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List of Indicators of Hospital Quality Benchmark

The following indicators can be requested in several levels: hospital wide, (groups of) specialties

(clusters of) ICD / DRG codes and individual specialists. For all themes listed below the most

relevant Key Performance Indicators are mentioned. Apart from this list, in Hospital QualityBenchmarkthere is a choice of about a thousand other performance indicators from which your

hospital can make its own selection.

Main group Theme Subtheme Examples / explanation

Quality of theprimaryprocess

Safety Mortality Hospital mortality rateHospital mortality rate after ORHospital mortality rate after AMI < 65 years and >= 65 years

Complications Occurrence cardiac arrest/AMI in hospitalFailure to Rescue (mortality rate after complications)Failure to Rescue (mortality rate after OR)% of patients receiving >1 blood transfusion

Volume high riskinterventions

Absolute annual volume of high risk interventions like main cancersurgeries, Esophagus resection, AAA, PCI etco total for the hospital (the team)o average by specialisto Amount for the specialist performing the least amount of

surgeries.

Precautions % of patients screened by anesthesiology team prior to operation% cataract surgery of which a vitrectomy was performed

preoperativelychoice of diagnostic techniques such as::o % diabetic patients with determined laboratory resultso % diabetic patients with fundusscopy or fundusphotography

Effectiveness Choice of Therapy

Choice of therapeutic techniques such as:o % endoscopic ORo % patients with expensive medicationo % patients with surgeryo % patients with hip fracture that was treated conservativelyo % daycare for hernia ingualis

Results % readmissions within a specified period% reoperations within a specified period (general)% reoperations within a specified period with the same diagnosisNumber of emergency room visits for chronic disease

Patientorientatedinformation

Access times Waiting time to first consultation (requires time of first contact tobe available)

Throughput Time between first outpatient visit and diagnostic imagesTime between first outpatient visit and surgeryTime between surgery and dischargeTime between first consultation and end of treatmentHospitalization time (total, preoperative, post-operative)

Number of visits Total number of visits to hospital per patient for the whole curetrajectory

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Activities perICD/DRG

Activity level per DRG/ICD, weighted by severity of the activitySplit by type of treatment, type of diagnoses, share of the marketDifferentiated by type of medical action (diagnostic imaging, other

diagnostics, performed surgery, therapeutic actions, medical

supplies, outpatient visits, wards, laboratories, pathology,daycare, MRIs, CT scans, IC days, etc.)

activities split in pre-clinical/clinical/post-clinical trajectorySchedulingpossibilities

variation of the length of stay% emergency admissions# OR treatment during admission

Satisfactorystakeholders

Patient Patient-satisfaction

Patient satisfaction by DRG/ICD (requires patient satisfaction to becollected by patient number)

Market

Market Share Current marketshare

Patient amount displayed in absolute numbers in focusregion/outside focus region

Marketdevelopment

Increase/decrease of market in focus region/outside focus regionMarket share Market share (displayed in Google Maps), requires complete

regional data (also other hospitals)

Financial

result

Price Prices ofDRG/ICD

Total invoiced prices / income per DRG/ICD

Costs Costs perICD/DRG

Split by costs for hospital and doctorSplit by fixed and variable costsSplit by, type of treatment, type of diagnoses, share of the

marketSplit by type of medical action (diagnostic imaging, other

diagnostics, performed surgery, therapeutic actions, medicalsupplies, outpatient visits, wards, laboratories, pathology etc)

Split by other relevant actions (daycare, MRIs, CT scans, IC days,etc.)

Split by pre-clinical/clinical/post-clinical trajectoryRevenues Absolute revenue Split by different market areas, production types

same forRevenuedevelopment

Growth of revenue (%) split by different market areas, productiontypes

Operationalresult

Operationalresult perDRG/ICD

Split by type of treatment, type of diagnoses, different marketareas, etc.

OperationalMargin

Split by type of treatment, type of diagnoses, different marketareas, etc.

Production Productionhospital

Number of primary production parameters like amount ofpatients, admissions, inpatient days, outpatient visits, etc.

Split by type of treatment, type of diagnoses, different marketareas, clinical vs non clinical, etc.

Same for growth of productionProductiondevelopment

Growth of production parameters (%) split by different marketareas, production types

Administrativeprocess

Closing andinvoicingDRG/ICDs

time from last activity until closing DRG/ICD trajectory, untilvalidation DRG/ ICD, until invoicing DRG/ICD

Quality ofadministration

several measurements on administrative incorrect actions, like adaycare DRG/ICD with inpatient days, etc.