TOOLS FOR IMPLEMENTING THE QUALITY FRAMEWORK

Dr Peter Jones MSc EBHC (Oxon) FACEM

Dr Alana Harper PG Cert Med Sci FACEM

MOH Forum, Wellington 23/3/2015

Aim of this presentation

The MOH suite of quality measures – making it easy for you Data definitions (dictionary / executive summary) Data collection for process and clinical outcomes

Development of Quality Measures and Data Dictionary: What’s Needed? MOH

Data definitions / dictionary IT at each site standardised and audited Standardised ‘intelligent’ Tools for data collection

Web vs local

DHB Dedicated resources for quality

Space / Time / Admin / Clinical Records People (thank you NZMC)

More than lip-service!

SSED NRP Quality Clinical Markers Clinical Quality Markers Selection

Literature review / Evidence Search / Critical Appraisal

Reference Group Meeting December 2010

Talk to IT and Clinical Records

Set up a standard report Automatically generates list of cases With demographic data and time stamps for flow

You enter the clinical data Upgrade your software!

Excel 2010 or later This is MOH priority = lever for IT and Records

Clinical Quality IndicatorsData Collection

• ED Presentations in time period ‘X’• For Specific Diagnosis

• List of ICD codes to IT: eg J45 (0,1,8,9); J46

• Events with that ICD code in each time period• Date• NHI • Demographics

• Random or consecutive sample, n=50?• Manual collection of data

• Data Dictionary and Definitions

• Data accuracy / cleaning

• And/or use your own method to choose patients

MOH Quality Data Dictionary

MOH Data Dictionary Executive Summary

Clinical QualityData Collection Tools

‘Intelligent’ spreadsheets Data validation checks / protected formulas Based on SSED NRP – ‘Lite’ tools

Clinical QualityData Collection Tools Read First Worksheet

Moderate or Severe Pain

<30min for Severe Pain

<60min for Moderate Pain

Adequate Analgesia

Clinical QualityData Collection Tools

Audit Form Demographics and Time Stamps

13 fields Eligibility

2 – 8 fields Audit Data

9-18 fields

SSED NRP Clinical QualityData Collection Tools

Audit Forms Time to enter data ≈ 4 patients / hour

2 Days to do an audit Print / Export / Save results instantly

Nicer format of the form coming MOH Excel experts will reformat

Need piloting Please let us know if it’s not working!

Start!

Tools for Implementing the Quality Framework

National Definitions and Agreed Standards

Questions / Discussion