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.
 

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)

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≥ 80% 3 Monthly
D   2  

Percentage of patients developed infectious endophthalmitis following cataract surgery (2 cases per 1000 operations) ( DEPARTMENT)

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< 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)

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> 85% 3 Monthly
  I 4 GENERAL

Percentage of Patient with Unplanned Readmission within 24 hours of Discharge (INDIVIDUAL)

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< 2% 3 Monthly
  I 5 GENERAL

Percentage of involvement in targeted outreach service (GENERAL ) (INDIVIDUAL)

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≥ 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)

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< 5% 3 Monthly
  I 6.2 SURGICAL RETINA

Percentage of port related break during vitrectomy (SURGICAL RETINA) (INDIVIDUAL

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< 5% 3 Monthly
  I 6.3 MEDICAL RETINA

Percentage of lens touch post intravitreal therapy (MEDICAL RETINA) (INDIVIDUAL)

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< 5% 3 Monthly
  I 6.4 CORNEA

Percentage of unplanned return to operating theatre within (≤) 24 hours post-corneal transplant surgery (CORNEA) (INDIVIDUAL)

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< 5% 3 Monthly
  I 6.5 GLAUCOMA

Percentage of button hole of conjunctiva in primary trabeculectomy (GLAUCOMA) (INDIVIDUAL)

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< 5% 3 Monthly
  I 6.6 PAEDIATRIC OPHTHALMOLOGY

Percentage of muscle slip for strabismus surgery (PAEDIATRIC OPHTHALMOLOGY) (INDIVIDUAL)

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< 5% 3 Monthly
  I 6.7 OCULOPLASTIC SURGERY

Percentage of skin wound break down within (≤) one month after elective oculoplastic surgery (OCULOPLASTIC SURGERY) (INDIVIDUAL)

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< 5% 3 Monthly
  I 6.8 NEURO-OPHTHALMOLOGY

Percentage of incorrect placement of Botulinum Toxin therapy (NEURO-OPHTHALMOLOGY) (INDIVIDUAL)

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< 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
KEY PERFORMANCE INDICATORS (KPI)- Clinical Services Medical Programme 2017 ( new)

 

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.