Community healthcare in Israel: quality indicators 2007-2009

Data for 28 quality indicators were collected from all four health plans in Israel for the years 2007-2009. The QICH indicator set examined six areas of healthcare: asthma, cancer screening, cardiovascular health, child health, diabetes and immunizations for older adults.Dramatic increases in the documentation of anthropometric measures were observed over the measurement period. Documentation of BMI for adolescents and adults increased by 30 percentage points, reaching rates of 61% and 70%, respectively, in 2009. Modest increases (3%-7%) over time were observed for other primary prevention quality measures including immunizations for older adults, cancer screening, anemia screening for young children, and documentation of cardiovascular risks. Overall, rates of recommended care for chronic diseases (asthma, cardiovascular disease and diabetes) increased over time. Changes in rates of quality care for diabetes were varied over the measurement period.The overall quality of community healthcare in Israel has improved over the past three years. Future research should focus on the adherence to quality indicators in population subgroups and compare the QICH data with those in other countries. In addition, one of the next steps in assessing and further improving healthcare quality in Israel is to relate these process and performance indicators to health outcomes.Performance indicators are often used to examine and quantify the various components of healthcare, such as effectiveness of care, safety, timeliness, patient-centeredness, access and efficiency [1]. Comparing indicator results between healthcare systems allows administrators and policy makers to learn "...from the many experiences of others, drawing lessons on how to finance, manage, and organize health care so as to improve health system performance" [2]. The OECD describes its Health Care Quality Indicator Project as an initiative to be used "...to understand why differences exist and what can be done to reduce