The NUH monitors several hospital-wide Clinical Quality Indicators based on the Quality Indicator Projects (QIP) by the Maryland Hospital Association and its subsidiary, the Centre for Performance Sciences (CPS).
The QIP indicators were initiated in Maryland in 1985. As interest in the project spread outside the US, the International Quality Indicator Project (IQIP) was formed in 1997. It is a comparative analysis research project, with participants from various hospitals around the globe. It provides a clinical outcome-based approach to measuring and evaluating organisational performance.
The Ministry of Health's Healthcare Performance Group employs Clinical Quality Indicators to fulfill one of its key objectives of monitoring and assessing the clinical performance of hospital institutions so as to facilitate continuous quality improvement and benchmarking.
By adopting and tracking Clinical Quality Indicators, the results can be used to compare or benchmark information related to clinical care. Possible problems and/or opportunities for improvement are flagged out within the organisation. The data can help to highlight problem areas in clinical performance, inform or drive quality improvement activities, prompt reflections on clinical practice, ensure proper channeling of resources and identify important issues for further research. Valid and reliable data concerning desired and undesired results play an important role in a comprehensive monitoring and evaluation system.
Why Monitor Clinical Performance?
Clinical indicators serve to examine the trends in the standards of care in NUH beyond fulfilling regulatory requirements.
Clinical Performance Indicators
By participating in the IQIP, hospitals have a choice of monitoring a large number of clinical performance indicators. At present, NUH monitors 12 hospital-wide clinical quality indicators under the IQIP on top of other performance indicators undertaken by various clinical audit committees: