Performance indicators of the Esperanza Program: description, standards and actual values at 15 October 2009
| Name | Objective | Calculation | Standard | Value at cut-off | |
|---|---|---|---|---|---|
| 1 | Accessibility | To attend the patients referred by the GPs at the clinic in <30 days waiting time | Numerator: Number of requested referrals that are attended at the unit in ≤30 days Denominator: Total number of referrals from the GPs | >90% | 91% |
| 2 | Duration of first visit | To provide appropriate care for patients with early SpA | Numerator: Time reserved for consultation per patient in the first visit (maximum 60 min) × 100 Denominator: 60 min | >50% | 53% |
| 3 | Referral reliability | To ensure that patients are referred correctly using the pre-established methods and referral criteria properly | Numerator: Number of referrals meeting the referral criteria at first consultation (confirmed by the rheumatologist) Denominator: Total number of first visits referred by the GPs to the programme | >50% | 92% |
| 4 | Success of referral criteria | To evaluate the utility of the referral criteria used | Numerator: Number of patients referred by the GPs correctly and meeting Amor criteria for SpA Denominator: Total number of patients referred correctly by the GPs | >50% | 28% |
| 5 | Clinical reports issued | To provide reports as clear guidance for the patient in as many visits as possible | Numerator: Number of automatic reports issued by the units Denominator: Total number of patient visits | >90% | 25% |
| 6 | Feedback guarantee | To use the clinical reports as feedback for GPs | Numerator: Number of automatic reports browsed or downloaded by GPs Denominator: Total number of reports generated at the unit | >85% | 2% |
| 7 | Missing data | To set a minimum of examinations and assessments per visit to ensure a proper evaluation of patients | Numerator: Number of relevant fields in the EMR that are not filled Denominator: Total relevant fields in the EMR per visit | <10% | 24% |
| 8 | Frequency of review | To guarantee a timely follow-up | Numerator: Number of patients who attended as recommended* Denominator: Total patients seen at the clinic | >90% | 84% |
↵* Active patients (BASDAI >4, arthritis/enthesitis) controlled every 3 months (at least every 6 months), inactive patients every 6 months (after two inactive visits it is possible to increase to every 12 months).
EMR, electronic medical record; GPs, general practitioners; SpA, spondyloarthritis.