System Level Measures

What is the System Level Measure Framework?

System Level Measures (SLMs) are high level aspirational goals for the health system that align with the five strategic themes of the New Zealand Health Strategy and other national strategic priorities such as Better Public Services targets.  

  • They have a focus on children, youth and priority populations.  SLMs are a Ministry of Health directive and provide an opportunity for DHBs to work with their primary, secondary and community care providers to improve health outcomes of their local population.   
  • They promote better understanding and use of health information, engagement with people in the design and delivery of health services and better health investment in models of care based on local population needs.

The framework relies on the concept of SLMs:

  • They are set nationally
  • They are to reflect integration of health services
  • They are to highlight equity gaps
  • They connect to contributory measures

Contributory measures:

  • Contribute to achievement of SLMs
  • Are front line service level measurements of health processes or activity – tangible and clinically meaningful
  • Align with local quality improvement


System Level Measures Overview



2017/18 Contributory Measures for General Practices


•    The target
In Q1 at least 70% of enrolled Maori Men aged 35-44 years old have had a Cardiovascular Risk Assessment (CVRA) in the last 5 years, increasing to at least 80% in   Q2 and in at least 90% in Q3.
Why this target? 
Research shows Maori have higher cardiovascular disease mortality and are more likely to be hospitalised for cardiovascular disease than non-Maori. It is important to reach this group of men now to inform them of their relative risk and provide opportunity for them to modify their future health outcomes.


•    The target
100% of immunisations completed in the quarter have a standardised child health screening tool completed at the same time (6 weeks, 3 months, 5 months, 15 months and 4 years), which includes age appropriate questions. 
Why this target?
The Ministry of Health has introduced a new System Level Measure for 2017/18 around ensuring a healthy start in life, which looks at whether babies are in smoke-free households. Immunisation visits are the optimal time to determine and document this.


•    The target 
In Q1 at least 50% of enrolled people with COPD/ asthma/ childhood asthma are classified correctly with their current condition at their enrolled practice using district standardised classifications, increasing to at least 75% in Q2. In Q3 at least 10% of enrolled people who are classified with COPD/ asthma/ childhood asthma have an action plan at their enrolled practice.
Why this target?
Over 50% of MidCentral’s ASH events for children under 5 years old are for respiratory infections and asthma/wheeze. Over 20% of MidCentral’s ASH events for adults are for respiratory infections, bronchiectasis, asthma or COPD. This activity works towards improved management of demand for acute care of respiratory conditions. (ASH = Ambulatory Sensitive Hospitalisations, a measure that determines that the hospitalisation could have been prevented by care in the community) 


•    The target 
In Q1 at least 2% of total enrolled population newly register for patient e-portal, increasing to at least 5% between Q1 and Q2, and in at least 10% between Q1 and Q3.
Why this target?
Patient e-portals give people convenient and secure electronic access to their health information, increasing their ability to manage their own health care.


•    The target 
Each quarter 90% of current smokers are given smoking brief advice and/or referred to cessation support within the last 15 months
Why this target?
Primary health care professionals play an important role in prompting quit attempts and encouraging people to use support that will increase a person’s chances of successfully quitting.

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