clinical indicators in south east coast april 2009
DESCRIPTION
A description of what we have done at one English health authority to advance clinical outcome measurementTRANSCRIPT
Using clinical dashboards tobenchmark quality
Dr Quentin D SandiferDeputy Regional Director of PublicHealth
May 14 2009
Our story so far…
In the beginning
Our story so far…
The dashboard today
Safety,Effectiveness
Rates of complications of medical andsurgical care
10
Patient experiencePatient satisfaction9
Patient Experience,Safety
Incidence of pressure ulers8
SafetyRate of drugs, medicaments andbiological substances causingadverse effects in therapeutic use
7
SafetyIncidence of catheter associated UTIs6
TimelinessHip fracture repaired within 48 hours5
Patient Experience,Safety
Rate of C. difficile cases4
Patient Experience,Safety
Rate of MRSA bacteraemia3
EffectivenessRisk adjusted mortality – alladmissions
2
EfficiencyUnplanned readmissions within 28days
1
Quality DomainClinical Indicator
Rate of drugs, medicaments & biological substances causing adverse effects in therapeutic
use per 10,000 episodes
0
10
20
30
40
50
60
70
80
Q1 Q2 Q3 Q4 Q1 Q2 Q3 Q4 Q1 Q2 Q3 Q4 Q1 Q2
2004/05 2005/06 2006/07 2007/08
Trust
SHA
Estimated rate of MRSA bacteraemia reported per
10,000 admissions
0
2
4
6
8
10
12
14
16
18
20
A M J J A S O N D J F M
2008-09
Trust
SHA
Trust lim it
Incidence of Catheter Associated UTIs per 10,000
Bed Days
0.0
0.5
1.0
1.5
2.0
2.5
Q1 Q2 Q3 Q4Q1 Q2 Q3 Q4Q1 Q2 Q3 Q4Q1 Q2 Q3Q4
2004/05 2005/06 2006/07 2007/08
Trust
SHA
Rate of complications of medical and surgical care per
10,000 episodes
0
50
100
150
200
250
300
Q1 Q2 Q3 Q4 Q1 Q2 Q3 Q4 Q1 Q2 Q3 Q4 Q1 Q2
2004/05 2005/06 2006/07 2007/08
Trust
SHA
Incidence of Pressure Ulcers per 10,000 Bed Days
0
1
2
3
4
5
6
7
Q1 Q2 Q3 Q4 Q1 Q2 Q3 Q4 Q1 Q2 Q3 Q4 Q1 Q2 Q3 Q4
2004/05 2005/06 2006/07 2007/08
Trust SHA
Clinical Quality Dashboard - Surrey & Sussex Healthcare NHS Trust
Estimated rate of C-Diff cases (aged 2+) per 1,000 ordinary admissions (attributable to
Trust)
0
1
2
3
4
5
6
7
A M J J A S O N D J F M
2008-09
Trust
SHA
Local Stretch
National Limit
Surrey & Sussex Healthcare
Risk-adjusted mortality- all admissions
0
50
100
150
200
250
AMJ JASONDJFMAMJ JASONDJFMAMJ JASONDJFMAMJJAS
2005/06 2006/07 2007-08 08-09
Unplanned readmissions <28 days (%)*
0
2
4
6
8
10
12
AMJJASONDJFMAMJ JASONDJFMAMJJASONDJFMAMJ JAS
2005/06 2006/07 2007-08 08-09
Hip Fracture repaired <48hrs (%)
0%
10%
20%
30%
40%
50%
60%
70%
80%
90%
100%
Q1 Q2 Q3 Q4 Q1 Q2 Q3 Q4 Q1 Q2 Q3 Q4 Q1 Q2 Q3 Q4 Q1 Q2 Q3 Q4
2004/05 2005/06 2006/07 2007/08 2008/09
Trust
SHA
Patient satisfaction: Overall Score (HCC patient survey
2007)
0
100
Q'tio
n 66
Q'tio
n 67
Q'tio
n 68
Q'tio
n 69
Q'tio
n 70
Q'tio
n 71
<-w
orse
bet
ter -
>
Trust England best England worst
%Plea
se n
ote
scal
e fo
r est
imat
ed ra
tes
of M
RSA
and
C Di
ff va
ry d
epen
diin
g on
Tru
st s
elec
ted.
