Archive for the ‘Government’ Category

Performance measurement and reporting in Australian public hospitals

Tuesday, March 22nd, 2011

The Report on Government Services (RoGS) 2011 realized by the Steering Committee for the Review of Government Service Provision (SCRGSP) offers a detailed perspective on how the Australian government informs improvements to the effectiveness and efficiency of government services. The report includes a review of the general framework for performance reporting, alignment of RoGS indicators and developing data quality information and case studies.

For the first time since RoGS was established in 1993, this year’s report includes the alignment of reporting in Health and the Public Hospitals. The general framework for the performance indicators in the public hospitals is represented as follows:

Performance indicators for public hospitals Source: SCRGSP (2011)

The main objectives for public hospitals are to provide acute and specialist services that are:

  • Safe and high quality;
  • Appropriate and responsive to individual needs;
  • Affordable timely and accessible;
  • Equitably and efficiently delivered (SCRGSP, 2011).

The report underlines a clear distinction between outputs – the services delivered, and outcomes – the impact of these services on the status of an individual or a group.

Each objective in the framework is measured through performance indicators, such as:

  • # Emergency department waiting times
  • # Emergency department patients seen
  • # Waiting times for admission following emergency department care
  • # Waiting times for elective surgery
  • % Separation rates for selected procedures
  • % Surgical site infection rates
  • % Unplanned readmission
  • % Hospital acquired infection rates
  • % Pre-anaesthetic consultation rates
  • % Accredited beds
  • # Nursing workforce
  • $ Recurrent cost per casemix-adjusted separation
  • # Relative stay index
  • $ Recurrent cost per non-admitted occasion of service
  • % Patient satisfaction
  • # Sentinel events

The Report on Government Services (RoGS) aims to include a robust set of performance indicators, being subject to a program of continual improvement in reporting performance. By enhancing performance measurement approaches and techniques, and promoting transparency and informed debate about comparative performance, the data in the 2011 RoGS  can provide an incentive to improve the performance of government services (SCRGSP, 2011).

For more insights on Hospitals Key Performance Indicators (KPIs), please visit the smartKPIs.com library of KPI examples.

Reference

Steering Committee for the Review of Government Service Provision (SCRGSP) (2011), Report on Government Services (RoGS) 2011, available at: http://www.pc.gov.au/gsp/reports/rogs/2011 (accessed 14 March 2011)

KPIs around the world: Performance achievements from Malaysia

Wednesday, January 19th, 2011

Bernama, the Malaysian National News Agency reports that The Information Communication and Culture Ministry from Malaysia has successfully achieved its Key Performance Indicators (KPI) set in 2010.

Some highlights into the achievements are as follows (Bernama, 2011):

  • A level of understanding towards the 1Malaysia concept of 72 per cent, compared to the target of 50 per cent;
  • Broadband penetration of 55.6 per cent, compared as well to the target of 50 per cent;
  • Kraftangan Malaysia achieved a sale of RM126 million, surpassing the target of RM100 million;
  • 98 per cent of graduates of the National Academy of Arts, Culture and Heritage obtained jobs.

Minister Rais attributed the achievement to the close cooperation among the ministry’s agencies and expressed confidence that they would spend time each week to contemplate on their mission and vision as well as on the achievements.

A year before, the same minister suggested that taxi drivers and owners should also have their own KPIs to measure the performance of the public transport service they offer (Bernama, 2010).

These initiatives are part of the 1Malaysia, a concept that defines the vision on the Malaysian Prime Minister Najib Tun Razak towards improved ethnic harmony, national unity and efficient governance, the solgan of 1Malaysia being „Rakyat Didahulukan, Pencapaian Diutamakan” (People First, Performance Now).

For more information on 1Malaysia, visit: http://www.1malaysia.com/.

References

Bernama (2011), Rais: Ministry Achieves KPI, available at: http://www.bernama.com/bernama/v5/newsgeneral.php?id=555742 (accessed 13 January 2011).

Bernama (2010), Taxi drivers and owners should have KPIs: Rais, available at: http://www.mmail.com.my/content/24249-taxi-drivers-and-owners-should-have-kpis-rais (accessed 13 January 2011).

