The Israeli Program for Hospital Quality Indicators- Methodology framework Dr. Anat Akka-Zohar October 2012 Israel: excellent primary health care, but hospitals must improve Israel has world class-primary care services and should now focus efforts on bringing its hospitals up to the same high international standards, according to the OECD Reviews of Health Care Quality: Israel. National Programs For Quality Indicators :  Israeli program for quality indicators in community healthcare: program started at 2004  Israeli program for health care quality indicators in hospitals: program started at 2013 28 general hospitals (300 -1,400 beds) 41 geriatric hospitals 10 psychiatric hospitals Our Mission To promote nationwide health improvement in Israeli hospitals To provide policy-makers information regarding the quality of care measured by : general hospitals, geriatric hospitals, psychiatric hospitals ect.. Mission (cont.) To enhance transparency by publishing the results of the national quality indicators program. To evaluate time trends of the indicators chosen for the program; the n-going aspect of the program o The Israeli program of hospital quality indicators Process Outcome indicators indicators (based on data (based on data reported extracted from by hospitals) medical records) Outcome indicators In depth research (based on active data collection from the medical records) Israeli Program For Quality Indicators in General Hospitals: In depth research - Methods  Active abstraction of medical records [Trained nurses collect data from about 10,000 files a year]  Multi-center observational studies, of either incidence or prevalence design  Steering Committees of clinicians appointed as experts in the clinical aspects of the program Israeli Program For Quality Indicators in General Hospitals: In depth research - Methods  Case-mix and process indicators are contrasted in multivariate models.  Results presented to the director-general, heads of participating departments, and hospitals directors ; each institution receives their results in comparison with others.