Summary of clinical performance evaluation system

Clinical performance area for evaluation	Example: Rehabilitation following unilateral below knee and above knee amputation
Goals Describe what the department/organisation aims to achieve; should be SMART (Specific, Measurable, Attainable, Realistic, Time bound)	Example Examine compliance with guidelines; improve services and decrease the length of stay
Performance Measures A performance measure or indicator is used to assess a particular health care structure, process or an outcome. It is based on standards of care, which can be evidence-based or, in the absence of scientific evidence, determined by an expert panel of health practitioners based on their experience.	Structure Evaluate the means and resources used by the health system to deliver services Examples  Existence of a locally agreed, amputee-specific outcome measure for gait  Existence of a protocol for checking the residual limb before, during and after treatment	Process Examine the interaction between health practitioners and patients; assess what the health practitioner did for the patient and how well it was done Examples  Percentage of patients whose gait was evaluated using a validated outcome measure  Percentage of patients provided with falls education	Outcome Examine the change in patients’ health status which can be attributed to the effectiveness of the treatment. Examples  Average length of stay (for below knee amputees and for above knee amputees)  Average  % change in FIM (Functional Independence Measure) score