A review of Global Corporate Citizenship

Thursday, December 30th, 2010

According to Klaus Schwab (2008), founder and Executive Chairman of the World Economic Forum,

„Global corporate citizenship means that companies must not only be engaged with stakeholders but be stakeholders themselves alongside governments and civil society. Since companies depend on global development, which in turn relies on stability and increased prosperity, it is in their direct interest to help improve the state of the world.”

The Global Corporate Citizenship extends the concepts of corporate social responsibility and corporate governance in the context of a globalized economy and global markets.

Due to more and more companies operating in global markets, as a result of liberalization of trade and financial markets and the advances in technology and communications (Locke n.d.), the issue of their global impact has been raised, not only in the shape of them benefiting from global resources, but also involving in global issues such as climate change, energy conservation etc (Schwab 2010).

An important moment in the development of the Global Corporate Citizenship was the signing of the joint statement by a task force of the World Economic Forum (in partnership with The Prince of Wales International Business Leaders Forum) , in the year 2002 (World Economic Forum 2002). Included in this statement was a Leadership Challenge endorsement, altogether with a recommendation of a Framework for Action. The purpose was that of proposing a framework for management teams and boards of directors to guide their companies into society and the relationships with global stakeholders. Concretely, this meant (World Economic Forum 2002):

  • Companies’ commitment to being global corporate citizens is about the way they run their own businesses;
  • Relationships with key stakeholders are fundamental to success inside and outside companies;
  • Ultimate leadership for corporate citizenship rests with chief executives, chairmen and board of directors.

Immediately after, a survey among the initial signatory CEOs has been conducted to profile practical examples of leadership in action. Although with a rather small focus, the survey covered companies with headquarters in 16 countries and offers insights from 18 industries, both in the public and private sectors (World Economic Forum 2003).

Some of the most important findings are that (World Economic Forum 2003):

  • The concept of corporate citizenship is moving beyond compliance and philanthropy to become a more strategic one to CEOs and boards of directors;
  • Companies are in the early stages of defining global corporate citizenship and integrating it into their corporate strategies and management processes;
  • There is a need to accommodate differences in culture, history, economic circumstances, industry sector and ownership structure, while promoting common values and learning from each other’s experiences.

Source: World Economic Forum, 2003

More recently, the focus has been directed towards the public-private partnership to strengthen public governance, as a key aspect of Global Corporate Citizenship. At a 2008 meeting in Davos, 14 global CEOs signed a leadership statement calling businesses to strengthen relationships with the public sector, working with governments and other stakeholders and unify efforts in the direction of sustainable economic growth (World Economic Forum 2008).

Undoublty, more initiatives are to come in the area of Global Corporate Citizenship. For more about this initiative of the World Economic Forum, visit: http://www.weforum.org/en/initiatives/corporatecitizenship/index.htm.

References:

Schwab, K 2008, „Global Corporate Citizenship. Working With Governments and Civil Society”, available at: http://www.foreignaffairs.com/articles/63051/klaus-schwab/global-corporate-citizenship (accessed 29 Dec 2010).

World Economic Forum & The Prince of Wales International Business Leaders Forum 2002, „Global Corporate Citizenship. The Leadership Challenge for CEOs and Boards” , available at: http://www.weforum.org/pdf/GCCI/GCC_CEOstatement.pdf (accessed 29 Dec 2010).

World Economic Forum & The Prince of Wales International Business Leaders Forum 2003, „Responding to the Leadership Challenge. Findings of a CEO Survey on Global Corporate Citizenship”, available at: http://www.blf.sk/tmp/asset_cache/link/0000012984/WEF_Corporate_Citizen.pdf (accessed 29 Dec 2010).

The power of data visualization – lifespan and income in history

Thursday, December 23rd, 2010

Hans Rosling’s 200 Countries, 200 Years, 4 Minutes – The Joy of Stats – BBC Four

More about this programme: http://www.bbc.co.uk/programmes/b00wgq0l
BBC presentation: Hans Rosling’s famous lectures combine enormous quantities of public data with a sport’s commentator’s style to reveal the story of the world’s past, present and future development. Now he explores stats in a way he has never done before – using augmented reality animation. In this spectacular section of ‘The Joy of Stats’ he tells the story of the world in 200 countries over 200 years using 120,000 numbers – in just four minutes. Plotting life expectancy against income for every country since 1810, Hans shows how the world we live in is radically different from the world most of us imagine.

