ESR1- Transferability of actionable performance indicators: Making performance indicators work

ESR 1- Erica Barbazza, MSc, BHSc

Transferability of actionable performance indicators: Making performance indicators work

Short video on the findings during HealthPros


Prof. Dr. Niek Klazinga / Dr. Dionne Kringos

Academic Medical Centre of the University of Amsterdam

Department of Public Health

Amsterdam, The Netherlands

Duration: 48 months

Erica will develop state of the art methods to enhance fitness for use of healthcare performance indicators for different purposes.


Insight into the performance of a healthcare system as a whole or specific parts, such as the primary care system, requires scientifically sound conceptual frameworks (e.g. the Dutch Healthcare Performance Report by the RIVM or the Canadian Health System Performance framework by CIHI). The use of indicators populating these frameworks depends on their practical use and relevance to resolve contemporary health policy challenges. Good-quality studies are needed to improve the balance of current indicator sets to optimize use and realization of impact. Recent studies found that quality indicators on patient safety, medication prescribing, mental healthcare and patient experiences are reported least often in national performance frameworks. Similarly, it is advocated to develop (patient reported) outcome measures relevant to patients, clinicians, system managers and policy makers. Factors potentially hampering the shift from performance measurement towards performance management include the administrative burden and overall costs, data linkage problems, privacy issues, and a lack of skills to translate healthcare services data into actionable knowledge. Apart from reliability and validity, actionability is a crucial component for indicators to make them work.


The PhD candidate will identify the characteristics of healthcare performance indicators used in Europe and Canada as well as the conditions in which they are used (e.g. specific purposes for healthcare performance measurement) and factors that are likely to contribute to their actionability and the extent this has led to measurable results for balancing between improving the health of populations, delivering quality care for individuals, and containing costs. Hence emphasis lies on the (international) transferability of actionable indicators for various purposes as part of health system performance.