How information will revolutionise the NHS Dr Mark Davies , Medical D - PDF document

How information will revolutionise the NHS Dr Mark Davies , Medical Director Commissioning & regulation Providers High quality, personalised services for all patients Clinicians Patients & publicNHS Reform Challenge UNCLASSIFIED Area AuditedPrimaryDiagnosesIncorrect (%)SecondaryDiagnosesIncorrect (%)PrimaryProceduresIncorrect (%)SecondaryProceduresIncorrect (%)HRGsIncorrect (%)NetMonetaryChange (%)Theme 110 : Trauma & Orthopaedics24.919.112.40.5Specialty 502 : Gynaecology19.712.412.5HRG Chapter L : Urinary Tract and Male Reproductive System12.925.414.335.511.41.7HRG F36 : Large Intestinal Disorders �69 or w cc3.328.327.37.19.7Overall12.724.415.915.37.30.1 Meeting the clinical agendaMaking changes to CDS and SUS : outpatient clinical coding,recording POA for high risk conditionsRecording surgeon and anaesthetist for proceduresDeveloping SNOMED speciality subsets to support clinician coding in outpatients.Feedback clinical data to clinical staff. The Data Factory Model William Guy 1867 ..we are dealing with institutions which in all probability have carried their sanitary arrangements to a point of excellence..it would be unjust to attribute the differing death rates to any difference in the aggregate skill and ability of the professional staff.. High performing clinical teams:Have good clinical leadershipAlign clinical and management goals Use measurement to drive improvementValue peer group comparisons Value professional development Share information with patients Current Challenges for Indicator ProductionConsistent definitionsUnderlying data standardsClear purpose and scope i.e. is the right question being askedUtilisation of appropriate data sourceslevel of granularity (e.g. Classification vs terminology)Different data sources (e.g. HES vs Clinical Audit)Interpretation appropriate context neededPresentation for different audiencesUsed appropriately The NHS IC’s website lists over 3,000 indicators, alongside other products, yet covers only a part of the full range of clinical care. There are many more indicators in use locally. This is illustrative of the challenges we face in monitoring clinical quality EMERGENCY ADMISSIONS TO HOSPITAL FOR ACUTE CONDITIONS USUALLY MANAGED IN PRIMARY CARE, ALL AGES, ENGLAND 2007/08 (Source: NHS IC Compendium, Crown Copyright) 01002003004005006007008009001000 ENGLAND REGIONAL CENTRES CENTRES WITH INDUSTRY THRIVING LONDON PERIPHERY LONDON SUBURBS LONDON CENTRE LONDON COSMOPOLITAN PROSPERING SMALLER TOWNS NEW AND GROWING TOWNS PROSPERING SOUTHERN ENGLAND COASTAL AND COUNTRYSIDE INDUSTRIAL HINTERLANDS MANUFACTURING TOWNS ONS Area Group / Local Authority Indirectly age standardised rate per 100,000 & 95% confidence intervals Wirral CCG Incentives and Performance Benchmarking driving behavioural change Meaningful pathway views With permission from Mede Analytics Access to My Data My Medical Record Studies show that patients gain significantly from record access.. They trust the clinician and the practice more • They feel more able to selfmanage their illnesses • They can correct the record thusimprove safety There is some evidence that record access improves health outcomes, Freeing up data, encouraging the market NHS publishes 600+ indicators of quality and performanceAlldata is made available to other information intermediaries via a free to use API. Nokia is already developing mobile apps using NHS Choices feeds. Disruptive Information… Healthcare quality Service designProductivityOpening up to patients Hebden Bridge