Indicator Definition Percent of Patient Commendations Name of Measure Name of Measure (short) Definition Domain Type of Measure Business Context Rationale Notes for Interpretation Organizational Strategy Benchmark Comparisons Cited References: AHS Performance Report – June 2010 Percentage of patient commendations Patient Commendations Percentage Number of commendations received as a percentage of total communications submitted to the Patient Concerns Department and the Feedback and Concerns Tracking (FACT) Database Acceptability Outcome Measure Performance measure for responsiveness to consumers and communities identified in the AHS Strategic Plan. Patients who are satisfied with the care they receive are encouraged to provide feedback on their experience to the Patient Concerns department. Patient experience is considered an indicator of quality. AHS Target: to be determined using baseline information. Only those commendations received by the Patient Concerns Department from patients or their representatives are included as part of the measure. The Patient Concerns Department tracks commendations as part of feedback received. The tendency of patients and their representatives to commend staff directly represents a limitation of this indicator, as FACT does not capture locally submitted feedback. Implement a provincial process and database (FACT) for consistent tracking and addressing patient concerns & commendations. Presently, no consistent provincial process for collection of commendations through the various legacy patient concerns databases exists. It is thus impossible to draw on historical information to consistently benchmark the indicator. Once implemented, benchmark data can be derived from FACT. AHS Strategic Direction 2009-2012, June 30, 2009 Page 1 of 3 Indicator Definition Percent of Patient Commendations (continued) Technical Specifications Metric Preferred Display Format Numerator Inclusion Criteria for Numerator Exclusion Criteria for Numerator Data Source(s) for Numerator Refresh Rate of Numerator Denominator Inclusion Criteria for Denominator Exclusion Criteria for Denominator Data Source(s) for Denominator Refresh Rate of Denominator Technical Notes Calculation Relationship to Other Indicators Level of Reporting Frequency of Reporting Limitations Percentage 99.9% Number of patient commendations reported to Patient Concerns department. An individual contact (ex. call) received by the Patient Concerns department is broken down into separate items based on differences in: staff type involved (ex. physician versus nursing commendation), exact location, primary/secondary category of commendation (ie. subject). The measure will provide the total number of items, not the number of individual contacts received by the Patient Concerns department. All commendations submitted into the FACT database by patient concerns staff. Any commendations made locally to staff as well as commendations submitted into any other databases. Any rejected feedback (based on inappropriate, duplicate or incomplete information). The Patient Concerns department will collect structured data about patient commendations from across the province of Alberta in a consistent manner within FACT. Current data collection represents some limitations due to varying standards within different databases across the province utilized for the collection and aggregation of commendations. Approximately four weeks following the closing of the quarter for which the data were collected Total number of feedback submitted into FACT. Only Patient Concerns department staff will submit feedback into FACT. All feedback provided locally only. All feedback not submitted into FACT. Any rejected feedback (based on inappropriate, duplicate or incomplete information) to the Patient Concerns Department. The Patient Concerns department will collect structured data about patient feedback from across the province of Alberta in a consistent manner within FACT. Current data collection represents some limitations due varying standards within different databases across the province utilized for the collection and aggregation of feedback. Approximately four weeks following the closing of the quarter for which the data were collected Not currently available (Number of commendations logged within FACT/ Total number of feedback logged in FACT) * 100 Number of Patient Concerns Open with Patient Concerns Office. Provincial, Zone, Site Annually, Quarterly Indicator status: Not available – FACT database to be implemented Fall 2010 Quarterly data will be available for Q4 2010-2011 currently available quarterly. Approximately four weeks following the closing of the quarter for which the data were collected. Approved on June 7, 2010 by the PMISC steering committee. AHS Performance Report – June 2010 Page 2 of 3 Indicator Definition Percent of Patient Commendations (continued) Document Version History Version 1.0 1.1 AHS Performance Report – June 2010 Version Date Summary of Changes May 18, 2010 Final version for initial use. May 31, 2010 Transfer to final approved version. June 4, 2010 Template populated June 5, 2010 Change title to reflect Consolidated Dashboard naming. Review and adjust formatting. Add relationship to other indicators. June 7, 2010 Final copy for Consolidated Report. June 30, 2010 Add approval statement. Page 3 of 3
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