Performance Measure Definition Alberta Health Patient Commendations Percentage Name and Definition Full Name Percentage of Patient Commendations Short Name Patient Commendations Percentage Definition Number of commendations received as a percentage of total Commendations and Concerns recorded in the Feedback and Concerns Tracking (FACT) Database. Health Services Delivery Domain Dimension Acceptability Efficiency Appropriateness Yes No No Effectiveness Accessibility Safety No No No Category of Measure Tactical Type of Measure Outcome Measure Other Comments / Notes Context Business Context Rationale Notes for Interpretation Organizational Strategy Benchmark Comparisons Cited References Performance measure for responsiveness to consumers and communities identified in the AHS Strategic Plan. Patients who are satisfied with the care they receive are encouraged to provide feedback on their experience to the Patient Relations Department. Patient experience is considered an indicator of quality. AHS Target: to be determined using baseline information. Only those commendations received by the Patient Relations Department are included as part of the measure. A provincial process and database (FACT) for consistent tracking and addressing patient concerns & commendations is fully implemented. Benchmark is 8.53 % AHS Strategic Direction 2009-2012, June 30, 2009 (link available in Planning Documents section of this form) Technical Specifications Metric Percentage Preferred Display Format 99.9% Numerator Number of patient commendations recorded in FACT. Inclusion Criteria for All commendations submitted into the FACT database by patient relations staff. Numerator Exclusion Criteria for Any commendations made locally to staff, as well as commendations submitted into any other Numerator databases. Any rejected feedback (based on inappropriate, duplicate or incomplete information). Data Source(s) for The Patient Relations Department will collect structured data about patient commendations Numerator from across the province of Alberta in a consistent manner within FACT. Refresh Rate for Daily Numerator Data Steward for AHS Numerator Denominator © Government of Alberta Wednesday, February 19, 2014 Total number of concerns and commendations recorded in FACT. Page 1 of 2 Performance Measure Definition Alberta Health Inclusion Criteria for Patient Relations Department staff only, submits feedback into FACT. Denominator Exclusion Criteria for All feedback provided directly to operations areas. All feedback not submitted into FACT. Any Denominator rejected feedback (based on inappropriate, duplicate or incomplete information) to the Patient Relations Department. All advisements, consultations and queries entered into FACT are not included. Data Source(s) for All completed concerns and commendations records. Denominator Refresh Rate for Daily Denominator Data Steward for AHS Denominator Technical Notes Not currently available Calculation Relationship to Other Indicators (Number of commendations logged within FACT/ Total number of commendations and concerns logged in FACT) * 100 Number of Patient Concerns Escalated to Patient Concerns Officer. Level of Reporting National No Provincial Yes Zone Yes Site No Annually No Quarterly Yes Monthly No Other No Reporting Notes Frequency of Reporting Other Reporting Frequency Limitations The Patient Relations Department tracks commendations as part of feedback received. The tendency of patients and their representatives to commend staff directly represents a limitation of this indicator, as FACT does not capture locally submitted feedback. Planning Documents Reference Documents Name Business Planning Document URL AHS Strategic Direction 2009-2012, June 30, 2009 http://www.albertahealthservices.ca/org/ahs-org-strategic-direction.pdf © Government of Alberta Wednesday, February 19, 2014 Page 2 of 2