Indicator Definition Percent of Patient Commendations Full data definition sign-off complete. Name of Measure Name of Measure (short) Definition Domain / Dimension Type of Measure Business Context Rationale Notes for Interpretation Organizational Strategy Benchmark Comparisons Cited References: July 6, 2012 Percentage of Patient Commendations Patient Commendations Percentage Number of commendations received as a percentage of total Commendations and Concerns recorded in the Feedback and Concerns Tracking (FACT) Database. Health Services Delivery / 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 Relations Department. Patient experience is considered an indicator of quality. AHS Target: to be determined using baseline information. Only those commendations received by the Patient Relations Department are included as part of the measure. A provincial process and database (FACT) for consistent tracking and addressing patient concerns & commendations is fully implemented. Benchmark is 8.53 % AHS Strategic Direction 2009-2012, June 30, 2009, located at: http://www.albertahealthservices.ca/org/ahs-org-strategic-direction.pdf Page 1 of 3 Indicator Definition Percent of Patient Commendations (continued) Technical Specifications Metric Preferred Display Format Percentage 99.9% Numerator Number of patient commendations recorded in FACT. 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 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 Relations Department will collect structured data about patient commendations from across the province of Alberta in a consistent manner within FACT. Daily Total number of concerns and commendations recorded in FACT. Patient Relations Department staff only, submits feedback into FACT. All feedback provided directly to operations areas. All feedback not submitted into FACT. Any rejected feedback (based on inappropriate, duplicate or incomplete information) to the Patient Relations Department. All advisements, consultations and queries entered into FACT are not included. All completed concerns and commendations records. Daily Technical Notes Not currently available Calculation (Number of commendations logged within FACT/ Total number of commendations and concerns logged in FACT) * 100 Number of Patient Concerns Escalated to Patient Concerns Officer. Relationship to Other Indicators Level of Reporting Frequency of Reporting Limitations July 6, 2012 All commendations submitted into the FACT database by patient relations staff. Provincial, Zone Quarterly The Patient Relations 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. Page 2 of 3 Indicator Definition Percent of Patient Commendations (continued) Document Version History Version July 6, 2012 Version Date Summary of Changes 1.0 May 18, 2010 Final version for initial use. 1.1 June 4, 2010 Template populated 1.2 June 5, 2010 Change title to reflect Consolidated Dashboard naming. Review and adjust formatting. Add relationship to other indicators. Add Lead Analyst. 1.4 June 30, 2010 Add approval statement. 1.5 August 10, 2011 Add Documentation Leads, revise Lead Analyst, Executive Lead, remove Government of Alberta logo and add formal signoff page. 1.6 August 24, 2011 Edited and revised content to reflect current controls. Updated Documentation Leads Executive Leader, etc. 2.0 September 9, 2011 Version ready for signoff. 2.1 May 3, 2012 Updated Domain, Dimension, Key Contact and Signatories for AB Health 2.2 June 15, 2012 Changes to naming conventions, logos, signatories based on organizational changes 3.0 June 26, 2012 Version ready for signoff 3.1 July 6, 2012 Full data definition signoff completed by AH. AHS completed signoff on January 5, 2012 subsequent editorial revisions did not require additional signoff. Page 3 of 3
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