How do we compare? - Applying UK pay for performance indicators to an Australian general practice

Elliot-Smith, Adrian and Morgan, Mark 2010, How do we compare? - Applying UK pay for performance indicators to an Australian general practice, Australian family physician, vol. 40, no. 1-2, pp. 43-48.

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Title How do we compare? - Applying UK pay for performance indicators to an Australian general practice
Author(s) Elliot-Smith, Adrian
Morgan, Mark
Journal name Australian family physician
Volume number 40
Issue number 1-2
Start page 43
End page 48
Publisher Royal Australian College of General Practitioners
Place of publication Jolimont, Vic.
Publication date 2010
ISSN 0300-8495
Keyword(s) health care quality assessment
clinical audit
health policy
health care economics
Summary BACKGROUND United Kingdom general practitioners receive payment based on their performance in multiple clinical indicators. We set out to apply the same indicators in an Australian general practice to benchmark our performance and to see how much work was required to obtain the data.

METHODS Clinical indicators for the 2008–2009 UK Quality and Outcomes Framework (QOF) cycle were examined and achievement levels measured in a large rural Australian general practice, mainly by computer searching of the clinical database.

RESULTS Outcome measures were obtainable for 79 out of 80 indicators. Manual perusal of computer records was required for 16 indicators. Data collection takes approximately 130 hours. The Australian general practice achieved 66% of available pay for performance points compared to the UK average of 97%.

DISCUSSION United Kingdom QOF clinical data is obtainable relatively easily in a well computerised Australian rural general practice. The exercise identified significant areas in which clinical performance could be improved.
Language eng
Field of Research 111717 Primary Health Care
Socio Economic Objective 920208 Health Policy Evaluation
HERDC Research category C1.1 Refereed article in a scholarly journal
HERDC collection year 2010
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Document type: Journal Article
Collections: Faculty of Health
School of Medicine
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Created: Thu, 11 Feb 2010, 10:20:18 EST by Liz Jackway

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