ESR 13- Mircha Poldrugovac, MSc, MD
Effective use of performance reporting in long-term care
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
Mircha will optimize the effective use of performance reporting in Long-Term Care Sector. The project will result in improved adequacy of performance outcome measures and insight in perceptions of the importance of performance data in long-term care homes and its association with different organizational characteristics. It will provide insight into whether organizational responses to performance data are related to competitiveness in the marketplace and the for-profit status of the organization; and identify which domains of performance reporting are likely to trigger the greatest increase in quality improvement activity.
Contrary to the hospital care sector, there is much less of a strong tradition of performance measurement and reporting in the long-term care sector. Given the growing importance of this sector, it is of paramount importance that appropriate measures of the technical quality of long-term care for patients, caregivers and decision-makers are developed, and are reported on and applied in an effective manner to stimulate quality improvement of the long-term care sector. Lessons can be learnt from countries that are frontrunners in performance reporting in long-term care, such as Canada.
The PhD candidate will identify the policy and organizational characteristics associated with the use of performance reports in the long-term care sector in Canada and to infer lessons for European countries through an international comparison with the Netherlands, Italy and other selected European countries. It will be determined whether organizational responses to performance reporting vary with for profit status, the performance domains reported, and the degree of competition for patients. Methods will include interview and case study data. The PhD candidate will consider which domains of performance reporting are likely to trigger the greatest increase in quality improvement activity. Surveys and interviews in a range of long-term care homes will be matched to document analysis and analysis of routinely collected data in several jurisdictions, benefiting from available data at HealthPros partner organisations.