Interested in public service KPIs?

smartKPIs.com contains over 1000 KPI examples specific to the public sector, grouped in two categories: State/Federal Government and Local Government.

Measuring the ease of doing business around the world

Tuesday, November 9th, 2010

A recent International Bank for Reconstruction and Development (IBRD) & The World Bank report, Doing Business 2011: Making a difference for entrepreneurs, presents a series of quantitative indicators on business regulation and the protection of property rights in 183 economies, from Afghanistan to Zimbabwe. This year’s edition is the eighth in a series of annual reports benchmarking the regulations that enhance business activity and those that constrain it.

The report aims to supply business leaders and policy makers with a fact base for informing policy making and to provide open data for research on how business regulations and institutions affect such economic outcomes as productivity, investment, informality, corruption, unemployment and poverty. However, its scope is limited, as it does not measure all aspects of the business environment that matter to firms and investors or affect the competitiveness of an economy.

The report presents two types of indicators:

  • Time and motion indicators- measuring the efficiency and complexity in achieving a regulatory goal by recording the procedures, time and cost to complete a transaction in accordance with all relevant regulations from the point of view of the entrepreneur.
  • Legal scoring indicators- measuring aspects with regards to the investor protections and legal rights for borrowers and lenders, as well as legal provisions in the laws and regulations on the books.

The indicators are used to analyze economic outcomes and identify what reforms have worked, where and why. In this year’s aggregate ranking on the ease of doing business is based on indicator sets that measure and benchmark regulations affecting 9 areas in the life cycle of a business: starting a business, dealing with construction permits, registering property, getting credit, protecting investors, paying taxes, trading across borders, enforcing contracts and closing a business.

Source: The International Bank for Reconstruction and Development & The World Bank (2010)

Main conclusions of the report are:

  • Lower barriers to start-up are associated with a smaller informal sector.
  • The country’s contracting environment is a source of comparative advantage in trade patterns. Countries with good contract enforcement specialize in industries where relationship-specific investments are most important.
  • Lower costs of entry encourage entrepreneurship, enhance firm productivity and reduce corruption.
  • Simpler and increased number of start-up translates into greater employment opportunities.
  • Greater information sharing through credit bureaus is associated with higher bank profitability and lower bank risk (The International Bank for Reconstruction and Development & The World Bank, 2010).

Since its launch in 2003, Doing Business has stimulated debate about policy through the data and benchmarks offered, both by exposing potential challenges and by identifying where policy makers might look for lessons and good practices, recording more than 1,500 important improvements since 2004.

References

The International Bank for Reconstruction and Development & The World Bank 2010, Doing Business 2011: Making a Difference for Entrepreneurs, available at: http://www.doingbusiness.org/reports/doing-business/doing-business-2011 (accessed 7 November 2010).

Ranking hospitals performance by web presence

Tuesday, November 2nd, 2010

A previous blog post, USA top hospitals ranking based on performance improvement, presented the Thomson Reuters 100 Top Hospitals: National Benchmarks, an annual, quantitative study dedicated to measuring performance across the industry, that identifies the best hospitals in USA, overall, as measured on the 100 Top Hospitals Balanced Scorecard.

Continuing the incursion into the most popular and used hospitals ranking, this post presents the “Ranking Web of World Hospitals”, an initiative of the Cybermetrics Lab, a research group belonging to the Consejo Superior de Investigaciones Científicas (CSIC), the largest public research body in Spain.

Although the original aim of the Ranking was to promote web publication, supporting open access initiatives, electronic access to scientific publications, nowadays it also facilitates the ranking of institutions based on web indicators. This type of ranking can better reflect the whole picture, because it covers not only only formal (e-journals, repositories), but also informal scholarly communication media. The ranking is not only focused on research results but also in other indicators which may reflect better the global quality of the scholar and research institutions worldwide (Cybermetrics Lab, 2010).

Design and Weighting of Indicators

The Web indicators measure electronic contents, especially those used for scholarly communication, but also basic information about the hospital, its organization, services and personnel. The rank takes into account both the volume of information published and the impact or visibility of such contents measured by the number of external links the web pages received from others.