Our story so far…
And more
Work in progress~ Commissioner based dashboards
– Stroke– Dementia
~ Practice level diabetes dashboard~ Cardiac Dashboard~ Maternity Dashboard~ Nursing metrics - community~ Systems to identify early warning signs
Mon
itorin
g To
ol
Most recent 100 Admissions with a
diagnosis of Dementia (any position)
by LoS
0
10
20
30
40
50
60
70
80
1 8 15 22 29 36 43 50 57 64 71 78 85 92 99
Patients
Average LoS
Lower Confidence Limit
Upper Confidence Limit
Top Ten Primary Dianoses (where
primary Diagnosis not Dementia)
0
20
40
60
80
100
120
N39
J18
S72
J22
S01
J44
R54
R55
I63
R07
LoS Distribution
0
50
100
150
200
250
300
0 da
ys
1 da
y
2 da
ys
3-7
days
1-2
wee
ks
2-3
wee
ks
3-4
wee
ks
1-2
mon
ths
2-3
mon
ths
3-4
mon
ths
4-5
mon
ths
5-6
mon
ths
6-12
m
onth
s
1-2
year
s
2-3
year
s
3-4
year
s
4-5
year
s
5+ ye
ars
1st 3 Diagnoses Primary Diagnosis
Numbers of Diagnoses of Dementia by
Location of Diagnosis
0
20
40
60
80
100
120
140
20
05
/06
Q
1
20
05
/06
Q
2
20
05
/06
Q
3
20
05
/06
Q
4
20
06
/07
Q
1
20
06
/07
Q
2
20
06
/07
Q
3
20
06
/07
Q
4
20
07
/08
Q
1
20
07
/08
Q
2
20
07
/08
Q
3
20
07
/08
Q
4
20
08
/09
Q
1
Primary Others
Average LoS for Dementia Diagnoses
0
20
40
60
80
100
120
140
160
180
20
05
/06
Q
1
20
05
/06
Q
2
20
05
/06
Q
3
20
05
/06
Q
4
20
06
/07
Q
1
20
06
/07
Q
2
20
06
/07
Q
3
20
06
/07
Q
4
20
07
/08
Q
1
20
07
/08
Q
2
20
07
/08
Q
3
20
07
/08
Q
4
20
08
/09
Q
1
1st 3 Diagnoses Primary Diagnosis
Total Beddays used by patients with a
dignosis of Dementia
0
200
400
600
800
1,000
1,200
1,400
1,600
1,800
2,0002
00
5/0
6
Q1
20
05
/06
Q
2
20
05
/06
Q
3
20
05
/06
Q
4
20
06
/07
Q
1
20
06
/07
Q
2
20
06
/07
Q
3
20
06
/07
Q
4
20
07
/08
Q
1
20
07
/08
Q
2
20
07
/08
Q
3
20
07
/08
Q
4
20
08
/09
Q
1
1st 3 Diagnoses Primary Diagnosis
£Cost PbR Tariff 07/08 (where no tariff
estimated cost £ 300 per day )
£-
£50,000.00
£100,000.00
£150,000.00
£200,000.00
£250,000.00
£300,000.00
£350,000.00
£400,000.00
£450,000.00
20
05
/06
Q
1
20
05
/06
Q
2
20
05
/06
Q
3
20
05
/06
Q
4
20
06
/07
Q
1
20
06
/07
