Basic Facts

Stage of development

Implemented

Potential or current usage

This measure has been part of the PHO Performance Programme's National Indicator Set since 1 January 2010 and is used to determine how many patients have a smoking status recorded.

Brief overview of the measure

General description

This measure focuses on how many people have a smoking status recorded.

Rationale for selection

There are an increasing number of preventable health conditions related to unhealthy lifestyle factors. One way to reduce this number of preventable health conditions is through introducing appropriate interventions in smoking.

Type of measure

Process

Domain(s) of quality

Effectiveness, Efficiency

Application and interpretation of the measure

Level of health care delivery/setting

This measure is currently reported by the PHO Performance Programme to PHO level although use of this measure to monitor practice and patient level performance is also possible.

Target population

All people aged 15 to 75 years All people aged 15 to 75 years who are within the high need population (identified as Māori, Pacific Island and/or Decile 9 or 10)

Stratification by vulnerable populations

The PHO Performance Programme currently uses this measure to monitor at a total PHO enrolled population level (all PHO enrolled eligible patients), a high need PHO enrolled population level (whereby high need is identified as Māori, Pacific Island and/or Decile 9 or 10), and other population (i.e. non-high need).

Associated incentives

This measure is currently funded through the PHO Performance Programme at a high need population level and an other population level.

Calculation of the measure

Output of calculation

Percentage of enrolled patients who have ever had a smoking status recorded.

Numerator description

Number of enrolled patients who have ever had a smoking status recorded

Denominator description

Number of eligible PHO population.

Criteria/standard for optimal performance

Every practice within a PHO should have processes in place to identify the smoking status of a patient.

Data source

PHO patient enrolment registers and PHO Clinical Performance Indicator Report

Method of extraction

The link below will take you to the document that defines how the measure is calculated - see 'Smoking Status Ever Recorded' section of the Indicator Definitions for PHOs document. http://www.dhbnz.org.nz/Site/SIG/pho/Operational-Documents.aspx

Appraisal of the measure

Availability of evidence to support application of the measure

The measure has been developed or endorsed by an organization that promotes rigorous development and use of clinical performance measures (at an international, national, regional or local level).

Evidence of feasibility and reliability of implementation

Data extraction - Data collection specifications for the measure are well defined., Data sources - Required data elements for the measure can be obtained from existing data sources., Availability of data - Required data elements for the measure can be gathered during routine practice activities, IT software - Existing IT software is sufficient for data collection., Adaptability - Measure is able to be adapted for use in multiple care settings, Validity - The measure has been demonstrated to be valid (i.e. it measures what it purports to).

Development approach

This measure was developed by the PHO Performance Programme (which consists of an Advisory Group (refer to following link for current membership list: http://www.dhbnz.org.nz/Site/SIG/pho/PHO/Membership-List.aspx), a Governance Group (refer to following link for current membership list: http://www.dhbnz.org.nz/Site/SIG/pho/PHO/Governance-Group-Membership-List.aspx), and support team.

Other items

Owner details

Reference number

818

Date of entry to library

2012-05-31 11:18:40

Owner (Organisation name)

PHO Performance Programme

Owner (Email contact)

phoperformanceprogramme@dhbnz.org.nz

Creator (Organisation name)