Key performance indicators Description of the Croatian pilot - part II Key performance indicators Marko Brkić, Croatian Institute of Public Health Zagreb, 26th-27th March 2019

Improvement areas Improvement areas Priority score (1-3) Ranking At decision making level align MDS with international standards and mutually between systems and clearly define institutional responsibilities and mandates regarding eHealth and health information systems in Croatia. 1 Improve the quality of the feedback to data sources GPs in order to maintain data quality. 2 Improving awareness of GPs on potential benefits from MDS and CroDiab, i.e. try to raise awareness of the importance of standardised clinical practice and health information systems. 3 Improving awareness of patients with diabetes on their potential benefits from CroDiab and how to participate within health care system organisation in order to improve their health outcomes. 4 Improving the MDS tool that will allow better insight in patients’ health history and monitoring results. 5 Through Croatian medical chamber improve the representation of diabetes clinical field within continuous education of health professionals. 6

Key performance indicators Align MDS with international standards and mutually between systems and clearly define institutional responsibilities and mandates regarding eHealth and health information systems in Croatia Objective(s) Change Package  Person(s) involved/respo nsible Timeline (months) Key performance indicator(s) Raising awareness of the importance of standardised clinical practice and health information systems Consultations with decision makers level Experts, Decision makers 12 months Changes in diabetes panel that enable higher level of agreement (or complete) with MDS

Key performance indicators Improve the quality of the feedback to data sources GPs in order to maintain data quality Objective(s) Change Package  Person(s) involved/respo nsible Timeline (months) Key performance indicator(s) Good quality of recorded and captured data Feedback to GPs on their MDS performance Experts, Decision makers, Front- line stakeholders 12 months Share of completed diabetes panels, change in quality of chosen diabetes QI within diabetes panel

Key performance indicators Improving awareness of GPs on potential benefits from MDS and CroDiab Objective(s) Change Package  Person(s) involved/respo nsible Timeline (months) Key performance indicator(s) Increasing the use of diabetes control check-list as a MDS within diabetes registry Making a brochure and organizing an education on potential benefits from MDS and CroDiab Experts, Front- line stakeholders 6 months Share of completed diabetes panels, change in quality of chosen diabetes QI within diabetes panel

Key performance indicators Improving awareness of patients with diabetes on their potential benefits from CroDiab and how to participate within health care system organisation in order to improve their health outcomes Objective(s) Change Package  Person(s) involved/respo nsible Timeline (months) Key performance indicator(s) Good quality of recorded and captured data Making a brochure on rights and responsibilities of diabetes patients Experts, Patient Representatives 6 months Share of persons with regularly completed diabetes panel among diabetic patients in care

Key performance indicators Improving the MDS tool that will allow better insight in patients’ health history and monitoring results Objective(s) Change Package  Person(s) involved/res ponsible Timeline (months) Key performance indicator(s) Good quality of recorded and captured data Consultations with GPs and Croatian Health Insurance Fund in order to develop a MDS tool that would help GPs more efficient monitoring of diabetic patients Experts, Decision makers, Front-line stakeholders 12 months Changes in diabetes panel that enable higher level of monitoring of health status history

Key performance indicators Through Croatian medical chamber improve the representation of diabetes clinical field within continuous education of health professionals Objective(s) Change Package  Person(s) involved/respo nsible Timeline (months) Key performance indicator(s) Good quality of recorded and captured data Advocacy activities towards Croatian medical chamber Front-line stakeholders, Patient Representatives, Decision makers, Experts 12 months Number of GP educations related to the field of diabetes

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