Four key performance indicators were obtained from the quantitative results provided by the main search engines:

  • Size (S): # Pages recovered from four engines: Google, Yahoo, Live Search and Exalead.
  • Visibility (V): # Unique external links received (inlinks) by a site can be only confidently obtained from Yahoo Search, Live Search and Exalead.
  • Rich Files (R). After evaluation of their relevance to academic and publication activities and considering the volume of the different file formats, the following were selected: Adobe Acrobat (.pdf), Microsoft Excel (.xls), Microsoft Word (.doc) and Microsoft Powerpoint (.ppt). These data were extracted using Google.
  • Scholar (Sc): #Papers and citations for each academic domain (Google Scholar). These results from the Scholar database represent papers, reports and other academic items.

The Ranking Web of World Hospitals offers more than ranking, by sharing ten best practices, regarding URL naming, website content, popularity and statistics etc. An interesting aspect with regards to this ranking is that the 1000 hospitals ranked are also split by continents, illustrating also top hospitals on each geographical area.

Source: Cybermetrics Lab (2010)

The Ranking Web of World Hospitals was introduced as a tool for showing the commitment of health organizations to the electronic publication and dissemination of academic information related to medicine. The Top Hospitals should be prone to share their information not only with other colleagues (physicians, researchers, scholars) but also with the rest of society, patients, community leaders, managers and citizens in general. The ranking  intends to motivate both institutions and scholars to have a web presence that reflect accurately their activities (Cybermetrics Lab, 2010).

References:
Cybermetrics Lab 2010, Ranking Web of World Hospitals, available at: http://hospitals.webometrics.info/index.html (accessed 16 October 2010)

smartKPIs.com 2010, USA top hospitals ranking based on performance improvement, available at: http://www.smartkpis.com/blog/2010/10/21/usa-top-hospitals-ranking-based-on-performance-improvement/ (accessed 1 November 2010)

Gender diversity – global trends and the influence on organizational performance

Friday, October 15th, 2010

Over the last decade or so, there has been an increased focus and debate on gender diversity of top executives and managers of corporations. This was caused mainly by the low proportion of women reaching top positions (Grant Thornton, 2009), despite the proved positive effect of gender diversity on organizational performance (Smith et al, 2005).

Gender diversity effect on corporate performance

Many studies explored this issue. One of them, conducted by researchers from Aarhus School of Business, Denmark and involving a panel of 2500 largest Danish companies revealed that the proportion of women in top management positions tend to have positive effects on firm performance. More than that, the results showed correlations between the positive effects of women in top management and their professional qualifications (Smith et al, 2005).

Driven by the perception of positive effects brought by managerial gender diversity on firm performance, but more predominantly, by the new governmental regulations and policies, large corporations throughout the world started in the last few years to increase their focus on corporate governance trying to boost the gender diversity of their top managerial positions.

A good example of such an initiative, is that of the Australian ANZ Bank. Currently, they are well on their way, running programs to increase the corporate  gender diversity. According with the ANZ (2010) corporate responsibility policy:

  • Organizations who are employers of choice for women have access to a larger talent pool;
  • Are better positioned to represent the needs of customers and communities;
  • Understand the link between a higher proportion of women in top management and increased profitability;
  • Gender diversity is an important characteristic of companies with excellent financial performance and developing women managers and leveraging that talent by giving them a seat at the decision making table is smart business (ANZ, 2008)

Recently two other Australian banks, Westpac and Commonwealth Bank announced policies directed towards increasing the number of women in management roles.

According with the Westpac executives, the bank had put in place a gender target, to double the number of women in management positions to 40% in the next 4 years. (Jonston and Bibby, 2010)

Contrary with the ANZ approach towards management gender diversification, which comes apparently as an internal corporate responsibility action, stated already in 2008, the new announcements made by Westpac and Commonwealth Bank seem to be mostly driven by the new governmental guidelines on gender diversification which are about to take effect, starting with January 2010.

This is, however, not surprising, as several governments throughout the world have imposed similar policies. Such examples, of countries who have introduced regulations on the gender compositions of the managerial teams and boards of directors of private corporations, in order to improve equal opportunities, are Sweden and Norway (Smith et al, 2005).

