Exploring the attributes and KPI's adopted by international healthcare providers to measure the performance of their estates at the strategic level

The requirements to improve the healthcare estate driven by changes in government priorities, the evolving healthcare agenda, and ever tightening budgets are asking estate managers to question what a good health estate looks like. It is crucial to develop a framework that supports providers to define the optimum performance of their estates needed to achieve best value, and ensure it reflects best practice. In this research the estate performance measurement and monitoring approaches for nine international healthcare organisations are reviewed, to identify the attributes and key performance indicators (KPIs) that are currently in use and to assess whether they can form the baseline for the approach to developing the framework. The findings show that each organisation employs a list of KPIs that are aligned and tailored to their contextual priorities and policies. Despite the differences between them, the research reveals that there is a common set of attributes and KPIs that are applied by the majority of the healthcare organisations reviewed. The next step of the research seeks to widen the sample and explore the rationale for this through a pan EU survey and focus groups.