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



2019/20 Incentivised Contributory Measures for General Practices

Monthly Targets

Target 1

  • 90% of all enrolled Māori Men aged 35-44 years old have had a Cardiovascular Risk Assessment (CVRA) in the last 5 years

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.

Target 2

  • 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. 

Immunisation visits are the optimal time to determine and document whether or not babies are in smoke-free households.

Target 3

  • 90% of current smokers are given smoking brief advice and/or referred to cessation support within the last 15 months.

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.

Annual Targets

Target 1

  • Ambulatory Sensitive Hospital (ASH) reduction - avoidable admissions are decreasing across Māori and Pasifika, for all ages.

Target 2

  • Risk stratification for Long Term Condition (LTC) services – 60% of LTC funding to a practice is utilised by enrolled patients identified as moderate to high risk.

Target 3

  • Patient Portal – enrolled patients use two way communication via a patient portal (exclused automated communication).


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