According with the Danish scholars, the Norwegian government introduced a 40% mandatory target for the share of managerial positions occupied by women, already from 2005.

Women holding management positions.  A Global Survey.

Despite the increased efforts for boosting the top management gender diversity a recent global research performed by Grant Thornton International (2009) reveals that women still hold less than a quarter, more exactly 24%, of senior management positions in privately held businesses. This is a slightly improved figure from the previous data collected in 2007, when only 19% of senior management positions were found to be held by women.

What it is striking, however, is the fact that a little more than 34% of the currently privately held businesses around the world do not have any woman in a senior management position.

According with the same study, the greatest percentage of women in managerial positions is in the Philippines, where women held surprisingly 47% of senior positions. They are followed by Russia with 42%, Thailand 38%, Poland 32% and Mainland China 31%.

Source: Grant Thornton, 2010

Survey methodology

The survey was launched in 1992 in nine European countries and currently covers the views of senior executives in privately held businesses all over the world, covering 7,200 private companies in 36 countries, providing territory, regional and global trend data.

References

Global ranking of countries based on sovereign debt risk

Saturday, October 9th, 2010

The most recent report of global sovereign credit risk for the 3rd Quarter of 2010 presents the country rating based on the Cumulative Probability of Default (CPD), indicating the probability of a country being unable to honour its debt obligations over a given time period. CPD is calculated using an industry standard model and proprietary credit data from CMA Datavision TM. Reference to ‘risky’ is purely in terms of the probability of default derived from the price of the CDS (CMA, 2010).

Source: CMA (2010)

Of the countries in the top 10, USA lost six positions, as the world’s largest economy fluctuates between growth and no growth scenarios, fueling the ‘double dip debate’. On the other hand, Australia had the best improvement of the countries in the top 10, in a quarter which has seen a new coalition government staying in power.

The report focuses on changes in the risk profile of sovereign debt issuers, with the intention to identify trends and drivers of change. The world debt risk is divided into eight regions: US & UK, Western Europe, Emerging Europe, Scandinavia, Latin & South America, Middle East & Africa, Australasia and Asia. In addition to identifying themes within these regions, the macro trends across the sovereign debt sector are also discussed.

References:

CMA 2010, CMA Global Sovereign Credit Risk Report, available at: http://www.cmavision.com/images/uploads/docs/CMA_Global_Sovereign_Credit_Risk_Report_Q3_2010.pdf (accessed 8 October 2010)

Life Expectancy – Outcome performance measure for health improvement

Friday, September 24th, 2010

In a recently published article, A Healthy Bottom Line: Healthy Life Expectancy as an Outcome Measure for Health Improvement Efforts, the Milbank Quarterly, a multidisciplinary journal of population health and health policy, recommends the adoption and adaptation of Healthy Life Expectancy (HLE) as an national outcome measure in USA.

The article sustains that HLE is a a clear, consistent, and important population health outcome measure that can enable informed judgments about value for investments in health care, combining both length and quality of life (Stiefel, Rocco & Zell, 2010).

Also referred as health expectancy or health life expectancy, HLE measures the estimate average number of years a person of a certain age is expected to live, if the current mortality rates continue to apply (smartKPIs.com, 2010).

Healthy life expectancy is becoming a standard summary measure of population health at both the international and national levels, being used for several purposes:

  • highlighting health inequalities;
  • targeting resources for health promotion;
  • evaluating the impact of health policies;
  • planning for health, social, and fiscal policy.

A common way to illustrate healthy life expectancy is shown in the figure bellow:

Source: European Health Expectancy Monitoring Unit (2007)

Applicability

A large and growing number of countries now measure HLE at the national level:

  • UK uses Healthy Life Expectancy for policy applications, for monitoring the quality of life and social exclusion of the elderly and in deliberations on changing the retirement age .
  • South Australia’s Strategic Plan has as a goal between 2000-2014, the increase of HLE at birth by 5 % for males and 3 % for women. The improvement in HLE has been evaluated and implemented based on an assessment of efficacy,  acceptability, feasibility, and cost, stratified by socioeconomic status. At the middle of this period, HLE at birth had steadily increased by 1.9 % for males and 1.3 % for women.
  • The federal government’s Healthy People 2010 from USA has as initiatives, the increase of quality, years of healthy life and to eliminate disparities.

