Abstract
Objective:
To establish aspirational ‘gold standards’ for a suite of System-Level Measures (SLMs) being used by Counties Manukau Health (CM Health), a New Zealand (NZ) District Health Board.
Design:
This study employed a multi-stage, multi-method modified Delphi consensus process.
Setting:
The Delphi consensus process involved virtual (email) communication between participants (Round 1) and a structured face-to-face meeting (Round 2) held in Auckland, NZ.
Participants:
Participants comprised of health professionals, managers, academics and quality improvement experts with an interest in the use of SLMs.
Interventions:
Participants in the first round received a letter requesting their participation in an anonymous Delphi. The second round involved national and international health system experts taking part in a structured, facilitated face-to-face meeting. Participants reviewed 15 SLMs in total. The SLMs all related to the three domains of the Triple Aim: Population Health, e.g. life expectancy at birth; Patient Experience of Care, e.g. rate of adverse events; and Cost and Productivity, e.g. healthcare expenditure per capita.
Main Outcome Measures:
For a proposed gold standard to be agreed and established for each SLM.
Results:
Twelve participants took part in Round 1, with 19 participating in Round 2. The process established agreement on a gold standard for each of the 15 reviewed SLMs.
Conclusion:
We demonstrated that the Delphi consensus process can be used to establish gold standards for a suite of SLMs used by a NZ Health Board (CM Health). © The Author(s) 2018. Published by Oxford University Press in association with the International Society for Quality in Health Care. All rights reserved.
To establish aspirational ‘gold standards’ for a suite of System-Level Measures (SLMs) being used by Counties Manukau Health (CM Health), a New Zealand (NZ) District Health Board.
Design:
This study employed a multi-stage, multi-method modified Delphi consensus process.
Setting:
The Delphi consensus process involved virtual (email) communication between participants (Round 1) and a structured face-to-face meeting (Round 2) held in Auckland, NZ.
Participants:
Participants comprised of health professionals, managers, academics and quality improvement experts with an interest in the use of SLMs.
Interventions:
Participants in the first round received a letter requesting their participation in an anonymous Delphi. The second round involved national and international health system experts taking part in a structured, facilitated face-to-face meeting. Participants reviewed 15 SLMs in total. The SLMs all related to the three domains of the Triple Aim: Population Health, e.g. life expectancy at birth; Patient Experience of Care, e.g. rate of adverse events; and Cost and Productivity, e.g. healthcare expenditure per capita.
Main Outcome Measures:
For a proposed gold standard to be agreed and established for each SLM.
Results:
Twelve participants took part in Round 1, with 19 participating in Round 2. The process established agreement on a gold standard for each of the 15 reviewed SLMs.
Conclusion:
We demonstrated that the Delphi consensus process can be used to establish gold standards for a suite of SLMs used by a NZ Health Board (CM Health). © The Author(s) 2018. Published by Oxford University Press in association with the International Society for Quality in Health Care. All rights reserved.
| Original language | English |
|---|---|
| Pages (from-to) | 205 – 211 |
| Number of pages | 7 |
| Journal | International Journal for Quality in Health Care |
| Volume | 31 |
| Issue number | 3 |
| Early online date | 8 Jun 2018 |
| DOIs | |
| Publication status | Published - 1 Apr 2019 |
| Externally published | Yes |
