Performance Measures Information System

The Performance Measures Information System (PMIS) provides information on Alberta’s health system performance measures. PMIS is used to classify Alberta’s health system performance measures into domains and dimensions, identifies measurement gaps, and promotes a common understanding and use of measures across our health system.

PMIS helps to ensure consistency of definitions and eliminates problems associated with the recording and storing of performance measure information in multiple formats and locations.

Health System Outcomes and Measurement Framework

The Health System Outcomes and Measurement Framework PDF icon (the Framework) was identified as a ministry priority and the purpose of the Framework is to provide a clear vision of health system success by identifying the outcomes Alberta’s health system is expected to achieve, as well as the logic model to achieve those outcomes and some of the measures that might be used to monitor performance.

4 pillars of performance measures

The key 4 pillars – health status, patient experience, care outcomes and value for money – are the guiding priorities for the development of measures. The Framework identifies measures for both the population outcome and the system outcomes, which are grouped under 3 domains: health status, health system performance, and health care outcomes.

PMIS uses Alberta’s Health System Measurement Classification Approach to put measures into the 4 performance domains: population health, health services delivery, governance and community engagement, and health system sustainability.

Performance measure categories and description

Under each of these performance domains, measures are categorized along dimensions of performance. The performance measures are also grouped under 5 categories: health system outcomes, strategic, emerging strategic, tactical, and transactional.

Category   Function   Comments
Health System Outcomes Combined, these constitute a balanced suite of measures used to assess health system performance from an outcomes perspective. • Measures overall health system performance outcomes.
• Enables system-level monitoring of health system performance.
• May encompass and depend on multiple measures working in concert to affect health system outcomes.
• Used to report publicly on health system performance.
Strategic Measures performance of key priority areas requiring improvement so as to close the gap between current and targeted performance. • Reflects government’s health care vision, agenda, priorities.
• Actionable, with targets, and clear lines of accountability to affect change within AHS, Alberta Health or partnering agencies.
• Used to publicly report health system performance.
Emerging Strategic Measures performance in a priority area of rising importance, but requires further development, understanding and use before being approved as a strategic measure. • Reflects emerging or existing strategic health system priorities.
• Actionable, with clear accountability; targets preferred, but discretionary during measure development.
• May not be publicly reported while under development.
Tactical Informs on the performance of an operational area; or reflects the performance of key drivers of a strategic measure. • Contributes to balanced performance monitoring and reporting within a performance domain at a tactical or operational level.
• Provides a link between strategic and transactional measures.
• Generally used for internal performance monitoring and reporting, but may be selected for public reporting.
Transactional Measures program, practice, or organizational service delivery performance priorities at the site, clinical, or administrative level. • Useful in setting performance expectations and monitoring performance at a local program, work unit or individual level.
• Provides a site, clinical, or administrative link to related strategic and tactical measures.
• More detailed extension of strategic and tactical measures.

Effective December 2011