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 2021 (NEW)
KEY PERFORMANCE INDICATORS (KPI)- Clinical Services Medical Programme 2019
KEY PERFORMANCE INDICATORS (KPI)- Clinical Services Medical Programme 2017

 

Ophthalmology Service KPIs:

  OPHTHALMOLOGY KPI
No INDICATOR DIMENSION STANDARD HOSPITAL REPORTING FREQUENCY
1a

Percentage of patients with waiting time of ≤60 minutes to see the healthcare worker at Ophtalmology Outpatient Clinic (Two or more registration areas involved)

Download Technical Spec

Timeless ≥80% Monthly
1b

Percentage of patients with waiting time of ≤90 minutes to see the healthcare worker at Ophtalmology Outpatient Clinic (Only one registration area involved)

Download Technical Spec

Timeless ≥ 90% Monthly
2

Percentage of patients without pre-existing ocular co-morbidity obtained visual acuity of 6/12 or better within (≤) 3 months following cataract surgery

Download Technical Spec

Effectiveness ≥ 90% 3 Monthly
3

Percentage of patients developed Infectious Endophthalmitis following cataract surgery

Download Technical Spec

Safety ≤ 0.2% 3 Monthly


*For Indicator 1, each department to report either 1a OR 1b, and not both. (Refer technical specification)


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, Version 7.0, 2021
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.