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

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

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

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

4

Minimal random error

Appropriate statistical processing

5

Accessibility and Awareness of all levels of staff

Not all levels of medical staff can access the data, misunderstanding of data

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.

7

Supplementary quality improvement support by reporting systems

Training and other quality improvement support can attract the involvement of hospitals