Table 1 Selective strategic objectives, KPIs and KPTs, adopted under the National Transformational Plan 2020 [10]
Strategic objective | Relevant objectives of vision 2030 | Key performance indicators (KPIs) | Baseline | 2020 target (KPTs) | Unit | Regional benchmark | International benchmark |
|---|---|---|---|---|---|---|---|
1. Increase private sector share of spending through alternative financing methods and service provision | Improve the quality of healthcare services (preventive or therapeutic) Expand privatisation of governmental services Create an attractive environment for both local and international investors and enhance their confidence in our economy | Percentage of private sector contribution in total healthcare spend | 25 | 35 | % | 37 | 60 |
2. Increase the efficient utilisation of available resources | Improve the quality of healthcare services (preventive or therapeutic) Achieve the highest levels of transparency and good governance in all sectors Achieve budgetary balance | Opex for every new inpatient admission | 33,000 | 33,000 | SAR | 39,000 | NA |
3. Improve the efficiency and effectiveness of the healthcare sector through the use of information technology and digital transformation | Improve the quality of healthcare services (preventive or therapeutic) Achieve the highest levels of transparency and good governance in all sectors Improve performance, productivity and flexibility of public authorities | Percentage of Saudi citizens who have a unified digital medical record | 0 | 70 | % | NA | 100 |
4. Increase training and development both locally and internationally | Improve the quality of healthcare services (preventive or therapeutic) Provide citizens with knowledge and skills to meet the future needs of the labour market | Number of resident Saudi physicians who are enrolled in training programs | 2200 | 4000 | Number | NA | NA |
5. Increase the attractiveness of nursing and medical support staff as a preferred career path | Improve the quality of healthcare services (preventive or therapeutic) Provide citizens with knowledge and skills to meet the future needs of the labour market | Number of qualified Saudis in the field of nursing and support staff for every 100,000 people | 70.2 | 150 | For every 100,000 | 460 | 1106 |
6. Improve healthcare provision before hospitalisation and in the main hospitals (ER and ICU) | Improve the quality of healthcare services (preventive or therapeutic) | Percentage of patients who received emergency or urgent care with medical decision made (admission/transfer/discharge) in less than 4 h in key hospitals | 40 | 75 | % | Under Study | 95 |
7. Improve integration and continuity in service provision by developing the primary care | Improve the quality of healthcare services (preventive or therapeutic) | Number of primary healthcare visits per capita | 2 | 4 | Number | 3.4 | 7 |
8. Improve the infrastructure, facility management and safety standards in healthcare facilities | Enhance the liveability of Saudi cities Improve the quality of healthcare services (preventive or therapeutic) | Number of licenced medical facilities (affiliated with the Ministry of Health and private) | 40 | 100 | % | 100 | 100 |
9. Attain acceptable waiting times across all stages of service delivery | Improve the quality of healthcare services (preventive or therapeutic) | Percentage of appointments received in specialised medical disciplines within 4 weeks (average for all specialties in key hospitals) | < 40 | 70 | % | Under study | 83 |
10. Improve governance in the health system in order to enhance accountability with regard to quality issues and patient safety | Improve the quality of healthcare services (preventive or therapeutic) | Percentage of healthcare facilities reporting comprehensive performance and quality measures | 10 | 100 | % | NA | 100 |
11. Adopt a national plan for emergency response to public health threats per international standards | Improve the quality of healthcare services (preventive or therapeutic) | WHO emergency preparedness assessment score—average score for Riyadh, Jeddah and Eastern Province | Calculation in progress | 4–5 | Score | Under study | Under study |
12. Identify additional sources of revenues | Expand privatisation of governmental services Achieve budgetary balance | Total revenue generated from private sector for utilising government health resources | 0.3 | 4 | SAR billion | NA | NA |
13. Improve public health services with focus on obesity and smoking | Improve the quality of healthcare services (preventive or therapeutic) | Increase in percentage of smoking incidence | Calculation in progress | Reduce by 2% from baseline | % | 12.5 | 10.5 |
Increase in percentage of obesity incidence | Calculation in progress | Reduce by 1% from baseline | % | 19.4 | 5 | ||
14. Improve the quality of life and healthcare service provided to patients outside hospitals | Improve the quality of healthcare services (preventive or therapeutic) | The percentage of patients who get health care after critical care and long-term hospitalisation within 4 weeks | 25 | 50 | % | NA | 65 |
15. Improve quality and safety principles as well as skills of service providers | Improve the quality of healthcare services (preventive or therapeutic) | Percentage of hospitals that meet the US median for patient safety culture | 10 | 50 | % | NA | 50 |