Queensland Health Performance and Accountability Framework 2020-2021 Queensland Health Performance and Accountability Framework 2020-2021 Published by the State of Queensland (Queensland Health), July 2020 This document is licensed under a Creative Commons Attribution 3.0 Australia licence. To view a copy of this licence, visit creativecommons.org/licenses/by/3.0/au © State of Queensland (Queensland Health) 2020 You are free to copy, communicate and adapt the work, as long as you attribute the State of Queensland (Queensland Health). For more information contact: Contracting and Performance Management Branch, Department of Health, GPO Box 48, Brisbane QLD 4001, email [email protected], phone (07) 3708 5870 An electronic version of this document is available at https://www.health.qld.gov.au/system- governance/health-system/managing/agreements-deeds/default.asp Disclaimer: The content presented in this publication is distributed by the Queensland Government as an information source only. The State of Queensland makes no statements, representations or warranties about the accuracy, completeness or reliability of any information contained in this publication. The State of Queensland disclaims all responsibility and all liability (including without limitation for liability in negligence) for all expenses, losses, damages and costs you might incur as a result of the information being inaccurate or incomplete in any way, and for any reason reliance was placed on such information. Performance Framework and Accountability Framework 2020-2021 2 Contents Introduction ................................................................................................................... 5 Overview of the Performance and Accountability Framework ....................................... 6 Strategic Context .......................................................................................................... 7 Strategic directions and future challenges ........................................................... 8 Purpose and Scope .................................................................................................... 10 Principles of the Performance and Accountability Framework ..................................... 12 The Performance and Accountability Framework ........................................................ 13 The Performance Management Cycle ................................................................ 13 Performance Requirements ............................................................................... 14 Performance Domains and Measures of Performance ....................................... 16 Measures of Performance .................................................................................. 18 Performance Reporting ...................................................................................... 22 Operation of the Performance and Accountability Framework ..................................... 24 Overview ........................................................................................................... 24 The Performance Review Process ..................................................................... 25 Performance Assessment Criteria ..................................................................... 25 Determining Performance Levels ....................................................................... 27 Performance Response ..................................................................................... 28 Movement between Performance Levels ........................................................... 31 Superior Performance ........................................................................................ 31 Governance Arrangements ......................................................................................... 32 Roles and Responsibilities ................................................................................. 32 Co-ordination and Communication ..................................................................... 34 Monitoring and Reporting ................................................................................... 35 Conduct of Performance Review Meetings ........................................................ 36 Appendix 1: Strategic Directions and Priorities ........................................................... 37 Queensland Health 2020/21 System Priorities ................................................... 37 My Health, Queensland’s Future: Advancing Health 2026 ................................. 38 The Queensland Government’s Priorities - Our Future State: Advancing Queensland’s Priorities ...................................................................................... 38 Deputy Premier and Minister for Health and Ambulance Services’ Priorities ...... 39 Appendix 2: Conduct of Performance Review Meetings.............................................. 40 Purpose ............................................................................................................. 40 Objectives and Conduct ..................................................................................... 40 Attendees .......................................................................................................... 41 Abbreviations .............................................................................................................. 42 References ................................................................................................................. 43 Performance Framework and Accountability Framework 2020-2021 3 Figures Figure 1 The HHS Operating Framework and Related Components ................................................. 8 Figure 2 The Performance Management Cycle ............................................................................... 13 Figure 3 Performance Domains ...................................................................................................... 17 Figure 4 KPI Performance Thresholds ............................................................................................ 19 Figure 5 Performance Measures Structure ..................................................................................... 21 Figure 6 Performance Reporting ..................................................................................................... 23 Figure 7 Governance Arrangements to Support Performance Management ................................... 32 Tables Table 1 Performance Management Principles ................................................................................ 12 Table 2 Performance Domains ....................................................................................................... 17 Table 3 Performance Assessment Components ............................................................................. 26 Table 4 Performance Responses .................................................................................................... 30 Table 5 Queensland Health 2020/21 System Priorities ................................................................... 37 Table 6 Strategic Directions for the Health System in Queensland ................................................. 38 Performance Framework and Accountability Framework 2020-2021 4 Introduction The Queensland Health Performance and Accountability Framework 2020-2021 (the Performance and Accountability Framework) sets out the framework in which the Department of Health (the Department) monitors and assesses the performance of public sector health services in Queensland. The Performance and Accountability Framework has been developed in accordance with the governance arrangements set out within the National Health Reform Agreement, the Hospital and Health Boards Act 2011 and the Mater Public Health Services Act 2008. Through the Hospital and Health Boards Act 2011, Queensland’s public health system is established as a federated health system. Under this governance model Hospital and Health Services (HHSs) have direct responsibility for the provision of public health services and are accountable for their own performance through a Board to the Deputy Premier and Minister for Health and Ambulance Services (the Minister), while the Department takes the role of manager of the State’s health system with statutory responsibility for a range of functions including system wide strategic planning, commissioning of healthcare services from a range of providers (including HHSs, private providers and NGOs), regulatory and other responsibilities. As this governance model matures, the focus for the health system will be on strengthening the relationships between its constituent parts, to create a networked governance model in which each part of the system recognises its obligations to the system as a whole and to one another.1 This developing maturity will encourage and enable those in leadership positions to accept increased responsibility and accountability for their respective roles within the health system which in turn will facilitate performance improvement both at a local and system level. The immediate impact of the COVID-19 global pandemic and the resulting longer-term implications and opportunities that the pandemic presents will require an agile and flexible response from the health system. In both the immediate and foreseeable future, it will be necessary to ensure that the health system is able to respond quickly and appropriately to COVID-19 whilst ensuring that other aspects of service delivery continue