Q
2
20
06
/07
Q
3
20
06
/07
Q
4
20
07
/08
Q
1
20
07
/08
Q
2
20
07
/08
Q
3
20
07
/08
Q
4
20
08
/09
Q
1
1st 3 Diagnoses Primary Diagnosis
Numbers of Diagnoses of Dementia by
Discharge Destination
0
100
200
300
400
500
600
700
800
900
1,000
No
t R
eco
rde
d
Usu
al
pla
ce
o
f re
sid
en
ce
Te
mp
ora
ry
pla
ce
o
f re
sid
en
ce
NH
S
- h
igh
se
cu
rity
p
sych
iatr
ic
NH
S -
me
diu
m se
cu
re u
nit
NH
S -
ge
ne
ral
wa
rd
NH
S -
ma
tern
ity w
ard
NH
S
- m
ale
wa
rd
NH
S
- ca
re h
om
e
LA
re
sid
en
tia
l a
cco
mm
od
ati
on
Pa
tein
t d
ied
No
n-N
HS
m
ed
ium
se
cu
re u
nit
No
n-N
HS
/LA
Ca
re H
om
e
No
n-N
HS
h
osp
ita
l
No
n-N
HS
/LA
h
osp
ice
1st 3 Diagnoses Prim ary Diagnosis
Dementia as one of the first three diagnoses in Secondary Care (2005/06 - 2008/09 Q1):
Medway
0
500
1,000
1,500
2,000
2,500
3,000
3,500
4,000
Brighto
n a
nd H
ove C
ity
Teachin
g P
CT
East S
ussex D
ow
ns a
nd W
eald
PC
T
Easte
rn a
nd C
oasta
l K
ent
Teachin
g P
CT
Hastings a
nd R
oth
er
PC
T
Medw
ay T
eachin
g P
CT
Surr
ey P
CT
We
st
Ke
nt
PC
T
West S
ussex T
eachin
g P
CT
'000s
200607
200506
200405
by Area 5b - Organic Mental Disorders
Programme Budget Year on Year Net Expenditure / Unified Weighted 100,000 Pop.
PCT
Spen
d - d
emen
tia
Apparent disinvestment
QOF register - dementia
~ Utilised NAO prevalence model~ Comparison with numbers on dementia registers
Acute Admissions
Numbers of Admissions, Beddays and estimated costs
for admissions with Dementia (ICD10 F00-F03) in 2007/08
Trust Admissions Beddays Cost @ £300 per day Admissions Beddays Cost @ £300 per day
Dartford & Gravesham 221 3290 987,000.00£ 24 430 129,000.00£
East Kent Hospitals 933 6869 2,060,700.00£ 91 875 262,500.00£
Maidstone & Tunbridge Wells 496 6081 1,824,300.00£ 44 1114 334,200.00£
Medway 389 4909 1,472,700.00£ 58 1138 341,400.00£
Kent 2039 21149 6,344,700.00£ 217 3557 1,067,100.00£
Ashford & St Peter's 526 3481 1,044,300.00£ 40 340 102,000.00£
Frimely Park 319 4814 1,444,200.00£ 30 816 244,800.00£
Royal Surrey County 270 3682 1,104,600.00£ 23 638 191,400.00£
