Release of Performance Data in New Zealand


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The Find a Surgeon directory is a listing of active Fellows of the Royal Australasian College of Surgeons who meet the requirements of the College's Continuing Professional Development (CPD) Program and have opted to be on the list. This list excludes retired or inactive Fellows.


30 June 2015

The College supports the release of appropriate public reports that are valid, reliable and that establish trust so that providers and their patients can be confident that reports accurately reflect health care.

The College does not support the release of reports on individual surgeon performance but does support the release of reports on institutional performance.

The College does not support the concept of league tables but does accept that outliers be reliably identified and managed.

The following are recommended basic tenets for public reporting:

  1. The methodology for collection of data should be publicly available and include a detailed description of any data that are used to estimate performance, the use of statistical risk adjustment techniques, the selection of performance measures and how surgical performance was categorized. It must be possible to audit the report results.
  2. Reports should be independently deemed reliable and valid.
  3.  Reports must be transparent about the observation period including the differentiation between long-term follow-up and short-term outcomes.
  4. There should be a statute of limitations within a public report. Outdated reports must be removed from circulation.
  5. Reports should use proper risk adjustment, as determined by the appropriate specialty society, to ensure ongoing accuracy for patients who are at higher risk of complications and poor outcomes.
  6.  Specialty societies should have the opportunity to provide input regarding institutional or team measures chosen for public reporting.
  7. There should be a standardized reporting format.
  8. There should be the opportunity for institutional or team review and feedback before reports are released.
  9.  Pilot tests to determine usefulness and effectiveness of reports should be conducted.
  10.  Reports should be evaluated to ensure that the report fulfills its stated purpose and to identify any unintended consequences.
  11.  Public reporting should not be used to establish the standard of care or the duty of care of a healthcare provider.