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How do we compare? Applying UK pay for performance indicators to an Australian general practice
Adrian Elliot-Smith1, Mark A J Morgan
1adrian.elliotsmith@gmail.com
Australian Family Physician
|April 7, 2010
Summary
Australian general practices can easily access UK Quality and Outcomes Framework (QOF) data for performance benchmarking. This study found significant room for clinical improvement in Australian primary care.
Area of Science:
- Primary Health Care
- Health Services Research
- General Practice Performance Measurement
Background:
- General practitioners in the UK are reimbursed based on performance metrics.
- This study aimed to benchmark an Australian general practice using UK indicators.
Purpose of the Study:
- To assess the feasibility of applying UK Quality and Outcomes Framework (QOF) indicators in an Australian setting.
- To evaluate the effort required for data extraction.
- To compare performance against UK benchmarks.
Main Methods:
- Utilized 2008-2009 UK QOF clinical indicators.
- Measured achievement levels in a large, rural Australian general practice.
- Primarily employed computer database searches for data collection.
Main Results:
- Data for 79 out of 80 indicators were obtainable.
- Manual review of computer records was necessary for 16 indicators, requiring approximately 130 hours.
- The Australian practice achieved 66% of potential pay-for-performance points, contrasting with the UK average of 97%.
Conclusions:
- UK QOF clinical data is readily accessible in well-computerized Australian rural general practices.
- The benchmarking process highlighted substantial opportunities for enhancing clinical performance in the Australian practice.
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