1.46 million women eligible for screening. 380,000 samples reported annually. east of england region...
TRANSCRIPT
• 1.46 million women eligible for screening.
• 380,000 samples reported annually.
East of England RegionCluster map: NHS East of England
East of England Cancer Screening QA Cervical Data Management 24 Nov 2011
• 12 cytology labs. - all Thinprep - 1 HPV Sentinel site
• 18 Colposcopy units.
• 3 Call/Recall offices.
East of England RegionCluster map: NHS East of England
East of England Cancer Screening QA Cervical Data Management 24 Nov 2011
Past times: Data in the East of England
• Cytology laboratories use multiple systems– e.g. Cerner, Masterlab, Meditech
• Majority of Colposcopy clinics use CIMs Infoflex• Data submitted to QARC on paper forms.
East of England Cancer Screening QA Cervical Data Management 24 Nov 2011
First steps: Cyres Cytology
2005• Local installation only.• Trialled at Norwich laboratory, then rolled out across
region. • Takes extract from local system. Allows drill down to
individual patients.
East of England Cancer Screening QA Cervical Data Management 24 Nov 2011
Cyres Cytology screens – KC61
Cyres Cytology screens – KC61
Who are these women?
Cyres Cytology screens – KC61
First steps: Cyres Colposcopy
2006• As cytology, local installation only.• Trialled at Peterborough Hospital. • Takes extract from local system, allows drill down to
individual patients.
East of England Cancer Screening QA Cervical Data Management 24 Nov 2011
Cyres Colposcopy screens – KC65
Next steps: Cyres Integration
2008• Cytology & Colposcopy upload a copy of their local
databases to a server at QARC. • Transfer across N3. Double protection (encrypted by
Cyres + SSL certificate on server).• Trailed initially with Peterborough Hospital.• Allows linking of cytology and colposcopy data.
East of England Cancer Screening QA Cervical Data Management 24th Nov 2011
Integrated Cyres data view
Notes:
Abnormal screening sample
Leading to Colposcopy referral
First appointment in under 4weeksAttended their 2nd appointment, had punch biopsyCancelled twice more
Attended for LLETZ, Histology = CIN 2
Follow –up screening <8 months
Next steps: Cyres QA Dataset
2009• Allows trusts to submit datasets online.• While the dataset launches in the browser, Cyres
populates data items automatically. • Trust staff fill in text items and attach supporting
documents.• Dataset submitted to QA, it is delivered to the our
server.
East of England Cancer Screening QA Cervical Data Management 24 Nov 2011
Dataset screens
Dataset screens
There is a movie clip showing Dataset in the presentation folder.
Next steps: CSS Enquiry
2009• Cervical Screening Statistical enquiry using Open
Exeter.• QA can define and run CSSE jobs on local Call/Recall
systems.• Files of data sent to generic nhs.net address.
East of England Cancer Screening QA Cervical Data Management 24 Nov 2011
Open Exeter CSS Enquiry
Open Exeter CSS Enquiry
Define date range
CSS Enquiry fields for 14 day TATPCO CODE 5PT
SCREENING PCO SU
NAT PRACTICE CODE D83020
SENDER CODE 034D
SOURCE TYPE 1
NHS NUMBER 123 456 7890
AGE 61
POST CODE IP1 2AB
DATE REGISTERED 05.06.2000
DATE OF TEST 21.10.2011
NAT LAB CODE 60580
SLIDE NUMBER 11012345
RESULT CODE 2
TEST INPUT DATE 26.10.2011
DATE LETTER PRINTED 26.10.2011
ANTICIPATED DELIVERY DATE 27.10.2011
PCT / CALL&RECALL
GP / SAMPLE TAKER
PI / DATE OF TEST
LAB / SAMPLE RESULT
CALL&RECALL DATES
CSS Enquiry fields for 14 day TATPCO CODE 5PT
SCREENING PCO SU
NAT PRACTICE CODE D83020
SENDER CODE 034D
SOURCE TYPE 1
NHS NUMBER 123 456 7890
AGE 61
POST CODE IP1 2AB
DATE REGISTERED 05.06.2000
DATE OF TEST 21.10.2011
NAT LAB CODE 60580
SLIDE NUMBER 11012345
RESULT CODE 2
TEST INPUT DATE 26.10.2011
DATE LETTER PRINTED 26.10.2011
ANTICIPATED DELIVERY DATE 27.10.2011
PCT / CALL&RECALL
GP / SAMPLE TAKER
PI / DATE OF TEST
LAB / SAMPLE RESULT
CALL&RECALL DATES
MATCH WITH CYRES
MATCH WITH CYRES
NHS NUMBER 123 456 7890
AGE 61
DATE WOMAN REGISTERED 05.06.2000
DATE OF TEST 21.10.2011
LABORATORY IPSWICH
SLIDE NUMBER 11012345
RESULT CODE 2
DATE SAMPLE RECEIVED AT LAB 22.10.2011
DATE RESULT AUTHORISED 25.10.2011
TEST INPUT DATE 26.10.2011
DATE LETTER PRINTED 26.10.2011
ANTICIPATED DELIVERY DATE 27.10.2011
Mixed fields for 14 day TAT
Next steps: CSS Enquiry output
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ANTICIPATED DELIVERY
LETTER PRINTED
AUTHORISATION TO INPUT AT C/R
RECEIPT TO AU-THORISATION IN LAB
DATE TEST TAKEN TO RECEIVED BY LAB
DA
YS
Skyline plots
Source: CSSE vs. Cyres data for samples from October 2011
East of England Cancer Screening QA Cervical Data Management 24 Nov 2011
Next steps: CSS Enquiry output
Other reports• Large database of Cyres & CSSE data from mid-2009• Allows multiple ad-hoc queries to be run.
East of England Cancer Screening QA Cervical Data Management 24 Nov 2011
East of England Cancer Screening QA Cervical Data Management 24 Nov 2011
Cyres Cinergy: KC Automation
2011• Rebuild of Cyres to optimize it for remote working.• Allows submission of KC returns online.• Includes data and performance checks as part of the
return.• Clinical leads use a password to submit to QA.
East of England Cancer Screening QA Cervical Data Management 24 Nov 2011
Cyres Cinergy: QARC view
www.cyres.co.uk/cinergykc65submission
Cyres Cinergy: QARC view
There are two movie clip showing Cinergy in the presentation folder. One shows how QA can approve a submitted return and the other shows how QA can run the report.