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Article
Publication date: 1 December 2005

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.

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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.

Details

Benchmarking: An International Journal, vol. 12 no. 6
Type: Research Article
ISSN: 1463-5771

Keywords

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Article
Publication date: 1 December 2005

Mark Booth, Phil James and Vladimir Stevanovic

The aim of the study is to examine the feasibility of comparing hospitals internationally and to highlight some of the barriers.

966

Abstract

Purpose

The aim of the study is to examine the feasibility of comparing hospitals internationally and to highlight some of the barriers.

Design/methodology/approach

Comparative analysis of anonymised patient‐level data from hospitals in New Zealand and the UK.

Findings

Comparisons were made of aggregate statistics. For example, it was found that average length of stay and death rates in New Zealand were lower than in the UK, although average severity was higher. Adverse reactions were higher in the New Zealand sample than in that of the UK.

Research limitations/implications

There were data limitations associated with different coding conventions in the two countries. There may also be different coding conventions used when classifying data. The research attempted to correct for this, but some may remain.

Originality/value

There are few cross‐national comparisons of hospital performance. This paper shows that such analysis is possible. It is hoped that further effort can be put into addressing some of the data issues described above to further refine the results.

Details

Benchmarking: An International Journal, vol. 12 no. 6
Type: Research Article
ISSN: 1463-5771

Keywords

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