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Table 2 SIPOKS analysis of quality reporting systems issues for system flow weakness

From: An effectiveness analysis of healthcare systems using a systems theoretic approach

NO. Public Reporting Issues Key Stakeholder (KS) Concerns O P I S
1 Accurate and complete source data Accuracy of pre-populated administrative data, Abstraction inconsistent with abstraction guidelines, Week abstraction guidelines and/or data element definitions, Technical issues    x x
2 Inconsistencies among various data sources for varied reporting systems Problems with the universality of coverage and data standardization,
Inadequacy of existing IT systems, manpower consumed
   x x
3 Validity and meaningfulness of output data, provision of performance benchmarks Hospitals and physicians distrust and attempt to discredit the data. Benchmarking and interpretability needs to be enhanced x x   
4 Minimal random error Appropriate statistical processing   x   
5 Accessibility and Awareness of all levels of staff Not all levels of medical staff can access the data, misunderstanding of data x    
6 Timeliness More of historic interest than a means of identifying present-day care, the change had already occurred by the time the data were issued. x x x x
7 Supplementary quality improvement support by reporting systems Training and other quality improvement support can attract the involvement of hospitals x    
  1. NOTE: SIPOKS is reversed from left to right. O: output, P: process, I: input, S: supplier
  2. X means the segment of system flow is related to the issue