The Victorian health services performance monitoring framework (effective 2017) outlines the Government’s approach to overseeing the performance of Victorian health services.

The approach encourages early identification of performance issues before they become performance failures and introduces a more robust and transparent information exchange between the Department of Health and Human Services, health services and other entities to support improvement at the service level and across the health sector.

This year the framework places a much stronger focus on the quality and safety of patient care through improving patient experience and outcomes, reducing avoidable harm, maximising equitable access and reducing waiting times. It also targets the development of effective governance and positive organisational cultures that nurture safe and supportive working environments.

The Department of Health and Human Services will lead the implementation of the new framework in collaboration with health services and other agencies, in particular Safer Care Victoria (SCV) and the Victorian Agency for Health Information (VAHI). The department will call on SCV and VAHI as key partners to manage and improve sector-wide performance.

Changes for 2017-18

The new performance framework addresses the recommendations of Targeting Zero, the review of hospital safety and quality assurance in Victoria  by:

  • shifting the focus and key accountability for performance towards quality and safety and improved clinical outcomes
  • replacing the current performance assessment scoring (PAS) system with a risk-based approach, eliminating the risk of masking significant risks through aggregation across all domains
  • expanding the range of performance measures to include quantitative and qualitative data, including information from third-party reports and cross-agency intelligence
  • introducing new triggers for performance escalation, including closer monitoring of performance trends and health services' capacity to address and sustain improvement
  • expanding the range of intervention and support options, including expert input from Safer Care Victoria.