For quality and safety information to be useful, it needs to fit the needs of the audience. VAHI’s reporting highlights clinical variation and benchmarks performance so that our audiences can easily identify where health services are getting it right, and where they need to improve.
Reviewing our reporting program
VAHI’s reporting program sets out all of the reports planned for the year ahead and identifies the measures that will be included. The aim of the reporting program in 2017–18 was to address, where feasible, the immediate quality and safety reporting priorities identified in Targeting zero. VAHI has now created a formal process for developing the reporting program each year, to include wider consultation and collaboration.
Development of the 2018–19 reporting program began in April 2018. Users of VAHI reports – including health services CEOs, boards, senior clinicians and safety and quality managers, SCV, the Department and consumers – were invited to participate in a consultation process. A summary of the results will be published on the Better safer care website in August–September 2018.
VAHI will also carry out a more in-depth consultation process with key stakeholders. We will seek feedback on the usefulness of specific quality and safety measures according to a variety of criteria such as how relevant, valid and actionable they are, and under what circumstances they have been used to drive improvement in health care in Victoria.
Proposed reporting developments will be assessed for feasibility and then prioritised by VAHI, with support from SCV and the Department. The reporting program will then be distributed to key stakeholders and published on the website.
The reporting program will be reviewed every year to ensure that VAHI is reporting the most useful measures, in the right format, to drive improvements in quality and safety. Each individual reporting product will be reviewed every three years.
Collecting and reporting patient experiences
The Victorian Healthcare Experience Survey (VHES) program surveys recent users of Victorian public health services to collect patient experience information. The purpose is to measure, monitor and report patient experience to support a patient-centred approach to healthcare delivery.
Surveys are sent to patients one month after attending a Victorian public health service or using a service provided by Ambulance Victoria. Surveys are conducted throughout the year for adult and paediatric inpatients and emergency department patients, and maternity patients. In addition, surveys of specialist clinics, ambulance services and community health services are conducted over a specified period once a year. The results are presented to Victorian public health services through a secure online portal.
Since the VHES program’s inception in 2014, its requirements have evolved. VAHI took on the responsibility for the program in 2017 and commissioned an independent review to identify opportunities for improvement and inform the future direction of the program. The review recognised the achievements of the program and made recommendations for VAHI to explore.
Over the next year, VAHI will review the current surveys, giving particular consideration to their length. VAHI will also examine ways to better obtain patient feedback for local and small rural health services.
In February 2018, VAHI presented information from the adult inpatient survey in the Adult experiences of care in public hospitals – 2016 report. The report presented statewide and service-level results across the key measures that contribute to an adult patient’s experience with Victorian health services in an inpatient setting.
Improving investment in clinical registries
A clinical quality registry collects data on a specific clinical condition or episode of care to monitor the quality of care and identify variations in clinical outcomes. The data is then used to develop benchmarks that are fed back to clinicians contributing data to the registry to inform their clinical practice and decision making. This clinical outcome feedback loop helps drive improvements in healthcare quality and value.
Clinical quality registries also provide an important mechanism for collecting patient-reported outcomes that are specific to a condition or treatment.
Together these measures provide useful insights into the overall quality and safety of care, and are used to support improvements.
In November 2017, VAHI completed work on the development of a Victorian Clinical Registry Strategy. This included developing a tool to evaluate the potential of a registry to affect clinical quality and safety, and then to assess the impact. The tool will be used to guide the Victorian Government’s future investment in clinical registries. Meanwhile, VAHI will focus on working with clinical quality registries .to address registry-specific recommendations in Targeting zero to continue to improve their impact on quality and safety.
The Victorian Government provides direct or indirect funding to 20 clinical registries, ranging from registries covering acute stroke care to intensive care and surgical care. Of these 20 registries, 11 are considered clinical quality registries.
VAHI is also working closely with the Commonwealth Government and other states and territories to develop a national strategy for clinical quality registries.
Page last updated: 20 Sep 2018