29 specific indicators to measure the quality of health care

The proposed regulation aims to systematically monitor and evaluate the quality of publicly financed health services on the basis of three main areas: clinical, consumer and management.

In the clinical area, quality indicators are to be described (and assessed) by the parameters of treatment effect, repeat hospitalizations for the same cause, post-hospitalization mortality: during hospitalization at 30 days, 90 days and one year after the end of hospitalization, experience of specific health care services, structure of medical procedures performed for specific health problems.

The draft regulation also includes 29 specific indicators of quality care falling within the scope of the clinical area, including - among others - the number of pulmonary embolisms per 1,000 hospitalized patients, the occurrence of sepsis per 1,000 surgical hospitalizations, the rate of rehabilitation after hip replacement surgery, the incidence of posterior capsule rupture after cataract removal, the rate of cesarean sections, the use of minimally invasive techniques in procedures for, among others.such as gallbladder removal, appendectomy, or the rate of epidurals in spontaneous deliveries, among others.

In the consumer area, understood as the results of surveys of patients' opinions on the organization of the healthcare delivery process, the following are to be measured: the effectiveness of the process of putting patients on waiting lists for services, the involvement of medical staff, communication with the patient, the conditions of the patient's hospitalization and boarding; respect for the patient's rights and the patient's recommendation of the provider.

In the management area, the indicators refer to "efficiency in the use of resources and the implementation of management systems," and the parameters refer to the possession of accreditation or other certificate or certificate of quality issued by an independent accredited body, the degree of use of resources at the entity's disposal, the length of hospitalization and the structure of healthcare services provided. In the latter parameter, the regulation calculates as many as ten indicators, including the percentage of selected same-day elective health care services, the percentage of radiation therapy provided on an outpatient basis, the percentage of chemotherapy administration provided on an outpatient basis, and the percentage of primary care physician teleporations in the total number of primary care physician consultations (a separate indicator is the percentage of teleporations in the total number of AOS consultations).

The project, the MZ stresses, does not involve additional financial outlays, and does not affect the state budget or the budgets of the founding bodies.