When Dr. Gunnar collects spit samples to measure levels of the hormone, cortisol, in response to stress, the level of analysis she is using is systems-level measures.
System Level Measures are outcome-driven metrics that provide a structure for system integration and ongoing quality improvement. These requirements are made on a national level with a focus on children, young people, and vulnerable groups.
System Level Measures acknowledge that effective health outcomes depend on cooperation among health system partners. The implementation of the improvement plans for system-level measures (SLMs) in each district will therefore fall under the purview of the district alliances.
District alliances are local leadership groupings that comprise every PHO servicing the district's population as well as the DHB where they reside.
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