Table 4 List and description of process indicators
Indicators | Measure | Definition | Data collection time-points |
|---|---|---|---|
Patient recruitment | Â | Â | Â |
Number of patients recruited by GSH sites | Receptivity towards GSH | Number of enrollees recruited into each GSH site after being referred | Monthly |
Number, proportion of referred patients who fall within CFS 4–7 | Accurate identification of frailty | CFS profiles of patients referred as scored by referral sources | Monthly |
Patient-focused care management | Â | Â | Â |
Number, proportion of CGA completed | Personalised care | Number of CGA completed vis-Ã -vis no. of assessments initiated | Monthly |
Number, proportion of ICP developed | Personalised, goal-oriented care | Total no. of ICP developed vis-Ã -vis the no. of CGA completed | Monthly |
Coordination of care | Â | Â | Â |
Number of multi-disciplinary rounds/discussions | Team-based care | Number of multi-disciplinary team discussions conducted | Monthly |
Number, proportion of referrals to services | Efficiency in care continuity | Number of referrals made to different services and the share of each service to the total no. of referrals | Monthly |
Number, proportion of actualised referrals | Care continuity | Number of actualised first referrals at respective services vis-Ã -vis the no. of referrals made to each servicea | Monthly |
Appointment waiting time to first appointment | Efficiency in care continuity | Waiting time for a first appointment to a referred service | Monthly |
Capability building | Â | Â | Â |
Number of community-based staff trained to conduct specific activities (CGA, exercise) | Capability building | Number of community-based healthcare participants in training sessions organised by the GSHb | Quarterly |