3rd Homecare Conference Presentation - Dr. Amer Alata

Key Performance Indicators
Homecare
Dr. Amer Alata
Medical Director

Learning Objectives
 Recognize the importance of KPIs in Homecare
 Develop an understanding of how to select the
appropriate KPIs
 Demonstrate an understanding of the KPI format
 Candidate KPIs for Homecare facilities
Copyrights © 2016 Via Medica International Healthcare LLC

What are KPIs?
• “Metrics used to evaluate factors crucial to the success of an
organization”
• “Measurable value that demonstrates how effectively a company is
achieving objectives”
• “A type of performance measurement for an activity, used to measure
success”
• “A metric indicating how a business or a team is performing against set
goals”
• “Metric that helps you understand how you are doing against
objectives”
• Tools to help us measure performance and provide an insight into
continuous improvement; a way to measure quality and successfully
meet targets

Why KPIs for Homecare?
 To understand the established process and procedures
 To clarify any vague processes elements
 To increase and measure efficiency of the process
 To establish baseline and compare self to others or set national benchmarks
 To provide an input into the agency’s strategy, policies, and procedures
 To establish transparency

How to Select KPIs
According to the Health Information and Quality Authority:
• Validity: does the KPI measure what it is supposed to measure?
• Reliability: does the KPI provide a consistent measure?
• Acceptability: are the KPIs acceptable?
• Feasibility: is it possible to collect the required data and is it worth the
resources?
• Sensitivity: are small changes reflected in the results?
• Specificity: does the KPI capture changes that occur in the service for
which the measure is intended?

How to select KPIs (cont’d)
• Relevance: what useful decisions can be made from the KPI?
• Balance: do you have a set of KPIs that measure different aspects of
the services provided?
• Tested: have national and/or international KPIs been considered?
• Safe: will an undue focus on the KPI lead to potential adverse effect on
other aspects of quality and safety?
• Timeliness: is the information available within an acceptable period of
time to inform decision makers?

KPI Format with Example
• KPI Title
• 30 Days Readmission Rates
• KPI Description
• Readmissions of homecare patients are costly. This KPI will focus on the
number of homecare patients that get re-admitted to the hospital within 30
days post discharge.
• KPI Rationale
• The purpose of this KPI is decrease the number of readmission of homecare
patients within 30 days post discharge.
• KPI Target
• The target for this KPI is not to exceed 5%; that is less than 5% our homecare
patients will be readmitted to the hospital within 30 days post discharge.

KPI Format with Example (cont’d)
• KPI Calculation
• Numerator = Number of homecare patients readmitted within 30 days post
discharge
• Denominator = Total number of homecare patients cared for
• Actual Calculation: Numerator divided by the Denominator, multiplied by 100
• i.e. 1/10 X 100 = 10%
• Data Source (s)
• Patient file
• Readmission records
• Hospital discharge summaries
• Data Collection Frequency
• Monthly vs. quarterly vs. bi-annually vs. annually

KPI Format with Example (cont’d)
• KPI Monitoring
• Quality Director on monthly basis
• KPI Reporting Frequency
• Monthly vs. quarterly vs. bi-annually vs. annually
• Action Plan
• Review and improve the plan of care
• Review the nurse’s and physician’s notes for warning signs signaling the
possibility of a re-admission
• Review and revise the parameters set for the nurse to contact the physician

Candidate KPIs for Homecare Facilities
• Domains of Key Performance Indicators
• Clinical Domain
• Satisfaction/Feedback Domain
• Access Domain
• Structural Domain
• Efficiency Domain
• Financial Domain

Clinical Domain
• 30 Days Readmission Rates
• Rate of Unplanned Admission (Exc. DVT/PE)
• Rate of Unplanned Admission for DVT/PE
• Central Line-Associated Blood Stream Infections (CLABSI)
• Emergency Department Use – Without Hospitalization

Clinical Domain (cont’d)
• Fall Incident
• IV Antibiotics
• Medication Errors
• Communicable Diseases
• Thromboembolic Events
• New Pressure Ulcers Rates
• Improved Pressure Ulcer Rates

Satisfaction/Feedback Domain
• Patient/Family Satisfaction with Quality of Services
• Patient/Family Satisfaction with Physician Services
• Staff Satisfaction with Education and Training
• Stakeholder Feedback/Satisfaction

Access Domain
• Referral-to-Assessment Time
• Assessment-to-First-Treatment Time

Structural Domain
• Resubmission Rates
• Denial Rates

Efficiency Domain
• Ratio of Nurses to Patients
• Number of Resources per Patient

Financial Domain
• Payroll to Revenues Ratio
• Average Cost per E&M – 1,300 AED in Emirate of Abu Dhabi
• Average Cost per Patient – 160,000 AED in Emirate of Abu Dhabi

References
• HAAD Standards for Homecare Health Services in Emirate of Abu
Dhabi, HAAD/AHHS/SD/1.4. March 15, 2016.
• Daman.
https://www.damanhealth.ae/opencms/opencms/Daman/en/hom
e/medical-
provider/ebrppage/.content/content/metricsoverviewlist.pdf.
Visited September 5, 2016.
• Handbook for Homecare Services in Wales. Published by: All Wales
Therapeutics and Toxicology Centre. University Hospital Llandough,
Llandough. September 2014.

Q&A
• Should you require assistance with developing your KPIs
please feel free to contact me:
 Dr. Amer Alata, Medical Director
 Email: dr.amer@viamedica-international.com
 Phone: 971 52 421 7656
 Linkedin: https://ae.linkedin.com/in/dr-amer-alata-62a49b108
 http://viamedica-international.com/

3rd Homecare Conference Presentation - Dr. Amer Alata

Recommended

Recommended

More Related Content

What's hot

What's hot (20)

Viewers also liked

Viewers also liked (20)

Similar to 3rd Homecare Conference Presentation - Dr. Amer Alata

Similar to 3rd Homecare Conference Presentation - Dr. Amer Alata (20)

3rd Homecare Conference Presentation - Dr. Amer Alata