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Well Child / Tamariki Ora Quality Improvement Framework

Released on 13 November 2017


The Ministry of Health, in partnership with sector experts, developed the Well Child / Tamariki Ora (WCTO) Quality Improvement Framework, drawing on New Zealand and international research.

The Framework has three aims: focusing on family/whānau experience; population health and best value for the health system; and setting quality indicators to audit health system performance.

The Framework and quality indicators provide a mechanism to drive improvement in the delivery of WCTO services. Ultimately, they aim to support the WCTO programme to ensure all children and their families/whānau are supported to achieve their health and wellbeing potential.

2016 Review

Under the Framework, the quality indicators are reviewed every three years. The 2016 review included consultation with the sector. The Raising Healthy Kids Health Target, the sector System Level Measures and the New Zealand Health Strategy were all considered as part of the review.

The changes to the indicator set are:

The reduction in the number of indicators from 27 to 18: indicators were either retired because they had been consistently achieved; or removed to streamline the data set and encourage focus

The inclusion of indicators on screening for family violence and Sudden Unexpected Death in Infancy (SUDI) awareness.

All other indicators are the same or have been amended slightly to improve data quality or to better align to focus areas for example, on improving equity.

Publication of the quality indicators

The 27 WCTO quality indicator set has been published every six months between September 2013 and March 2016, for the reporting periods ending respectively 30 June and 31 December.

The September 2017 quality indicator report is the first publication of the 18 quality indicator set.

Users of the WCTO quality indicator reports will note significant improvements in the way the information is presented incorporating a definition table; a data table with numerators and denominators; and, interactive graphs with results by both DHB and indicator, by Māori and non-Māori and Pacific and non-Pacific populations, and by regions. 

The Ministry of Health is publishing the September 2017 quality indicator report ahead of the six-monthly, historical reports for the new 18 indicator set to support WCTO health system partners to maintain their focus on quality improvement and system integration. The historical six-monthly reports for the new 18 quality indicator will be published retrospectively (March 2015 through to March 2017) before the end of the calendar year.