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Selecting Performance Indicators and Targets in Health Care: An International Scoping Review and Standardized Process

Michael A Heenan1, Glen E Randall1, Jenna M Evans1

  • 1DeGroote School of Business, McMaster University, Hamilton, Ontario, Canada.

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Health care organizations need standardized processes for selecting performance indicators. This study developed the 5-P indicator selection process framework to improve indicator quality and decision-making.

Keywords:
hospitalsperformance indicatorsperformance measurementprocess frameworkqualitytargets

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Area of Science:

  • Healthcare Management
  • Health Informatics
  • Performance Measurement

Background:

  • Healthcare organizations monitor numerous performance indicators.
  • Current indicator selection processes lack standardization, leading to potential issues like over-measurement and misaligned goals.

Purpose of the Study:

  • To synthesize international approaches to health care indicator selection.
  • To develop a standardized process framework for selecting performance indicators.

Main Methods:

  • A scoping review of peer-reviewed and grey literature was conducted.
  • Searches were performed on PubMed and Web of Science, including papers from 11 countries (2010-2020).
  • Thematic analysis was used to develop the framework.

Main Results:

  • 33 peer-reviewed papers and 11 grey-literature documents were included.
  • No single standardized framework for indicator selection currently exists.
  • A 5-P indicator selection process framework was developed to mitigate risks.

Conclusions:

  • The 5-P framework provides a practical structure for designing indicator selection processes in healthcare.
  • This framework can help healthcare agencies improve indicator quality and decision-making.
  • It also offers a basis for evaluating the implementation of these processes.