Surrey & Sussex 457 4853 1,455,900.00£ 40 780 234,000.00£
Surrey 1572 16830 5,049,000.00£ 133 2574 772,200.00£
Brighton & Sussex University Hospitals 544 4857 1,457,100.00£ 55 653 195,900.00£
East Sussex 676 8690 2,607,000.00£ 57 1546 463,800.00£
Royal West Sussex 273 2119 635,700.00£ 27 293 87,900.00£
Worthing & Southlands 308 3635 1,090,500.00£ 2 8 2,400.00£
Sussex 1801 19301 5,790,300.00£ 141 2500 750,000.00£
SEC 5412 57280 17,184,000.00£ 491 8631 2,589,300.00£
Source: SUS Admitted Patient Care Finished Episode Extract
In 1st three diagnostic positions In Primary diagnostic position only
Sent
inel
Aud
it
Name of site 2004 2006 2008
Trust 1
Trust 2 (Site 1)
Trust 2 (Site 2)
Trust 3
Trust 4 (Site 1)
Trust 4 (Site 2)
Trust 4 (Site 3)
Trust 5 (Site 1)
Trust 5 (Site 2)
Trust 6
Trust 7 (Site 1)
Trust 7 (Site 2)
Trust 8
Trust 9
Trust 10
Trust 11
Trust 12
Upper quartile
Inter-quartile
Lower quartile
Organisational scores
Scores relative to rest of country
Stroke metrics~ Mortality~ % Patients with MRI/CT~ Length of stay
– Average– Run chart
~ Cost of activity~ Discharge destination~ Selected sentinel audit indicators~ Viewable by hospital site~ View for all patients or patients less than 75~ Identifies specialist units on site
Stro
ke d
ashb
oard
Admissions
0
5
10
15
20
25
30
35
04/0
5 Q
1
04/0
5 Q
2
04/0
5 Q
3
04/0
5 Q
4
05/0
6 Q
1
05/0
6 Q
2
05/0
6 Q
3
05/0
6 Q
4
06/0
7 Q
1
06/0
7 Q
2
06/0
7 Q
3
06/0
7 Q
4
07/0
8 Q
1
07/0
8 Q
2
07/0
8 Q
3
07/0
8 Q
4
Mortality
0%
5%
10%
15%
20%
25%
30%
35%
40%
45%
50%
04/0
5 Q
1
04/0
5 Q
2
04/0
5 Q
3
04/0
5 Q
4
05/0
6 Q
1
05/0
6 Q
2
05/0
6 Q
3
05/0
6 Q
4
06/0
7 Q
1
06/0
7 Q
2
06/0
7 Q
3
06/0
7 Q
4
07/0
8 Q
1
07/0
8 Q
2
07/0
8 Q
3
07/0
8 Q
4
7 Day 30 Day
Nat 06/07 7 D Nat 06/07 30 D
% Patients With CT Scan / MRI Scan
0%
10%
20%
30%
40%
50%
60%
70%
80%
90%
100%
04/0
5 Q
1
04/0
5 Q
2
04/0
5 Q
3
04/0
5 Q
4
05/0
6 Q
1
05/0
6 Q
2
05/0
6 Q
3
05/0
6 Q
4
06/0
7 Q
1
06/0
7 Q
2
06/0
7 Q
3
06/0
7 Q
4
07/0
8 Q
1
07/0
8 Q
2
07/0
8 Q
3
07/0
8 Q
4
CT Scan
CT Scan 01
