NED

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)
There are 8 KPIs being measured in MOH Ophthalmology Service. They are identified because they measure clinical performance of core ophthalmology service such as out- patient service, cataract surgery and diabetic eye screening.

Aspect of Performance : QUALITY & SAFETY
Dimension : Patient-focused Care		Optimal Target / Standard
No. 1	Waiting time to see a doctor at the Specialist Clinic	> 90% of the patients are seen within ninety (90) minutes
No. 2	Waiting Time to get an appointment for First Consultation for Diabetic Patients at the Specialist Clinic	> 80% of the patients are given an appointment for First Consultation within 6 weeks
No. 3	Waiting Time for Cataract Surgery	> 80% of patients have appointment given for cataract surgery within 16 weeks
Dimension : Clinical Effectiveness & Risk Management
No. 4	Rate of Infectious Endophthalmitis following Cataract Surgery	< 0.2% (2 cases per 1000 operations)
No. 5	Rate of Posterior Capsular Rupture during Cataract Surgery	< 5 % (50 cases per 1000 operations)
No. 6	Rate of Post-operative Visual Acuity of 6/12 or better within 3 months following Cataract Surgery in Patients without Ocular Co-morbidity	> 85 % (850 cases per 1000 operations)*
No. 7	Average Frequency of Mortality / Morbidity Review being Conducted in Ophthalmology Department Monthly	At least 6 times in 6 months
Aspect Of Performance : PRODUCTIVITY
Dimension : Workload
No. 8	Percentage of Out-patients seen by Specialist in specialist clinic per Month	To be decided

The following KPIs can be obtained from data already keyed in to eNED and is shown in their respective reports.
1.	From Monthly Ophthalmology Service Census, MOH
	•	Rate of Infectious Endophthalmitis following Cataract Surgery
2.	From Cataract Surgery Registry
	•	Rate of Posterior Capsular Rupture during 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 KPI Reporting Format

1. Waiting time to see a doctor at the Specialist Clinic

2. Waiting Time to get an appointment for First Consultation for Diabetic Patients at the Specialist Clinic

3. Waiting Time for Cataract Surgery

4. Rate of Infectious Endophthalmitis following Cataract Surgery < 0.2% (2 cases per 1000 operations)

5. Rate of Post-operative Visual Acuity of 6/12 or better within 3 months following Cataract Surgery in Patients without Ocular Co-morbidity

6. Rate of Posterior Capsular Rupture during Cataract Surgery

7. Average Frequency of Mortality / Morbidity Review being Conducted in Ophthalmology Department

8. Percentage of out-patients seen by specialist in specialist clinic per month

9. Reporting Format for short fall in Quality (SIQ)

Downloadable Document

• KEY PERFORMANCE INDICATORS (KPI) -Ophthalmology-Document distributed by Quality Unit, MOH, dated 3-1-08

*You will need an Acrobat Reader to access the PDF files. If you haven’t got one, click here.

is a disease clinical database, designed as a prospective, ongoing systematic collection of data