PowerPoint Presentation

Information for ImprovementMark LimberCarol LimberSystems ThinkingDATA CLOUDPURCHASERCLINICAL PROVIDERSPATIENTSCommissioning CycleContract ManagementBudget ForecastsDisease Prevalence EtcActivityPerformanceBudgetEtcHealth RecordsSelf CarePatient ChoiceEtcPerformanceClinical OutcomesEtcHarnessing and Sharing DataDriving quality

Establishing Indicators for Quality ImprovementRobust standardised indicatorsAllow you to benchmark and measure qualityHelp local clinical teams select relevant indicators for quality improvementEncourages clinical teams to work together to improve services

IQI

Drillable Hierarchy

Central & ConsistentBenchmarking is only possible if;Definitions are agreedData is consistentData is available in one place

Secondary Uses Service (SUS)Data warehouse that provides access to anonymous patient-based data for purposes other than direct clinical care such as:healthcare planningcommissioning servicespublic healthnational policy developmentFed via national minimum datasets

Business Intelligence"the ability to understand the interrelationships of presented information in such a way as to guide action towards a desired goalHans Peter Luhn IBM 1958Application of IntelligenceUrgent care dashboardsTracking individual pathways of care

Cost of healthcareManagement costsService line reportingKPIWho are my high cost patients?Risk stratificationAmbulatory care indexGeo profilingDisease trendsHealth outcomesHigh level -Service planning

Inpatient Spells by Treatment Function Code

General SurgeryUrologyNumber of spells2008/92009/1089224909931 The Rest includes TFCs covering Endocrine, Hepato-Biliary, Dermatology and Other2 Expected is calculated from the Standardised Admission Ratios by Treatment Function CodeSource: Dr Foster, IHSS Team analysis10.72.0%3.43.81.83.33.3-4.23.29.6Growth %-1.23.916.5-0.23.7-17.1-1.413.0-9.1ENTOphthalmologyCardio& VascularDigestive TractGeriatricOrthopaedicsSkin, Breast BurnGeneral MedicineAnaest & PMObs & GynaeNeonates & AnteNPaediatricsNeurosciencesA&EBlood disordersMental HealthTFC AreaSHAPCT Difference to expected2 2008/9 & 2009/10

General SurgeryUrologyENTNeurosciencesCardio & VascularDigestive TractThe RestOrthopaedicsA&EOphthalmologyPaediatricsAnaest & PMGeneral MedicineBlood disordersMental HealthSkin, Breast Burn2.70.21.911.65.42.615.18.4141.2-2.9-1.20.2-24.12.8-9.60.0-11.438.5TotalENon-E3.11.00.72.56.61.815.015.689.8-5.6n/a-0.3-23.62.40.0-3.8-43.850.82.4-7.48.2288.62.110.227.3-13.2171.9-2.1-1.220.8-24.319.8-9.60.7-11.3-26.1The rest1Geriatric0.14.4-20.04.7This graph shows the number of Spells by Treatment Function Code roll-upfor two yearsThis section shows the percentage growth in number of spells by Treatment Function Code in total, for elective and non-elective and compares to the SHA average growth This graph shows the difference to expected number of spells for each Treatment Function Code area for each of the two yearsThis box shows the overall growth figure for the PCTObs & GynaeNeonates/AnteNNorth West Intelligence Consortia13Acute Psychiatric Diagnoses

operationalFinance Breakdown

Shows source of overspend

Example from Derby. Analyst time - time from information to answers. 3 month turnaround of info to 40mins16KPIs

Aggregated Performance Indicators by monthDrill down ability for each Performance IndicatorTracking QOF / CQUIN targets and performance

Patient care

Emergency TTT

4HrsNumber of PatientsBreachesTime to TreatmentIndividuals

Thinking outside the box

Google Data

Prevalence of flu related searches in NZ

22Google Data

Prevalence of flu related searches in NZActual incidents of flu in NZ

Google Data

Google InsightsSummary4 Cs for DATA;CentralConsistentCompleteCorrect3 Ms for INDICATORS;MeasurableMeaningfulMandatoryMore advice.Perfect = ComplacentThink big, start smallTake the users with you- What's in it for me?Be flexible; It wont be right first timeDont let security worries stop innovation- Manage the risk sensiblyFinally.On England choosing an all black strip for the Rugby World Cup;

its like drawing abs on your beer belly with a marker pen .. Youre not really fooling anyone-Twitter July 2011