

An Alternative Method of Public Reporting of Comparative Hospital Quality and Performance Data for Transparency Initiatives

Medical Care ◽  
2021 ◽  
Vol Publish Ahead of Print ◽  
Author(s):  
Patrick O’Mahen ◽  
Paras Mehta ◽  
Melissa K. Knox ◽  
Christine Yang ◽  
Mark Kuebeler ◽  
...  
Keyword(s):  
Public Reporting ◽  
Hospital Quality ◽  
Performance Data ◽  
Alternative Method ◽  
And Performance

Public disclosure of hospital clinicians' performance data: insights from medical directors

2020 ◽  
Vol 44 (2) ◽  
pp. 228
Author(s):  
Rachel Canaway ◽  
Khic-Houy Prang ◽  
Marie Bismark ◽  
David Dunt ◽  
Margaret Kelaher
Keyword(s):  
Health Care ◽  
Decision Making ◽  
Public Reporting ◽  
Hospital Quality ◽  
Performance Data ◽  
Quality And Safety ◽  
The Public ◽  
Level Data ◽  
Medical Directors ◽  
Individual Clinician

Objective This study gathered information from public hospital chief medical officers to better understand underlying mechanisms through which public reporting affects institutional behavioural change and decision making towards quality improvement. Methods This qualitative study used thematic analysis of 17 semistructured, in-depth interviews among a peak group of medical directors representing 26 health services in Victoria, Australia. Results The medical directors indicated a high level of in-principle support for public reporting of identifiable, individual clinician-level data. However, they also described varying conceptual understanding of what public reporting of performance data is. Overall, they considered public reporting of individual clinicians’ performance data a means to improve health care quality, increase transparency and inform consumer healthcare decision making. Most identified caveats that would need to be met before such data should be publicly released, in particular the need to resolve issues around data quality and timeliness, context and interpretation and ethics. Acknowledgement of the public’s right to access individual clinician-level data was at odds with some medical directors’ belief that such reporting may diminish trust between clinicians and their employers, thus eroding rather than motivating quality improvement. Conclusions Public reporting of identifiable individual healthcare clinicians’ performance data is an issue that merits robust research and debate given the effects such reporting may have on doctors and on hospital quality and safety. What is known about the topic? The public reporting of individual clinician-level data is a mechanism used in some countries, but not in Australia, for increasing health care transparency and quality. Clinician-level public reporting of doctors’ performance attracts contention and debate in Australia. What does this paper add? This paper informs debate around the public reporting of individual clinician-level performance data. Among a discrete cohort of senior hospital administrators in Victoria, Australia, there was strong in-principle support for such public reporting as a means to improve hospital quality and safety. What are the implications for practitioners? Before public reporting of individual clinician performance data could occur in Australia, resolution of issues would be required relating to legality and ethics, data context and interpretation, data quality and timeliness.

Medical directors’ perspectives on strengthening hospital quality and safety

2017 ◽  
Vol 31 (7/8) ◽  
pp. 696-712 ◽  
Author(s):  
Rachel Canaway ◽  
Marie Bismark ◽  
David Dunt ◽  
Margaret Kelaher
Keyword(s):  
Hospital Performance ◽  
Hospital Quality ◽  
Performance Data ◽  
System Level ◽  
Standards Of Care ◽  
Quality And Safety ◽  
Content Type ◽  
Record Keeping ◽  
Hospital Safety ◽  
Medical Directors

Purpose The purpose of this paper is to understand the concerns and factors that impact on hospital quality and safety, particularly related to use of performance data, within a setting of devolved governance. Design/methodology/approach This qualitative study used thematic analysis of interviews with public hospital medical directors. For additional context, findings were framed by themes from a review of hospital safety and quality in the same jurisdiction. Findings Varying approaches and levels of complexity were described about what and how performance data are reviewed, prioritised, and quality improvements implemented. Although no consistent narrative emerged, facilitators of improvement were suggested relating to organisational culture, governance, resources, education, and technologies. These hospital-level perspectives articulate with and expand on the system-level themes in a state-wide review of hospital safety and quality. Research limitations/implications The findings are not generalisable, but point to an underlying absence of system-wide agreement on how to perceive, retrieve, analyse, prioritise and action hospital performance data. Practical implications Lack of electronic medical records and an inefficient incident reporting system limits the extent to which performance and incident data can be analysed, linked and shared, thus limiting hospital performance improvement, oversight and learning. Social implications Variable approaches to quality and safety, standards of care, and hospital record keeping and reporting, mean that healthcare consumers might expect inconsistency across Victorian hospitals. Originality/value The views of medical directors have been little researched. This work uses their voice to better understand contextual factors that situate and impact on hospital quality and safety towards understanding the mixed effectiveness of hospital quality improvement strategies.

“What is meant by public?”: Stakeholder views on strengthening impacts of public reporting of hospital performance data

2018 ◽  
Vol 202 ◽  
pp. 143-150 ◽  
Author(s):  
Rachel Canaway ◽  
Marie Bismark ◽  
David Dunt ◽  
Khic-Houy Prang ◽  
Margaret Kelaher
Keyword(s):  
Hospital Performance ◽  
Public Reporting ◽  
Performance Data ◽  
Stakeholder Views
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