Clinical Audit Identify areas of excellence and areas for improvement Ensures that current practice meets an expected standard of care

ASPIRE Evidence-based evaluation Layered with a local snapshot of current practice in performance evaluation Uses a collaborative approach between allied health practitioners and experienced researchers

Why collaborate? Lack of time Limited resources Lack of understanding

Using ASPIRE for performance evaluation Evaluation team –Manager, senior staff, independent accreditor or HR personnel –Works closely with the researchers

ASPIRE for quality model

Area for evaluation Identify a clinical area for performance evaluation Can be time consuming Needs to be meaningful

Area for evaluation - questions Is it important and relevant to the group for which the performance measurement system is being produced? Is it problem-prone and with high frequency of occurrence, or is it suspected of overuse, underuse, or misuse? Does it have strong financial impact? Does it have potential to improve health care delivery and outcomes? Has it recently undergone major changes? Does it have proven and significant variation in quality of service among health care providers? Is it considered high risk for patients?

Setting Goals for Performance Evaluation Acceptability Accessibility Appropriateness Care environment and amenities Continuity Competence or capability Effectiveness Improving health or clinical focus Expenditure or cost, efficiency Equity Governance Patient-centeredness, safety Sustainability Timeliness Utilisation of care.

Performance Indicators

Information sources Medical records Administrative data Patient surveys Incident reporting systems Documentation on supervision Staff feedback

Report results Descriptive or inferential statistics used Should be –Concise –Easy to understand –Tailored to the needs of the stakeholders

Evaluate performance appraisal and outcomes Practice changes that have occurred How well the new model is accepted The extent to which the model has improved the quality of health care What improvements can be made to the evaluation system

More information iCAHE website – ASPIRE – Institute-for-Health-Research/Research-at- the-Sansom/Research-Concentrations/Allied- Health-Evidence/Quality-Care/ASPIRE-for- quality/ Institute-for-Health-Research/Research-at- the-Sansom/Research-Concentrations/Allied- Health-Evidence/Quality-Care/ASPIRE-for- quality/

Acknowledgements Dr Karen Grimmer Dr Lucylynn Lizarondo