Key performance indicators | Definition | Duration of measurement |
---|---|---|
1. Total number of patients identified | Cumulative number of patients correctly identified by the village doctor | Whole duration of intervention |
2. Proportion receiving regular management | Proportion of high-risk patients being regularly managed (with ≥ 5 monthly follow-up records in the past 6 months) by the village doctor in the indicated period | Every 6 months |
3. Proportion of patients with blood pressure under control | Proportion of patients with systolic blood pressure under control (with ≥ 5 monthly SBP <140 mm Hg) among those with hypertension | Every 6 months |
4. Proportion of patients on life style modification advices | The proportion of patients with case management record indicating the prescription of ≥ 5 months both “salt reduction” and “no smoking” | Every 6 months |
5. Proportion of patients on diuretics | Proportion of hypertensive patients with case management records indicating the prescriptions of diuretics ≥ 5 months | Every 6 months |
6. Proportion of patients on aspirin | Proportion of high-risk patients with case management records indicating the prescriptions of aspirin ≥ 5 months | Every 6 months |