Target
% Discharge Destination
0%
10%
20%
30%
40%
50%
60%
70%
80%
90%
100%
04/0
5 Q
1
04/0
5 Q
2
04/0
5 Q
3
04/0
5 Q
4
05/0
6 Q
1
05/0
6 Q
2
05/0
6 Q
3
05/0
6 Q
4
06/0
7 Q
1
06/0
7 Q
2
06/0
7 Q
3
06/0
7 Q
4
07/0
8 Q
1
07/0
8 Q
2
07/0
8 Q
3
07/0
8 Q
4
UPR CH / NH
Other Hosp Died
Other
Length of Stay (Days)
0
2
4
6
8
10
12
14
16
18
20
04/0
5 Q
1
04/0
5 Q
2
04/0
5 Q
3
04/0
5 Q
4
05/0
6 Q
1
05/0
6 Q
2
05/0
6 Q
3
05/0
6 Q
4
06/0
7 Q
1
06/0
7 Q
2
06/0
7 Q
3
06/0
7 Q
4
07/0
8 Q
1
07/0
8 Q
2
07/0
8 Q
3
07/0
8 Q
4
All LoS
UPR LoS
Nat All LoS
Nat All LoS UPR
Total Value of Activity 000's
£0
£20
£40
£60
£80
£100
£120
£140
£160
£180
04/0
5 Q
1
04/0
5 Q
2
04/0
5 Q
3
04/0
5 Q
4
05/0
6 Q
1
05/0
6 Q
2
05/0
6 Q
3
05/0
6 Q
4
06/0
7 Q
1
06/0
7 Q
2
06/0
7 Q
3
06/0
7 Q
4
07/0
8 Q
1
07/0
8 Q
2
07/0
8 Q
3
07/0
8 Q
4
Average Value per Spell
£0
£1,000
£2,000
£3,000
£4,000
£5,000
£6,000
04/0
5 Q
1
04/0
5 Q
2
04/0
5 Q
3
04/0
5 Q
4
05/0
6 Q
1
05/0
6 Q
2
05/0
6 Q
3
05/0
6 Q
4
06/0
7 Q
1
06/0
7 Q
2
06/0
7 Q
3
06/0
7 Q
4
07/0
8 Q
1
07/0
8 Q
2
07/0
8 Q
3
07/0
8 Q
4
Dartford & Gravesham Hospital Trust Stroke Dashboard - All Patients - ICD10 I61-I64
% Stroke Patients Admitted from UPR &
Discharged to UPR
0%
10%
20%
30%
40%
50%
60%
70%
04/0
5 Q
1
04/0
5 Q
2
04/0
5 Q
3
04/0
5 Q
4
05/0
6 Q
1
05/0
6 Q
2
05/0
6 Q
3
05/0
6 Q
4
06/0
7 Q
1
06/0
7 Q
2
06/0
7 Q
3
06/0
7 Q
4
07/0
8 Q
1
07/0
8 Q
2
07/0
8 Q
3
07/0
8 Q
4
Site
National
Most Recent 100 Patients Run Chart
0
10
20
30
40
50
60
70
80
09/0
3/0
7
13/0
3/0
714/0
3/0
718/0
3/0
704/0
4/0
710/0
4/0
710/0
5/0
716/0
5/0
7
24/0
5/0
707/0
6/0
722/0
6/0
729/0
6/0
710/0
7/0
713/0
7/0
7
27/0
7/0
731/0
7/0
710/0
8/0
716/0
8/0
718/0
8/0
720/0
8/0
729/0
8/0
7
05/0
9/0
711/0
9/0
714/0
9/0
706/1
0/0
715/1
0/0
730/1
0/0
701/1
1/0
7
03/1
1/0
707/1
1/0
704/1
2/0
709/1
2/0
711/1
2/0
720/1
2/0
728/1
2/0
7
31/1
2/0
708/0
1/0
812/0
1/0
831/0
1/0
804/0
2/0
816/0
2/0
820/0
2/0
825/0
2/0
8
29/0
2/0
801/0
3/0
806/0
3/0
813/0
3/0
820/0
3/0
8
Days
Alive Died Unknown Mean 5.8 UCL 26.8
ASU
RSU
CSU
!!"
