Network Seminar - November 18, 2009
Performance measurement and reporting can drive both health systems improvement and health equity. The Project for an Ontario Women's Health Evidence-Based Report (POWER Study) is developing a tool for use to improve the health and well-being of, and reduce health inequities among, the women and men in Ontario. Using a rigorous modified Delphi process we selected a comprehensive set of evidence-based indicators measuring the burden of illness among Ontarians, access to health care, risk factors for chronic illness and disability, and quality and outcomes of care for the leading causes of morbidity and mortality including cardiovascular disease, cancer, and depression. Stakeholders from community organizations, government, and health care settings were instrumental in defining priority reporting areas. Indicators were measured using multiple data sources including survey data, administrative data, disease registry data, and vital statistics data. Indicators were first stratified by sex and then by income, education, and ethnicity as data source allowed to assess inequities and reported at the provincial level and then at the level of the Local Health Integration Networks. In reporting these indicators we identify opportunities for improvement, present objective evidence to inform priority setting, and provide a baseline from which to measure progress.