Concept of Operations: Relating to the introduction of a Personally Controlled Electronic Health Record System
9.2.1 Draft key performance indicators (KPIs)
The table below shows a summary of the stages of implementation and adoption alongside key performance indicators (KPIs) that might be used in evaluating the success of the PCEHR System. Overall, the performance metrics should not only show an effectively functioning program but should also show realisation of benefits around more appropriate and sustainable healthcare including improved satisfaction of individuals receiving healthcare and progress towards meeting the objectives of health reform.Lessons from other work on KPIs and minimum datasets indicate that embedding their capture into the PCEHR System’s design, reporting tools, and evaluation program and change management strategies will ensure greater compliance than if developed as a separated function. The next steps will include a piece of work associated with the evaluation framework to develop a confirmed set of KPIs for the PCEHR program, including taking into account the costs of their measurement. The table below presents a high level consideration of KPIs for the PCEHR System.
Table 6: Key performance indicators
| Category | Description | Example metrics |
|---|---|---|
| Capability Enablement | Metrics and indicators against key enablers and infrastructure for the PCEHR | Work Program Metrics
Availability of the ability for individuals and healthcare organisations to register Availability of change and adoption support material for individuals, healthcare providers and the ICT industry Availability of conformance testing for vendors Progress of specifications through the standards development process |
| Stakeholder activities | Metrics and indicators collected by lead eHealth sites and nationally | Numbers of sites implementing PCEHR solutions (e.g. number of hospitals, number of general practices) Numbers of vendor products conformance tested Numbers of PCEHRs created Number of clinical documents added to repositories Viewing rates on PCEHRs by individuals and healthcare providers (including ‘repeat’ viewing rates after the first look at an individual’s PCEHR). |
| Intermediate indicators | Short-term metrics linked to stakeholder and health system outcomes | Number of individuals with a shared health summary Data quality metrics from the data quality dashboard Percentage of individuals accessing consumer centric education resources from the consumer portal |
| Health system outcomes | Metrics linked to the National Health Performance Framework | Reduction in avoidable readmissions Reduction in duplicate testing Reductions in reported adverse events |
| Stakeholder outcomes | Metrics collected nationally across all participants | Consumer satisfaction rates Healthcare provider satisfaction rates Government investment in eHealth ICT Industry size and growth rates |
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