Indicators for the Sepsis Clinical Care Standard

Indicators have been developed to support monitoring of the care recommended in the Sepsis Clinical Care Standard. Clinicians and healthcare services can use the indicators to support local quality improvement activities.

Indicator specifications

Measurement is a key component of quality improvement processes. The Commission has developed a set of indicators to support clinicians and healthcare services to monitor how well they are implementing the care recommended in this clinical care standard. The indicators are intended to support local quality improvement activities. No benchmarks are set for these indicators by the Commission.

The definitions required to collect and calculate indicator data are specified in the Metadata Online Registry (METEOR): meteor.aihw.gov.au/content/index.phtml/itemId/755589

METEOR is an Australian web-based repository of nationally endorsed data and indicator definitions, hosted by the Australian Institute of Health and Welfare (AIHW).

Note: Exploration of the indicator data should include disaggregation of data by relevant clinical and demographic factors. This should include disaggregation by Aboriginal and Torres Strait Islander status and separate analysis of adult and paediatric patients.  A list of ICD-10AM codes to identify patients coded for sepsis has been prepared to support use of the indicators.

Indicators for local monitoring

Measuring and monitoring patient experiences

Systematic, routine monitoring of patients’ experiences of, and outcomes from, health care is an important way to ensure that the patient’s perspective drives service improvements and person-centred care. This is the case in all health services.

Patient experience measures

This clinical care standard includes one indicator for measuring patient experience. In addition, the Commission strongly encourages health services to use the Australian Hospital Patient Experience Question Set (AHPEQS). AHPEQS is a 12-question generic patient experience survey that has been validated in both day-only and admitted hospital patients across many clinical settings in adults. The instrument is available for download to both private and public sector health services.

The Commission strongly encourages health services to measure patient experience as a part of ongoing quality improvement.

Patient-reported outcome measures

In Australia, patient-reported outcome measures (PROMs) are an emerging method of assessing the quality of health care. The Commission is leading a national work program to support the consistent and routine use of PROMs to drive quality improvement.

PROMs are standardised, validated questionnaires that patients complete, without any input from healthcare providers. They are often administered at least twice to an individual patient – at baseline and again after an intervention, or at regular intervals during a chronic illness. The information contributed by patients filling out PROMs questionnaires can be used to support and monitor the movement of health systems towards person-centred, value-based health care.

PROMs are being used to evaluate healthcare effectiveness at different levels of the health system, from the individual level to service and system levels. There is growing interest across Australia and internationally in the routine interrogation of patient-reported outcome information for evaluation and decision-making activities at levels of the health system beyond the clinical consultation.

Patient experience measures

This clinical care standard includes one indicator for measuring patient experience. In addition, the Commission strongly encourages health services to use the Australian Hospital Patient Experience Question Set (AHPEQS). AHPEQS is a 12-question generic patient experience survey that has been validated in both day-only and admitted hospital patients across many clinical settings in adults. The instrument is available for download to both private and public sector health services.

The Commission strongly encourages health services to measure patient experience as a part of ongoing quality improvement.

Patient-reported outcome measures

In Australia, patient-reported outcome measures (PROMs) are an emerging method of assessing the quality of health care. The Commission is leading a national work program to support the consistent and routine use of PROMs to drive quality improvement.

PROMs are standardised, validated questionnaires that patients complete, without any input from healthcare providers. They are often administered at least twice to an individual patient – at baseline and again after an intervention, or at regular intervals during a chronic illness. The information contributed by patients filling out PROMs questionnaires can be used to support and monitor the movement of health systems towards person-centred, value-based health care.

PROMs are being used to evaluate healthcare effectiveness at different levels of the health system, from the individual level to service and system levels. There is growing interest across Australia and internationally in the routine interrogation of patient-reported outcome information for evaluation and decision-making activities at levels of the health system beyond the clinical consultation.

Other Commission‑endorsed indicators to support local monitoring