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CRITERIA AND STANDARD SETTING FOR INDICATORS

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Published by norhamirahmohamed14, 2019-03-05 08:39:08

TALK 2

CRITERIA AND STANDARD SETTING FOR INDICATORS

Keywords: TASK 2

CRITERIA AND STANDARD
SETTING FOR INDICATORS

DR ZAHARIMAH ABDUL KADIR
HOSPITAL TUANKU JA’AFAR

SEREMBAN

INDICATOR

• Indicator of obesity – BMI (weight, height )
• Indicator of time - time on the clock
• Indicator of direction - North,

INDICATOR AND STANDARD

Standard Indicator

• Measurement of good care • An objectively defined
through one or more indicators measure of quality

• An agreed upon level of • A measurable variable (data)
excellence; an established relating to structure, process or
norm outcome

• Acceptable lowest limit • Usually expressed in the form
• The achievable target of rates (%)

considered to indicate quality
• Line dividing good from poor

quality
• Verify problem exist

STANDARD OF CARE FOR DIABETIC PATIENTS: ALL DM
PATIENTS MUST BE PROVIDED WITH QUALITY EYE CARE

Standard: Indicator:
• All Diabetic patients • Percentage of the

must have dilated diabetic population
fundus examination at receiving a dilated
least once a year eye examination in
the past year

MEASURING STANDARD

• Using threshold
 The value on a yardstick that mark the line of acceptable

performance or results.
 It measures/assess the indicator

ie: if the threshold is 90% :
The quality of care at a centre is said to be acceptable if
90% or more of the diabetics had at least one dilated eye
examination in the past one year

SETTING STANDARD

• Based on international or local norms
• Literature search
• Other studies
• By measuring average from previous data

TYPES OF STANDARDS

• Accreditation standard
• Practice guidelines
 Statements by experts that describe recommended or

suggested procedure
• Protocols
 A more precise and detailed plan for a process
• SOP
 A statement of the expected ways in which an

organization’s staff carries out certain activities
• Specification
 A detailed description of the characteristics or

measurements for a product, service or outcome

CLINICAL INDICATOR

• An instrument (data) used to assess a measurable
aspect of patient care or healthcare.

• Acts as a guide to assess the performance of a hospital,
department or individuals within it.

• Reflects the quality of service that is measured
• Can be assessed objectively using certain criteria
• Can differentiate between the ones with quality from

those without

CHOOSING INDICATORS

• Should directly address the problem
• Measurable
• Derived from standard
• Based on available data or easy to collect
• May be done indirectly via data of effects of the problem

CHOOSING INDICATORS

i. Identify a function/system that require monitoring
ii. Identify elements in the system such as input (human

resources), processes (tasks), output (mortality rate,
intubation rate, cancer detection rate)
iii. Identify quality characteristics of each elements (availability,
accessibility)
iv. State the standard
v. Develop the indicator
vi. Define the threshold
vii. Assess the appropriateness of the standards

INDICATORS

• Intubation rate of newborn <24 hours of life
• Length of NICU stay
• % of patient with waiting time < 2 weeks for endoscopy

appointment from first presentation to
ETD/OPD/Specialist clinic
• Rate of early cancer detection

CRITERIA

• Condition to fulfill to define an indicator
• Can be used to define the sample limits
• Decided by peer decision or consensus
• May be implicit or explicit

2 types - included as sample
 Inclusion criteria - not included as sample
 Exclusion criteria

INCLUSION AND EXCLUSION
CRITERIA

Inclusion Exclusion criteria
 Neonates who require  Babies who do not

assisted ventilation for require assisted
the management of ventilation at birth
respiratory distress at  Newborn with major
birth congenital anomalies
 No major congenital
anomalies

THANK YOU


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