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PERFORMANCE MEASUREMENT IN MOH OPHTHALMOLOGY SERVICE
The Ministry of Health (MOH) launched the implementation of Key Performance Indicators (KPI) in February 2008 with the aim to assess the overall performance of services provided by Clinical Departments in MOH. KPIs measure performance in the aspects of quality and safety, and productivity, of structure, process or outcome of a service. When measuring quality and safety, the two dimensions included are (a) patient-focused care and (b) clinical effectiveness and risk management, while for productivity, the dimension is workload. (Details in downloadable document below)
From 2008 to 2011, there were initially 7 KPIs being measured in MOH Ophthalmology Service. However, the Quality Unit, MOH revised these measurements in January 2012. Following this major revision, performance measurement for Ophthalmology has been reduced to 3 KPIs with the other measurements remain as PIs. Rate of Posterior Capsular Rupture during Cataract Surgery has also been removed both from KPI and NIA lists.
In July 2014, the Quality Unit, MOH revised these measurements to 3 KPIs for Department and the rest as individual KPI for Ophthalmologist and subspecialty KPI.
KEY PERFORMANCE INDICATORS (KPI)- Clinical Services Medical Programme 2019 (NEW)
KEY PERFORMANCE INDICATORS (KPI)- Clinical Services Medical Programme 2017
Ophthalmology Service
KPIs:
| |
|
OPHTHALMOLOGY KPI |
| |
No |
SUBSPECIALTY |
INDICATOR |
STANDARD |
HOSP REPORT FREQ |
| D |
|
1 |
|
Percentage of diabetic mellitus patients that were given appointment for first consultation within (≤) 6 weeks at Ophthalmology Clinic ( DEPARTMENT)
Download Technical Spec |
≥ 80% |
3 Monthly |
| D |
|
2 |
|
Percentage of patients developed infectious endophthalmitis following cataract surgery (2 cases per 1000 operations) ( DEPARTMENT)
Download Technical Spec |
< 0.2% |
3 Monthly |
| D |
|
3 |
|
Percentage of patients without ocular co-morbidity obtained visual acuity of 6/12 or better within (≤) 3 months following cataract surgery ( DEPARTMENT)
Download Technical Spec |
> 85% |
3 Monthly |
| |
I |
4 |
GENERAL |
Percentage of Patient with Unplanned Readmission within 24 hours of Discharge (INDIVIDUAL)
Download Technical Spec |
< 2% |
3 Monthly |
| |
I |
5 |
GENERAL |
Percentage of involvement in targeted outreach service (GENERAL ) (INDIVIDUAL)
Download Technical Spec |
≥ 75% |
6 Monthly |
| |
I |
6.1 |
GENERAL/ PUBLIC HEALTH |
Percentage of unplanned return to operating theatre within (≤) one week after cataract surgery (GENERAL/ PUBLIC HEALTH) (INDIVIDUAL)
Download Technical Spec |
< 5% |
3 Monthly |
| |
I |
6.2 |
SURGICAL RETINA |
Percentage of port related break during vitrectomy (SURGICAL RETINA) (INDIVIDUAL
Download Technical Spec |
< 5% |
3 Monthly |
| |
I |
6.3 |
MEDICAL RETINA |
Percentage of lens touch post intravitreal therapy (MEDICAL RETINA) (INDIVIDUAL)
Download Technical Spec |
< 5% |
3 Monthly |
| |
I |
6.4 |
CORNEA |
Percentage of unplanned return to operating theatre within (≤) 24 hours post-corneal transplant surgery (CORNEA) (INDIVIDUAL)
Download Technical Spec |
< 5% |
3 Monthly |
| |
I |
6.5 |
GLAUCOMA |
Percentage of button hole of conjunctiva in primary trabeculectomy (GLAUCOMA) (INDIVIDUAL)
Download Technical Spec
|
< 5% |
3 Monthly |
| |
I |
6.6 |
PAEDIATRIC OPHTHALMOLOGY |
Percentage of muscle slip for strabismus surgery (PAEDIATRIC OPHTHALMOLOGY) (INDIVIDUAL)
Download Technical Spec |
< 5% |
3 Monthly |
| |
I |
6.7 |
OCULOPLASTIC SURGERY |
Percentage of skin wound break down within (≤) one month after elective oculoplastic surgery (OCULOPLASTIC SURGERY) (INDIVIDUAL)
Download Technical Spec |
< 5% |
3 Monthly |
| |
I |
6.8 |
NEURO-OPHTHALMOLOGY |
Percentage of incorrect placement of Botulinum Toxin therapy (NEURO-OPHTHALMOLOGY) (INDIVIDUAL)
Download Technical Spec |
< 5% |
3 Monthly |
** D = Department
** I = Individual KPI
NED Data Mining
The following KPIs can be obtained from data already keyed in to eNED and is shown in their respective reports.
From Monthly Ophthalmology Service Census, MOH
• Rate of Infectious Endophthalmitis following Cataract Surgery
From Cataract Surgery Registry
• Rate of Post-operative Visual Acuity of 6/12 or better within 3 months following Cataract Surgery in Patients without Ocular Co-morbidity
Participation
All ophthalmology departments at MOH are required to participate.
Downloadable PI/KPI Reporting Format
Downloadable Document
KEY PERFORMANCE INDICATORS (KPI) -Ophthalmology-Document distributed by Quality Unit, MOH, dated 3-1-08
KEY PERFORMANCE INDICATORS (KPI) -Ophthalmology-, edited 1st July 2014
a disease clinical database, designed as
a prospective, ongoing systematic collection of data pertaining to
specific visual
threatening eye diseases, such as cataract, diabetic
retinopathy, glaucoma, contact lens related corneal ulcer, and
outcome of cataract surgery.
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