The Danish National Indicator Project - NIP

CONTENTS
3
PREFACE ............................................................................................................................................ 4
1. INTRODUCTION.............................................................................................................................. 4
1.1 Objective .................................................................................................................................. 5
1.2 Overall goals ............................................................................................................................. 5
1.3 Focus ....................................................................................................................................... 5
1.4 Indicator types and indicator requirements .................................................................................. 6
1.5 Indicator monitoring .................................................................................................................. 6
1.5.1 Data collection, data analysis and feedback........................................................................... 6
1.5.2 Clinical audit and quality improvement.................................................................................. 6
1.5.3 Public disclosure ................................................................................................................. 7
1.6 The DNIP organisation ............................................................................................................... 7
1.7 The DNIP secretariat.................................................................................................................. 8
2. ELECTION AND PRIORITISING OF DISEASES/CONDITIONS................................................................ 9
3. THE MEMBERS OF THE INDICATOR GROUP .................................................................................... 10
3.1 Chairpersons ........................................................................................................................... 10
3.2 The duties of the members of the indicator group ...................................................................... 10
4. DEVELOPMENT OF INDICATORS, STANDARDS AND PROGNOSTIC FACTORS...................................... 11
4.1 Phases and activities of the development process....................................................................... 11
4.1.0 Introductory chairpersons´ meeting (Phase 0)..................................................................... 12
4.1.1 Preparatory chairpersons´ meeting (Phase 1)...................................................................... 12
4.1.2 First meeting of the indicator group (Phase 2) ..................................................................... 13
4.1.3 The documentalist’s review and evidence grading of indicators (Phase 3) .............................. 14
4.1.4 Second meeting of the indicator group (Phase 4)................................................................. 15
4.1.5 Finalising the data definitions, calculation rules etc. (Phase 5)............................................... 16
4.1.6 The test phase (Phase 6)................................................................................................... 16
4.1.7 Hearing on indicator sets with external stakeholders (Phase 7) ............................................. 18
4.1.8 Third meeting of the indicator group (Phase 8).................................................................... 18
4.1.9 National implementation (Phase 9) ..................................................................................... 19
4.2 Documents related to the indicator set ...................................................................................... 20
4.3 Revision and updating of the indicator sets ................................................................................ 21
5. REFERENCES ................................................................................................................................ 22
APPENDIX 1. Time schedule for development of indicators in DNIP ....................................................... 23
APPENDIX 2. Levels of evidence and grades of .................................................................................... 24
APPENDIX 3. Example of Flow diagram of a standardised Patient course................................................ 26
APPENDIX 4. Rating instrument.......................................................................................................... 27
APPENDIX 5. Example of Indicator form.............................................................................................. 28
APPENDIX 6. Example of an indicator algorithm................................................................................... 29
APPENDIX 7. List of terms ................................................................................................................. 30
Manual for the development of disease-specific quality indicators, standards and prognostic factors under
The Danish National Indicator Project · Version 3.0 · June 2009 · www.nip.dk