Vladimir Stevanovic, Colin Feek and Rebecca Kay
The paper aims to outline benchmarking and performance monitoring practice developed by the New Zealand Health Information Service at a diagnosis‐related group (DRG) level.
Abstract
Purpose
The paper aims to outline benchmarking and performance monitoring practice developed by the New Zealand Health Information Service at a diagnosis‐related group (DRG) level.
Design/methodology/approach
The indicators are calculated from the routine hospital discharge data in the National Minimum Dataset. The benchmarks are set at either the 20th or 80th centile as a cut‐point that can alert to possible issues or a target for which to aim. Benchmarks can be used to highlight variations by making comparisons with other health‐care providers or the same provider over time.
Findings
This approach provides an indication of which DRGs and outcome variables may be worth looking at in more detail. Using comparative measures across providers allows the identification of areas of health care with the most potential for gain.
Practical implications
There is strong evidence of changed clinical practice and improved health outcomes following systematic evaluation of some patient management practices.
Originality/value
This overview of benchmarking practice using routine data with some distinctive features would be of interest to those with similar undertakings.
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ALLAN BUNCH, EDWIN FLEMING and WILFRED ASHWORTH
Does your library suffer from staff burn‐out? If so, there is help at hand in the form of a recent booklet from the National Youth Bureau. It's called Value judgements: evaluating…
Abstract
Does your library suffer from staff burn‐out? If so, there is help at hand in the form of a recent booklet from the National Youth Bureau. It's called Value judgements: evaluating community based agencies by Warren Feek and Douglas I Smith and has been written to help any organisation avoid a variety of illnesses from the aforementioned staff burn‐out to failed funding applications (Chief Librarians please note!). The booklet shows how you can assess whether your agency is achieving its purpose and whether you have used the right resources in the right way. It's aimed particularly at those working with people in voluntary and statutory youth and community work organisations but it may well be useful to librarians wanting to assess their services, as well as to their clients. The booklet is well illustrated with cartoons and sells at £1.20 inc. p & p from Sales Department, National Youth Bureau, 17–23 Albion Street, Leicester LE1 6GD.