! "Sentinel Overall 08 vs 06
T M B
Exclude I60 - Subarachnoid Haemorrhage
A Hospital
Safer, Smarter Nursing~ Health community wide (benchmarking)
– Pressure damage– HCAI– Drug administration errors– Falls– Complaints
~ Bespoke local service– Including elements of productive ward
Trust MonitoringMatrons Scorecard
Specialities
2 Weekly Wards A B C D E F G H I J K L M N O P Q R
Care Audit
Patients: No. audited 33 4 12 4 29 22 25 8 15 20 5 30 30 31 33 24
Patient identification band in situ all all all all all 2 all all 1 all all all all all all all xxx xxx
Identification band completion check all all all all all 2 all all 1 all all all all all all 2 xxx xxx
Allergy sections completed all all all all all all all all all all all all all all all all xxx xxx
Identified pts have red wrist band all all all all all all all all all all all all all all all all xxx xxx
Entry in pt’s healthcare records all all all all all all xxx all 1 all all all all all all all xxx N/A
Patient's info sheet fully completed 90 100 100 98 100 100 85 100 98.6 100 100 100 100 99 100 82.3 xxx xxx
Resus Trolley – daily check y y N/A y y y y y y y y y 3 y y y xxx xxx
Missing items replaced y y N/A y y y y y y y y y 3 y y y xxx xxx
Falls assessment completed all all all y all all 1 all 1 all all 1 all all all 3 xxx N/A
Falls - Care plan in place all all 1 1 all all 4 4 4 all all 1 all 1 2 3 xxx N/A
Falls - Care plan signed and dated all all 1 1 all all 4 4 4 all all 1 all 1 2 3 xxx N/A
MUST Tool complted 1 all all 1 2 all 14 8 5 all N/A 5 all 3 10 1 xxx N/A
MUST - Food chart commenced 1 all all 3 3 all 14 8 5 all N/A 5 all 3 10 1 xxx N/A
MUST - Pt referred to Dietician 1 all 1 3 3 all 14 8 5 all N/A 5 all 3 10 1 xxx N/A
Uniforms
Staff: No. audited 6 3 3 2 5 6 6 N/A 5 4 10 6 6 8 7 9 xxx xxx
Nurses wearing uniform correctly all all all all all all all N/A all all all all all all all all xxx xxx
XXX = Non Submission
Enha
nced
pre
sent
atio
n
Drug Errors
0
2
4
6
8
10
12
19/0
5/2
007
02/0
6/2
007
16/0
6/2
007
30/0
6/2
007
14/0
7/2
007
28/0
7/2
007
11/0
8/2
007
25/0
8/2
007
08/0
9/2
007
22/0
9/2
007
06/1
0/2
007
20/1
0/2
007
03/1
1/2
007
1 2 3 4
Falls
0
5
10
15
20
25
30
19/0
5/2
007
02/0
6/2
007
16/0
6/2
007
30/0
6/2
007
14/0
7/2
007
28/0
7/2
007
11/0
8/2
007
25/0
8/2
007
08/0
9/2
007
22/0
9/2
007
06/1
0/2
007
20/1
0/2
007
03/1
1/2
007
1 2 3 4
Pressure Damage
0
2
4
6
8
10
12
13/0
5/2
007
03/0
6/2
007
17/0
6/2
007
08/0
7/2
007
29/0
7/2
007
19/0
8/2
007
09/0
9/2
007
30/0
9/2
007
21/1
0/2
007
11/1
1/2
007
02/1
2/2
007
06/0
1/2
008
27/0
1/2
008
Prev a lence (a ll) Incidence - Hosp acquired Not Done
Mixed Sex bays
7 7
4
5
7
4
8 8
6
1
6
1
8 8
4
5
2
4
1
5
8
4
7
4
5
6
8
1
4
1 1 1
8
1
8
0
2
4
6
8
10
12
06/0
5/2
007
27/0
5/2
007
17/0
6/2
007
08/0
7/2
007
29/0
7/2
007
19/0
8/2
007
09/0
9/2
007
30/0
9/2
007
21/1
0/2
007
11/1
1/2
007
02/1
2/2
007
06/0
1/2
008
27/0
1/2
008
MRSA & C-Diff
1
2 2
1
3
2
1
3
2
3
8
2
6
7 7
6
1
4
3
5
2
0
1
2
3
4
5
6
7
8
9
19/0
5/2
007
02/0
6/2
007
16/0
6/2
007
30/0
6/2
007
14/0
7/2
007
28/0
7/2
007
11/0
8/2
007
25/0
8/2
007
08/0
9/2
007
22/0
9/2
007
06/1
0/2
007
20/1
0/2
007
03/1
1/2
007
MRSA: On Admission
MRSA: Hospital Acquired
CDIFF
Patient Satisfaction
0
5
10
15
20
25
30
35
40
19/05/2007 02/06/2007
Any Other Comments
…Of which positive
One thing for improvement?
