Development of key performance indicators for emergency departments in Ireland using an electronic modified-Delphi consensus approach

Background. The current study was performed to develop a consensus-based core inventory of key performance indicators (KPIs) to be used in capturing the impact of pharmaceutical care in healthcare facilities that employ integrative medicine paradigm in Palestine. Methods. A panel of healthcare professionals and risk/quality assurance managers was composed employing a judgmental sampling technique. The study tool was a questionnaire. Views and opinions of the panelists on the roles of pharmacists in caring for patients admitted to or visiting healthcare facilities that employ integrative medicine were collected using 11 statements. An initial inventory of activities and services that potentially can be used as KPIs was compiled from the literature and interviews with key contact experts in the domain. Three iterative Delphi rounds were conducted among the panelists (n = 50) to achieve formal consensus on the KPIs that should be used. The consensus-based KPIs were ordered by the scores of the panelists. Results. A total of 8 consensus-based KPIs were developed. The KPIs related to the number of problems related to medications and complementary and alternative medicine (CAM) that were resolved by pharmacists and CAM practitioners (p < 0.0001), number of patients for whom reconciliations were documented (p < 0.0001), number of patients receiving direct, comprehensive, and/or collaborative care (p < 0.0001), and number of patients for whom pharmacists and CAM practitioners were involved in implementing a therapeutic plan (p < 0.05) were rated significantly higher than the KPI (#8) related to the participation in multi-healthcare provider discussions/deliberations. Conclusions. Consensus-based KPIs that can be used in capturing the impact of evidence-based CAM and pharmaceutical care of patients in healthcare facilities that employ integrative medicine paradigm were developed. Future studies are still needed to investigate if implementing these KPIs might promote evidence-based CAM and pharmaceutical care in healthcare facilities that employ the integrative medicine paradigm.

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Identifying key performance indicators for nursing and midwifery care using a consensus approach

Journal of Clinical Nursing ◽

10.1111/j.1365-2702.2011.03820.x ◽

2011 ◽

Vol 21 (7-8) ◽

pp. 1145-1154 ◽

Cited By ~ 23

Author(s):

Tanya McCance ◽

Lorna Telford ◽

Julie Wilson ◽

Olive MacLeod ◽

Audrey Dowd

Keyword(s):

Performance Indicators ◽

Key Performance Indicators ◽

Consensus Approach ◽

Midwifery Care

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Selecting contextually appropriate performance indicators for Northern maternity care systems: A modified Delphi approach

10.21203/rs.3.rs-49446/v1 ◽

2020 ◽

Author(s):

Rebecca Rich ◽

Thomsen D'Hont ◽

Kellie Murphy ◽

Jeremy Veillard ◽

Susan Chatwood

Keyword(s):

Performance Indicators ◽

Maternity Care ◽

Indigenous Populations ◽

Validity And Reliability ◽

Delphi Consensus ◽

Modified Delphi ◽

Delphi Approach ◽

Northern Regions ◽

Care Systems ◽

Health System Responsiveness

Abstract Background Meaningful performance measurement requires indicators to be scientifically robust and strategically focused. For many circumpolar states, indicators aligned with national strategies may ignore the priorities of northern, remote, or Indigenous populations. The aim of this project was to identify contextually appropriate performance indicators for maternity care in Northern regions. Methods A scoping review generated a working list of indicators. Fourteen maternity care and health systems experts then participated in a modified Delphi consensus process. Participants rated proposed indicators according to importance, circumpolar relevance, validity, and reliability and suggested additional indicators for consideration. Results Consensus was achieved after two rounds. Eleven indicators were rated highly on all four criteria. Twenty-nine indicators, largely focused on social determinants of health, health care responsiveness, and accessibility, were identified for further research. Conclusions The Delphi approach was effective in identifying indicators for maternity care in Northern regions. Further research and collaboration with key stakeholders is necessary to further develop indicators of health system responsiveness and accessibility.

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Identify Key Performance Indicators for Designing Emergency Department dashboard in a referral Cardiac Hospital

10.32592/ircmj.2021.23.7.714 ◽

2021 ◽

Keyword(s):

Performance Indicators ◽

Emergency Departments ◽

Expert Panel ◽

Key Performance Indicators ◽

Three Dimensions ◽

Input Process ◽

Healthcare Organizations ◽

Organization Management ◽

Wide Range ◽

Special Software

Background: Today, organization management in healthcare organizations needs to monitor and evaluate performance for better decision and policy making. Objectives: This study aimed at determining the Key Performance Indicators (KPIs) using software and a management dashboard. Methods: This study searched several articles discussing KPIs of emergency departments. A comprehensive list of indicators was obtained and presented to an expert panel with a wide range of experiences. The experts finalized the KPIs. A second round was performed to confirm the performance using Smart Pilates software. Based on the final panel’s rating, a list of KPIs was developed to be used. The extracted data was prepared to be entered into the computer system to design the dashboard using QlickView software. Subsequently, according to the type of indicator, the dashboard was designed with special software. Results: The extracted 14 KPIs of emergency departments were determined in three dimensions of input, process, and output. Following that, the project team designed a dashboard with 14 KPIs. Conclusion: To design and develop a dashboard, the management of information was essential for organizations. It is recommended that managers use KPIs for evaluating and monitoring emergency departments. Moreover, it can be used for planning and evaluating the performance in emergency departments.

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