A Framework for Performance Management of Clinical Practice

In this paper, we present a framework for performance management of clinical practice. The framework defines a performance management participation model, which identifies the processes that need to be managed at the micro, meso, and macro levels for a clinical practice, and which identifies the key actors and tasks relevant to performance management. It defines a performance measurement model, which maps goals and indicators to the performance management participation model. In addition, it includes a methodology for implementation and evaluation of tools that can be integrated into care processes to support the data collection and report notification tasks identified in the performance management participation model. We revisit the case study of implementing a resident practice profile app, in light of the proposed framework, to support performance management of a family health practice. We demonstrate how the framework is useful for explaining why the use of the app was abandoned after two years of its introduction and, therefore, how the framework is an improvement to our previous methodology for development of performance management apps for clinical practice.