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Indicators implemented in DHIS2 Demo Instance
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12
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Total number/value of claims reimbursed during time period
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Disaggregation by facility type needed
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13
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Ratio number/value of claims reimbursed by other districts by total number/value of reimbursed claims during time period
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From total number/value of reimbursed claims subtract total number/value of claims reimbursed by own district (during time period)
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Total number/value of claims reimbursed during time period
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14
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Proportion pending/reimbursed claims of total claims during time period
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Total Number of pending or reimbursed claims during time period
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Total Number of submitted claims during time period
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by facility type needed
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Number/value of claims reimbursed by other districts during time period
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Disaggregation by facility type needed
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17
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18
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19
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Total numbers of types of claims
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to cover the premium for extreme poor and poor
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20
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Rates of types of claims by value/number
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or longer List? Top 50? Top 100?
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Claims need to have indicator for Diagnoses-Group
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24
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Can this be linked to Utilization level?
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Total # of visits or services in defined time period
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Total # of enrolled individuals
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25
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26
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27
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Number/Value of Claims by public and private Facilities + type of facility
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conditional on quota of number of this type of facility of all facilities?
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Disaggregation down to Claim reviewer Level needed
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29
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30
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Total Value/number of (valuated- already paid for?) reviewed claims by gender
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Value/Number of claims concerning female patients and vice versa
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Total Value/Number of claims
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should show conditional on male/female quota of enrollees, otherwise statistic only meaningful if enroled people are exactly 50% female, 50% male - also: costs for gender specific costs like maternal health care to be included or excluded?
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31
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Total Value/number of (valuated- already paid for?)reviewed claims by age group
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32
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34
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value to the beneficiaries and programme viability
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35
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36
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measures impact on target population. To measure this, treatment costs which patients pay for by themselves would have to be entered into OI
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Quality of the programme indicator. To measure this, hospitals would have to send data accordingly/ OI would need to register other cases
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importance for OI?
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40
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Waiting time for procedures
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40.1
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Should we include average waiting perid and proportion of people waiting delays out of total enrolled individuals
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41
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number of population
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OI doesnt know total number of population but can provide number of health personnel and so on
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HIV, DM, measles, DTP,…
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43
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viability - negative indicator shows that programme will not be viable, poisitive indicator means programme is viable. Largely positive indicator means re-evaluation of contributions and benefits.
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Additional Indicators Proposed based on review of all indicator sources
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Provider payment related indicators
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Do we also need to consider payments made to each practitioner/provider/ or Total payments made to practtioner/provider will do?
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Additional indicators
Indicator | Definition | |
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1 | Promptness of payment to providers | Time taken in payment to the providers from the date claim was incurred |
2 | Referral Rate | Total referrals made by providers in a defined time period |
Total visits in the defined time period
3 | Patient satisfaction rate | # of individuals who report that they are satisfied with the services they receive in the defined time period |
Total # of individuals receiving services
4 | Expansion of provider network | Percentage of previously accredited facilities that renew or retain their accreditation |
5 |
Expansion of provider network | Percentage of newly accredited facilities |
6 |
Accessibility of provider network | Health facilities per 10,000 beneficiaries |
7 |
Quality of care | Average number of readmissions within 30 days |
8 |
Quality of care | Number of deaths per 1,000 hospital admissions |