Performance Management

Risks & contraindications

Other

Highlighted claims

• Implementation leads criticized performance management that focused mainly on bed numbers and occupancy. — Factors affecting implementation of hospital inpatient-level care at home: a qualitative study of virtual wards in North West England
• Occupancy targets without acuity weighting could pressure sites to admit lower-acuity patients who may not need hospital admission. — Factors affecting implementation of hospital inpatient-level care at home: a qualitative study of virtual wards in North West England
• Inconsistent recording and reporting made cross-site comparisons unreliable and potentially unfair. — Factors affecting implementation of hospital inpatient-level care at home: a qualitative study of virtual wards in North West England
• Pressure to increase bed numbers could overstretch staff and threaten safe patient care. — Factors affecting implementation of hospital inpatient-level care at home: a qualitative study of virtual wards in North West England
• Leads wanted performance frameworks to include outcomes, experience, acuity, equity, cost-effectiveness, and broader system impacts. — Factors affecting implementation of hospital inpatient-level care at home: a qualitative study of virtual wards in North West England
• Some sites included or considered including existing community patients in virtual ward counts to meet targets. — Factors affecting implementation of hospital inpatient-level care at home: a qualitative study of virtual wards in North West England