A related question about the utility of the HLE remains with regards to the sensitivity of the measure to impacts of improvement efforts on changes in a population’s mortality and morbidity. This article supports the adoption of HLE as an outcome measure at the national, state, community, and health care system levels in the United States to compare the effectiveness of alternative practices, evaluate disparities, and guide resource allocation (Stiefel, Rocco & Zell, 2010).

References:

European Health Expectancy Monitoring Unit. 2007. Interpreting Health Expectancies, available at: http://www.ehemu.eu/pdf/Interpreting_HE_guide_ver_6.pdf (Accessed 27 September 2010)

Stiefel, M, Rocco P & Zell, B 2010, A Healthy Bottom Line: Healthy Life Expectancy as an Outcome Measure for Health Improvement Efforts, available at: http://onlinelibrary.wiley.com/doi/10.1111/j.1468-0009.2010.00588.x/pdf (Accessed 27 September 2010)

smartKPIs.com 2010, Health life expectancy, available at: http://www.smartkpis.com/kpi-key-performance-indicator/Health-life-expectancy-4146.html (Accessed 27 September 2010)

Measuring the well-being of children – Key National Indicators 2010

Tuesday, September 7th, 2010

A recent edition of the America’s Children: Key National Indicators of Well-Being report, published each year since 1997 by the Federal Interagency Forum on Child and Family Statistics, presents updated results with regards to the well-being of children and families living in the USA.

The report covers several children and youth well-being domains such as: family and social environment, economic circumstances, healthcare, physical environment and safety, behavior, education, and health. Its purpose is to provide statistical information on children and families in an easy-to-use format in order to stimulate discussion among data providers, policy makers and members of the public (The Federal Interagency Forum on Child and Family Statistics, 2010).

Children ages 0–17 covered by health insurance at some time during the year by type of health insurance, 1987–2008

Source: The Federal Interagency Forum on Child and Family Statistics (2010)


Children with health insurance (public or private) are more likely than children without insurance to have a regular and accessible source of health care.

The figure above indicates that in 2008, 90% of children had health insurance coverage at least some time during the year, while the number of children without coverage at any time during the year reached up to 7.3 million. The percentage of children with public health insurance increased with 2% since 2007, reaching up to 33% in 2008.

Among other statistically significant results within the report are:

  • The decrease in births to adolescents, from 22.2 per 1,000 girls ages 15–17 to 21.7 per 1,000
  • Eighth graders’ average mathematics scale score increased, from 281 to 283
  • The proportion of youth ages 16–19 neither enrolled in school nor working increased from 8% to 9%.

References:

The Federal Interagency Forum on Child and Family Statistics 2010, America’s Children In Brief: Key National Indicators of Well-Being, 2010, available at: http://www.childstats.gov/americaschildren/index.asp (accessed 06 September 2010)

The European Life Long Learning Index (ELLI) 2010

Monday, September 6th, 2010

A recent study „The European ELLI Index 2010 – Making Lifelong Learning Tangible!“ presents the results of the European Lifelong Learning Index for 2010 and compares Europe’s progress in lifelong learning. The European Lifelong Learning Index (ELLI) is used on annual basis to measure the performance of learning throughout different stages and learning environments (school, community, work, home life).

This index measures learning in four domains based on the UNESCO framework completed by Jaques Delors:

  • learning to know -  formal education
  • learning to do – vocational learning
  • learning to live – learning for social cohesion
  • learning to be – learning as personal growth.

Source: ELLI (2010)

ELLI is a Composite Index that compiles 36 indicators that reflect learning perspectives. This measurement instrument combines indicators and statistics in order to measure, monitor and analyze trends at regional and international level. Some of the indicators presents learning activities, such as:

  • % Participation rate in formal and training courses
  • % Employees participating in vocational training
  • % Participation in active citizenship
  • % Participation in cultural activities etc.

Besides the country comparison, the study illustrates the ELLI concept and methodology, as well as how fundamental interrelations between lifelong learning, social and individual wellbeing are taken account for in the index (ELLI, 2010).

References:

ELLI 2010, The European ELLI Index 2010 – Making Lifelong Learning Tangible!, available at: http://www.deutscher-lernatlas.de/ (accessed 3 September 2010)

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