Performance Measure Definition Alberta Health Ease of Access to Physician Services Name and Definition Full Name Ease of Access to Physician Services: Rating as very easy or easy Short Name Ease of Access to Physician Services Definition The percentage of Albertans who have accessed physician services within the past year, and who rate ease of access to these physician services as “very easy” or “easy” on a four point scale (very easy, easy, a bit difficult or very difficult). Health Services Delivery Domain Dimension Acceptability Efficiency Appropriateness No No No Effectiveness Accessibility Safety No Yes No Category of Measure Strategic Type of Measure Outcome Measure Other Comments / Notes Context Business Context Rationale Notes for Interpretation Organizational Strategy 2012-15 Government of Alberta Strategic Plan – Goal 3: Healthy Albertans – A health system where Albertans have the supports they need to lead healthy lives. The Health Quality Council of Alberta (HQCA) has identified access to obtaining health care services as continuing to be the most important factor associated with Albertans’ overall satisfaction with health care services. While many Albertans are satisfied with the care they receive once they get into the health system, a larger number say the current system could be easier to access and wait times could be shorter. Better access is strongly associated with greater satisfaction with healthcare services. Physicians are the gatekeepers to a wide range of healthcare services including those of other specialist physicians. Therefore, access to physicians is an important measure of overall ease of access to services in the health care system. Providing reasonable and timely access to physician services is a major objective and a defining attribute of the publicly funded health system in Alberta. Some slight variation may occur between the Alberta Health (AH) result reviewed and approved by HQCA in April of a given year, and the result to be presented by HQCA in its final report on the Satisfaction and Experience with Health Care Services Survey. The AH result is based on a smaller sample quota, whereas the HQCA report is based on an increased sample quota and an extended data collection period. Additionally, where results are rounded, values may differ due to rounding rules. As of March 31, 2012, the year-over-year increase in the number of physicians was 4.5% (College of Physicians and Surgeons of Alberta. Quarterly Update: Physician Resources In Alberta, January 01, 2012 to March 31, 2012). Moreover, there were physician increases in every zone, although there was minimal change in the North zone. Benchmark Comparisons The Ministry is continuing to collaborate with Alberta Health Services to implement programs to address access issues. Not available Cited References 2012-15 Government of Alberta Strategic Plan. HQCA Satisfaction and Experience with Health Care Services: A Survey of Albertans 2012 – Alberta Health and Wellness Report (2012). © Government of Alberta Friday, March 07, 2014 Page 1 of 2 Performance Measure Definition Alberta Health Technical Specifications Metric Percent Preferred Display Format 99% Numerator Respondents to the HQCA Satisfaction and Experience with Health Care Services: A Survey of Albertans who responded “very easy” or “or easy” to the question: “How easy or difficult was it for you to obtain this service from your physician? Would you say it was very easy, easy, a bit difficult or very difficult?” Inclusion Criteria for Survey participants who have accessed physician services within the past year. Numerator Exclusion Criteria for Excluded are missing values, no responses and "don't know" responses. Numerator Data Source(s) for Health Quality Council of Alberta surveys: Numerator 1) Satisfaction and Experience with Health Care Services: A Survey of Albertans; 2) Provincial Survey about Health and the Health System in Alberta Refresh Rate for Each survey is conducted biennially but the data is refreshed annually (see Notes for more Numerator details) Data Steward for Health Quality Council of Alberta (HQCA) Numerator Denominator The denominator is the total number of survey participants who responded to the question: “How easy or difficult was it for you to obtain this service from your physician? Would you say it was very easy, easy, a bit difficult or very difficult?” Inclusion Criteria for Included are all valid responses marked on a 4 point scale: Very easy; Easy; A bit difficult; or Denominator Very difficult. Exclusion Criteria for Excluded are missing values, no responses, and “don’t know” responses Denominator Data Source(s) for Health Quality Council surveys: Denominator 1) Satisfaction and Experience with Health Care Services: A Survey of Albertans; 2) Provincial Survey about Health and the Health System in Alberta Refresh Rate for Each survey is conducted biennially but the data is refreshed annually (see Notes for more Denominator details) Data Steward for Health Quality Council of Alberta (HQCA) Denominator Technical Notes Calculation Relationship to Other Indicators Level of Reporting (Numerator / Denominator) X 100. Weighted data are used to calculate the result. The measure Ease of Access to Services: Emergency Department Services – is collected in the same survey process and is based on experience of the same Albertans National No Provincial Yes Zone No Site No Quarterly No Monthly No Other No Reporting Notes Frequency of Reporting Annually Yes Other Reporting Frequency See Notes Section for further details Limitations Same limitations as associated with a cross-sectional survey. The results represent a snapshot, and if a different time-frame had been chosen, the results may differ. The measure applies only to adults 18 years and over who used healthcare services in Alberta in the past year, who have a landline phone, and can converse in English. © Government of Alberta Friday, March 07, 2014 Page 2 of 2