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Measuring for Improvement Process measures: –Macro - from data sources –Micro casenote analysis e.g 45 stroke patient journeys Circle of work – Time value analysis- therapists Efficiency of MDT –use of time Cycle time – social work referral to allocation, assessment Quality (Outcome) Measures – patient questionnaires –Sample patient views –Staff feedback Balancing measures –Re-admission rates Regular or snapshot Financial impact – IRF Establish Baseline
Citation preview
Key performance indicators
Lean Transformation Network, 22 February 2011Libby Tait
Associate Director, Modernisation
• Is every step necessary?
• What is the best location for each task?
• Who is the best person to undertake each task?
• What are the optimum clinical pathways?
• Where are the hand-offs, variation, delays & duplications?
• How will we know it is better -what are the metrics?
GP A&EA&E AcuteAcute RehabRehabCommunity & Community &
social caresocial care
Stroke
Post Post AcuteAcute
Geriatric Orthopaedic Rehabilitation
General Medicine of the Elderly
Dementia/Delirium
Older People’s Pathway Programme
Measuring for Improvement• Process measures:
– Macro - from data sources– Micro
• casenote analysis e.g 45 stroke patient journeys• Circle of work – Time value analysis- therapists• Efficiency of MDT –use of time• Cycle time – social work referral to allocation, assessment
• Quality (Outcome) Measures – patient questionnaires– Sample patient views– Staff feedback
• Balancing measures– Re-admission rates
• Regular or snapshot
• Financial impact – IRF
• Establish Baseline
Dashboard‘Home/front page’
Links to the specific data
DashboardList of wards + detail
Location Ward Specialty Beds Description
DashboardLink back to homepage Indicator
Drop down menu: ward ‘pick list’Source
Cell changes colour if fall/rise from previous month
Target
Benchmark
Dashboard demonstration
Older People's Pathways - KEY PERFORMANC
Distribution
Health Intelligence Unit – Trak/Oracle
Modernisation team
Programme steering group- reporting
- cascading to senior management
Service teams-local clinicians
-Local management
Next steps
Confirm metrics with Health Intelligence Unit
Receive monthly information downloads
Explore new dashboard software for local use
Tool of choice for MoE teams
Benefits
Single agreed information source
User friendly – simple graphic format
Common file type – excel
Experts analysing the information
Challenges Multiple information systems
Questions over source of data
Clinician scrutiny
Quality of information: Trak not used same way across sites
only as good as what’s inputted
The true picture: boarders
ward vs specialty information
suggestions
• Use what’s useful, even if not perfect• Simple paper systems are OK• Develop easy to use collection forms• Collect data as by-product if possible• Ensure data is reviewed and fed back to
those who collect• Both qualitative and quantitative data• Collect what is useful, stop when it isn’t
