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Selecting indicators for international benchmarking of radiotherapy centres

Published online by Cambridge University Press:  13 February 2012

W.A.M. van Lent ,
R.D. de Beer ,
B. van Triest  and
W.H. van Harten
W.A.M. van Lent*
Affiliation:
Division of Psychosocial Research and Epidemiology, Netherlands Cancer Institute–Antoni van Leeuwenhoek Hospital, Amsterdam, The Netherlands Department of Health Technology Services Research, School of Management and Governance, University of Twente, The Netherlands
R.D. de Beer
Affiliation:
Ministry of Health, Welfare and Sport, The Netherlands
B. van Triest
Affiliation:
Radiotherapy department, Netherlands Cancer Institute–Antoni van Leeuwenhoek Hospital, Amsterdam, The Netherlands
W.H. van Harten
Affiliation:
Division of Psychosocial Research and Epidemiology, Netherlands Cancer Institute–Antoni van Leeuwenhoek Hospital, Amsterdam, The Netherlands Department of Health Technology Services Research, School of Management and Governance, University of Twente, The Netherlands
*
Correspondence to: W.A.M. van Lent, MSc,Division of Psychosocial Research and Epidemiology, Netherlands Cancer Institute – Antoni van Leeuwenhoek Hospital, PO Box 90203, 1006 BE Amsterdam, The Netherlands. Tel: ++31 (0)20 512 2855 Fax: ++31 (0)20 669 1449. E-mail: [email protected]
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Abstract

Introduction: Benchmarking can be used to improve hospital performance. It is however not easy to develop a concise and meaningful set of indicators on aspects related to operations management. We developed an indicator set for managers and evaluated its use in an international benchmark of radiotherapy centres. The indicator set assessed the efficiency, patient-centeredness and timeliness of the services delivered.

Methods: We identified possible indicators from literature and professionals. Stakeholders’ feedback helped to produce a shortlist of indicators. For this indicator set, data were obtained in a pilot that included four European radiotherapy centres. With these data, the indicators were evaluated on definition clarity, data availability, reliability and discriminative value.

Results: Literature produced a gross list of 81 indicators. Based on stakeholder feedback, 33 indicators were selected and evaluated in the benchmark. Six negatively evaluated indicators were adapted, together with eight positively evaluated indicators 14 indicators seemed feasible. Examples of indicators concerned utilisation, waiting times, patient satisfaction and risk analysis.

Conclusions: This study provides a pragmatic indicator development process for international benchmarks on operations management. The presented indicators showed to be feasible for use in international benchmarking of radiotherapy centres. The pilot identified attainable performance levels and provided leads for improvements.

Keywords

Benchmarkingindicatorsoperations managementquality managementradiotherapy
Type
Original Article
Information
Journal of Radiotherapy in Practice , Volume 12 , Issue 1 , March 2013 , pp. 26 - 38
Copyright
Copyright © Cambridge University Press 2013

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References

Sanazaro, PJ. Quality assessment and quality assurance in medical care. Annu Rev Public Health 1980; 1:37–68.CrossRefGoogle ScholarPubMed
Laffel, G, Blumenthal, D. The case for using industrial quality management science in health care organizations. JAMA 1989; 262:2869–2873.Google Scholar
Committee on Quality of Health Care in America, Crossing the Quality Chasm: A New Health System for the 21st Century, Washington D.C., Institute of Medicine 2001.Google Scholar
Camp, RC. A Bible for Benchmarking, by Xerox. Fin Exc 1993; 9:23.Google Scholar
Mosel, D, Gift, B. Collaborative benchmarking in health care. Jt Comm J Qual Improv 1994; 20:239–249.Google Scholar
Sheldon, T. Promoting health care quality: what role performance indicators? Qual Health Care 1998; 7 Suppl:S45–S50.Google ScholarPubMed
Blank, JL. Innovations and productivity: an empirical investigation in Dutch hospital industry. Adv Health Econ Health Serv Res 2008; 18:89–109.CrossRefGoogle ScholarPubMed
de Korne, DF, Sol, KJ, van Wijngaarden, JD, van Vliet, EJ, Custers, T, Cubbon, M, Spileers, W, Ygge, J, Ang, CL, Klazinga, NS. Evaluation of an international benchmarking initiative in nine eye hospitals. Health Care Manage Rev 2010; 35:23–35.CrossRefGoogle ScholarPubMed
Schoen, C, Davis, K, How, SK, Schoenbaum, SC. U.S. health system performance: a national scorecard. Health Aff (Millwood) 2006; 25:w457–w475.CrossRefGoogle ScholarPubMed
van Lent, WA, de Beer, RD, van Harten, WH. International benchmarking of specialty hospitals. A series of case studies on comprehensive cancer centres. BMC Health Serv Res 2010; 10:253.Google Scholar
Spendolini, J. The Benchmarking Book. New York, Amacom 1992.Google Scholar
Van Hoorn, A, Van Houdenhoven, M, Wullink, G. Een nieuw stappenplan voor benchmarking, Management Executive 2006: 1–15.Google Scholar
Campbell, SM, Braspenning, J, Hutchinson, A, Marshall, M. Research methods used in developing and applying quality indicators in primary care. Qual Saf Health Care 2002; 11:358–364.Google Scholar
Mitchell, RK, Agle, BR, Wood, DJ. Toward a theory of stakeholder identification and salience: Defining the principle of who and what really counts. Acad Manage Rev 1997; 22:853–886.Google Scholar
Brugha, R, Varvasovszky, Z. Stakeholder analysis: a review. Health Policy Plan 2000; 15:239–246.CrossRefGoogle ScholarPubMed
Carignani, V. Management of change in health care organisations and human resource role. Eur J Radiol 2000; 33:8–13.CrossRefGoogle ScholarPubMed
Cionini, L, Gardani, G, Gabriele, P, Magri, S, Morosini, PL, Rosi, A, Viti, V; Italian Working Group General Indicators. Quality indicators in radiotherapy. Radiother Oncol 2007; 82:191–200.Google Scholar
Cowper, J, Samuels, M. Performance benchmarking in the public sector: the United Kingdom experience. Benchmarking, Evaluation and Strategic Management in the Public Sector, Paris, OECD 1997.Google Scholar
Gundmundsson, H, Wyatt, A, Gordon, L. Benchmarking and Sustainable Transport Policy: Learning from the BEST Network. Transport Reviews 2005; 25:669–690.CrossRefGoogle Scholar
Grosskopf, S, Margatitis, D, Valdmanis, V. The effects of teaching on hospital productivity. Socio-economic Planning Sciences 2001; 35(3):189–204.Google Scholar
Camp, RC, Tweet, AG. Benchmarking applied to health care. Jt Comm J Qual Improv 1994; 20:229–238.Google ScholarPubMed