On Friday 1 April 2016, at the national rural health conference in Dunedin, the Minister announced the introduction of new System Level Measures.
System Level Measures (SLMs) are high-level aspirational goals for the health system that align with the five strategic themes of the Health Strategy and other national strategic priorities such as Better Public Service Targets. The SLMs have a focus on children, youth and vulnerable populations.
How DHBs use SLMs
The SLMs are part of the DHB annual planning process and provide an opportunity for DHBs to work with their primary, secondary and community care providers to improve health outcomes of their local population.
The measures promote better understanding and use of health information, engagement with people in the design and delivery of health services and better health investment in models of care based on local population needs.
The SLMs framework
The framework relies on the concept of SLMs which are:
- set nationally
- reflect integration of health services
- highlight equity gaps
- connect to contributory measures.
About contributory measures
- contribute to achievement of SLMs
- are front line service level measurements of health processes or activity – tangible and clinically meaningful
- aligns with local quality improvement.
The Ministry of Health worked closely with the health sector to co-develop the SLMs which include:
- Ambulatory Sensitive Hospitalisation (ASH) rates for 0–4 year olds (that is, keeping children out of hospital)
- acute hospital bed days per capita (that is, using health resources effectively)
- patient experience of care (that is, person-centred care)
- amenable mortality rates (that is, prevention and early detection)
- proportion of babies who live in a smoke-free household at six weeks post natal (that is, a healthy start)*
- youth SLM (that is, youth are healthy, safe and supported)*.
The Measures Library for System Level and contributory measures is available on the Health Quality Measures New Zealand website.
*Further details in February 2017.