The National Outcomes Program (PNE)
The National Outcomes Program (PNE) is an initiative developed by Agenas to evaluate the effectiveness, appropriateness and safety of health interventions, aimed at improving the quality of care and equity of treatment in the National Health Service, regardless of the geographical area of residence, gender and citizenship of the person.
The PNE uses 195 evidence-based indicators, of which:
- volumes of hospitalizations for each provider in 12 clinical areas (cardiovascular, cerebrovascular, digestive, musculoskeletal infectious diseases, oncology, ENT, paediatrics, perinatal, respiratory, transplants, urogenital)
- clinical outcome in terms of mortality (e.g. mortality after 30 days from admission to hospital for ischemic stroke or acute myocardial infarction) and rehospitalization
- timeliness (e.g. surgery for femoral neck fracture in elderly patients within 48 hours from admission)
- appropriateness the procedure (e.g. cesarean section or tonsil removal)
- number of avoidable hospital admissions (due to limitations of primary care in the area)
- improper access to the emergency room (due to limitations of primary care in the area)
- long-term outcomes (one-year mortality from complications after acute myocardial infarction or stroke)
Map the indicators
Through the tool Trova Strutture you can check the most updated values of 55 indicators referring to over 70 planned non-urgent surgical interventions and hospital admissions.
The outputs include the annual number of hospitalizations per institution, for a subset of PNE indicators, as well as for some of the most frequent interventions.
Moreover, some procedures include:
- the hospital readmission within 30 days due to complication (e.g. exacerbation of chronic obstructive pulmonary disease)
- the second surgery intervention within 6 months (e.g. knee arthroscopy)
- the revision after 1 year (e.g. hip replacement surgery).
