142-818 / Feedback report to hospitals

GOP Information
Organisation sharing the GOP
Related practices from PaSQ database
Estonian Health Insurance Fund


Quality indicators
Professional learning program on quality and safety
Reporting and learning systems
GOP Description
Implementation level
Clinical settings
active care hospital
To improve hospitals management and quality of care using the data from hospital invoices to health insurance fund.
Active care hospital managers, clinicians, public
We selected a number of indicators describing different aspects of hospital activity and quality of care and used the data from health insurance database. The invoices are standardized and have information about patient, care provider, and provided services. Services are coded according to the approved list of services and it’s mandatory to hospitals to use it when sending the invoice to the health insurance fund. The results of the analysis are given in hospitals. Additionally are calculated the average of the hospital type (regional, central or general) and all hospitals. Results are presented in figures and in excel tables allowing to make later more detailed analysis.
Timeframe implementation
Approximately one to two month, depend on number of indicators used for report
Implementation tools available
Unfortunately there is currently not available any tool in English but we will translate this year report after it is published in health insurance fund web pages.
We are using the standardized form for the pdf report trying to place one indicator per page with figure and most important information about used data. There is link from every indicator to the excel sheet with initial data and more detailed information if necessary. The average, median values and/or percentage are calculated also comparisons on different levels.
Implementation cost
There is no extra costs for data gathering as it is sent by hospitals to get paid for provided services. Indicators, used in report, are negotiated with specialties earlier during the years. The preparations for report publication take approximately 2-3 moths including data query, analysis and descriptions editing as well. No one get extra paid, it is part of ordinary work for health insurance personnel allocating about 30-40% time during this period.
Method used to measure the results
The data is from invoices started from 1th January to 31 December previous year.
the report presents 19 process indicators results to 19 hospitals
Analysis of the results
Estonian Health Insurance Fund is not giving any evaluation to results in this report, the analysis take place in hospitals and clinician’s associations.
Implementation barriers
Did you find implementation barriers?
Please describe implementation barriers
There is no specified text here
Describe the strategies used to overcome the barriers (If needed)
There is no specified text here
Other information
Other information about the GOP that you would like to add (Link or attached document)
The report and the results of separated indicators are visible on Estonian Health Insurance Fund web page http://www.haigekassa.ee/raviasutusele/kvaliteet/tagasiside

The list of indicators:
– waiting times – accessibility to selected hospital care in hospital;
– LOS and rehospitalisation (some health conditions and surgical procedure);
– acute stroke care – CT/MR scan, thrombolytic therapy;
– percentage of day surgery in certain procedures;
– case mix index;
– coding comorbidities;
– percentage of c-section;
– participation on cervical screening;
– percentage of emergency care patients in acute care hospital.