Wristbands
0%
20%
40%
60%
80%
100%
19/0
5/2
007
16/0
6/2
007
14/0
7/2
007
11/0
8/2
007
08/0
9/2
007
06/1
0/2
007
03/1
1/2
007
01/1
2/2
007
29/1
2/2
007
26/0
1/2
008
% Achiev ed Not Done
Nutriton: Completion of
MUST Tool
0%
20%
40%
60%
80%
100%
20/1
0/2
007
03/1
1/2
007
17/1
1/2
007
01/1
2/2
007
15/1
2/2
007
29/1
2/2
007
12/0
1/2
008
26/0
1/2
008
09/0
2/2
008
% Achiev ed Not Done
Uniform Compliance
0%
20%
40%
60%
80%
100%
19/0
5/2
007
16/0
6/2
007
14/0
7/2
007
11/0
8/2
007
08/0
9/2
007
06/1
0/2
007
03/1
1/2
007
01/1
2/2
007
12/0
1/2
008
09/0
2/2
008
% Achiev ed Not Done
Safer Smarter Nursing Metrics: Trust Dashboard
St. N.E.Body's NHS Trust: Ward 14 Ward
Ove
rvie
w o
f lat
est p
ositi
on
0
10
20
30
40
50
60
70
80
90
100
Wristbands (% Complete)
Nutrition (% tool completed)
Uniform (% Compliant)
MRSA: On Admission (% Without MRSA)
MRSA: Hospital Acquired (% Without MRSA)
CDIFF (% Without C-Diff)
Drugs (% without Drug Errors)
Falls (% without falls)
Pressure Sores: Prevelance (% without sores)
Pressure Sores: Incidence (% without sores)
Mixed Sex Bays (% single sex bays)
Patient Satisfaction (% of positive comments)
Web
Of
Useful
Nursing
Data
Safer Smarter Nursing Metrics: Trust Dashboard
St. N.E.Body's NHS Trust: Ward 13 Ward
Com
para
tive
info
rmat
ion
0
50
100
150
200
250
Apr-08
May-08
Jun-08
Jul-08
Aug-08
Sep-08
Oct-08
Nov-08
Pressure Damage
(per 10,000 Admissions)
0.0
5.0
10.0
15.0
20.0
25.0
30.0
Apr-08
May-08
Jun-08
Jul-08
Aug-08
Sep-08
Oct-08
Nov-08
MRSA
(per 10,000 Admissions)
0.0
20.0
40.0
60.0
80.0
100.0
120.0
140.0
160.0
Apr-08
May-08
Jun-08
Jul-08
Aug-08
Sep-08
Oct-08
Nov-08
C-Diff
(per 10,000 Admissions)
0
100
200
300
400
500
600
700
800
900
1000
Apr-08
May-08
Jun-08
Jul-08
Aug-08
Sep-08
Oct-08
Nov-08
Falls
(per 10,000 admissions)
0
100
200
300
400
500
600
700
800
900
1000
Apr-08
May-08
Jun-08
Jul-08
Aug-08
Sep-08
Oct-08
Nov-08
Complaints
(per 10,000 Admissions)
0
50
100
150
200
250
Apr-08
May-08
Jun-08
Jul-08
Aug-08
Sep-08
Oct-08
Nov-08
Drug Administration Errors
(per 10,000 admissions)
Royal West Sussex
Safer Smarter Nursing Metrics - Acute Trust Benchmarking
Our story so far…
The future is now
The Quality Observatory
Team of 12Provision of benchmarking
– Over 40 tools and products developedSkills development
– Analytical– Measurement and interpretation
Data quality improvementWorld Class Commissioning supportDeveloping meaningful clinical metrics
Contact details~ nww.sec.nhs.uk/knowledge
– Register as a user
~ Samantha Riley– Head of the Quality Observatory– [email protected]
~ Quentin Sandifer– Deputy Regional Director of Public Health– [email protected]