JAWDA Performance KPI Profile (Clinic & Centers) March 2018 1 P a g e
Introduction: Physician office, clinic, and healthcare centers provide primary care function including health education, prevention, and chronic disease management. As recommended by OECD and AHRQ, Prevention Quality Indicators (PQIs) is a set of measures that can be used with hospital inpatient discharge data to identify the quality of care for ambulatory care sensitive conditions. Good outpatient healthcare settings can potentially prevent the need for hospitalization. As the result, Jawda Department of Health has developed the following indicators to track performance for clinic and centers in the Emirate of Abu Dhabi. Clinic and centers are NOT required to submit quarterly submission of Jawda e-notification system. Jawda team will use centrally collected claim data submitted from healthcare providers through Shafafiya portal. Type: Clinics/ Centers Indicator Indicator Number: CC001 Sub- Percentage of Diabetes Hospital Admission Emergency admissions for a principal diagnosis of diabetes with short-term complications. Numerator: Number of patients aged 18 years or older, with an emergency admission for diabetes short-term complications (principal ICD 10-CM diagnosis code). The patients would have visited the clinics at least 2 times within 0 to 182 days of the hospital admission. Denominator: Total number of diabetes patients 18 years and older who visited the clinics with the diagnosis of diabetes at least 2 times in the last six months. : [Numerator] / [Denominator] x 100 Unit Measure comparison if available Admission rate per 100 patients with diabetes who visited the clinics at least 2 times Developed locally by modifying similar indicators used by AHRQ and OECD. 2 P a g e
Indicator Number: CC002 Sub- Percentage of Asthma Hospital Admission Emergency admissions with a principal diagnosis of Asthma admission for asthma (principal ICD 10-CM diagnosis code). The patients would have visited the clinics at least 2 times within 0 to 182 days of the hospital admission. Denominator: Total number of asthma patients 18 years and older who visited the clinics with the diagnosis of asthma at least 2 times in the last six months. : [Numerator] / [Denominator] x 100 Unit Measure Admission rate per 100 patients with asthma who visited the clinics at least 2 times comparison if available Developed locally by modifying similar indicators used by AHRQ and OECD 3 P a g e
Indicator Number: CC003 Sub- Percentage of Chronic obstructive pulmonary disease (COPD) Hospital Admission Emergency admissions with a principal diagnosis of COPD admission for COPD (principal ICD 10-CM diagnosis code). The patients would have visited the clinics at least 2 times within 0 to 182 days of the hospital admission. Denominator: Total number of COPD patients 18 years and older who visited the clinics with the diagnosis of COPD at least 2 times in the last six months. : [Numerator] / [Denominator] x 100 Unit Measure Admission rate per 100 patients with COPD who visited the clinics at least 2 times. comparison if available Developed locally by modifying similar indicators used by AHRQ and OECD. 4 P a g e
Indicator Number: CC004 Sub- Percentage of Hypertension Hospital Admission Emergency admissions with a principal diagnosis of Hypertension admission for Hypertension (principal ICD 10-CM diagnosis code). The patients would have visited the clinics at least 2 times within 0 to 182 days of the hospital admission. Denominator: Total number of hypertension patients 18 years and older who visited the clinics with the diagnosis of hypertension at least 2 times in the last six months. Unit Measure comparison if available : [Numerator] / [Denominator] x 100 Admission rate per 100 patients with hypertension who visited the clinics at least 2 times. Developed locally by modifying similar indicators used by AHRQ and OECD 5 P a g e
Indicator Number: CC005 Sub- Percentage of Heart failure Hospital Admission Emergency admissions with a principal diagnosis of heart failure admission for heart failure (principal ICD 10-CM diagnosis code). The patients would have visited the clinics at least 2 times within 0 to 182 days of the hospital admission. Denominator: Total number of heart failure hypertension patients 18 years and older who visited the clinics with the diagnosis of heart failure at least 2 times in the last six months. Unit Measure comparison if available : [Numerator] / [Denominator] x 100 Admission rate per 100 patients with heart failure who visited the clinics at least 2 times. Developed locally by modifying similar indicators used by AHRQ and OECD 6 P a g e