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Bevan Commission Publication

2018

Measuring healthcare outcomes-A complex system

These joint papers address the way we use data and information in NHS Wales to inform and measure health impact and outcomes. The first paper provides an updated position on the ?Good, the bad and the ugly of data and information in our healthcare system?. The second paper reviews health outcomes in Wales and asks: are we measuring the right things?

Part 1: Data and information in NHS Wales: the good, the bad and the ugly! An update position.

Key recommendations

Identify mechanisms to enable better system integration and knowledge mobilisation bringing together key health data players in Wales through a three dimensional approach including systems, service, financial and outcome based perspective.
Make data more easily accessible and transparent for professionals and the public to use to inform prudent decision making and drive up and compare quality across organisations.
Consolidate and effectively utilise people centered measures. Use levers and incentives to motivate and incentivise change and innovation in the system.
Continue to engage people and professionals in actively finding better solutions together using data.
Part 2: Are we measuring the right things?

Key recommendations

A clear, single National Outcomes Framework for health and social care in Wales should be developed working together with partners, people and patients.
All future indicators should be co-created and linked to relevant outcomes for people and patients.
Clinicians should be given responsibility and ownership for the clinical indicators relating to their professional practice.
Indicators should be easily available, accessible by all and published annually to aid transparency and comparison.

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