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  • 8/2/2019 Mandy Mackay

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    Data Quality 2012Asia Pacific Congress

    Capturing and assessing a new data stream

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    District Health Boards (DHBs)

    New Zealand has 20

    District Health Boards(DHBs)

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    Ministry of Health

    The Ministry of Healths

    role is to improve,

    promote and protect

    the health of New

    Zealanders

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    Capital and Coast District Health

    Board (C&C DHB)

    Currently C&C DHBs

    region has apopulation of about

    298,000 people

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    C&C DHB Tertiary Hospital

    C&C DHB is the

    leading provider of

    specialist tertiary

    services for theupper South and

    lower North Islands,

    a population of

    about 900,000

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    C&C DHB Data Quality Team

    7 people in the Data Quality team

    Key responsibilities:

    - National data collections

    - Data correction

    - Patient data updates (demographics)

    - Admin staff DQ training

    - Unique identifier merging (NHI)- Data Entry

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    National Collections Annual

    Maintenance Programme (NCAMP) Year long project, every year

    Agreed changes are to be implemented by DHBs

    for data submission effective 1 July

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    New Data Element

    Time

    AdmitDate CCYYMMDD to be changed to

    AdmitDatetime CCYYMMDDHHMM

    EndDate CCYYMMDD to be changed to

    EndDatetime CCYYMMDDHHMM

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    But Why?????

    Why?

    What?

    When?

    Where?

    How?

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    Define

    Business Process

    Data RulesValidation routines of the new datetime fields will need

    to be incorporated into DHB systems

    Identify StakeholdersImpact to business?

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    Measure and Analyse

    Measure

    - Policy

    - IT

    - Business Practice

    - Standards

    Analyse

    - Qualitative

    - Quantitative

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    Improve

    Identify Actions

    Use new extract version, including time for event start and

    end

    Identify Timing

    New extract to start from 1 July

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    Implement

    Business Solutions

    Technical SolutionsHR,3091,CCH00001.ndm,00021,20110613,TEST,V014.0

    HE,HAR1628,IP,201106010800,5811,9,A1,2225,F,19801231,61,,,N,R,P60,AA,DR,201106021000,,,,,,,,,,,N,,,19,3091,,N,,00000,,00000008729412,000000

    00000001, ,,,,,

    HD,HAR1628,IP,201106010800,5811,9,1,13,A,A,O80,"SINGLE SPONTANEOUS

    DELIVERY",,

    HD,HAR1628,IP,201106010800,5811,9,2,13,B,V,Z370,"SINGLE LIVE BIRTH",,

    HD,HAR1628,IP,201106010800,5811,9,3,13,O,O,9046700,"SPONTANEOUSVERTEX DELIVERY",20110601,

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    Control

    Monitoring

    Errors and Reconciliations

    Reporting

    Start time for admitted Emergency

    Department patients

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    Simple right??

    What went wrong?

    Interpretation Assumptions

    Testing

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    The Issue

    HE,HAR1628,IM,201007061545,5814,9,D1,2100,M,19730304,21,,,Y,R,

    Y22,A,DR,201202161027,,,,,,,,,,,N,,,35,3091,,N,,00000,,0000002325538

    6,00000000009955, ,,,,,

    HE,HAR1628,IM,201007061545,5814,9,A1,2100,M,19730304,21,,,Y,R,

    Y22,AA,DR,201202161027,,,,,,,,,,,N,,,35,3091,,N,,00000,,00000023255

    386,00000000009955, ,,,,,

    Error messages:

    Unable to delete record key field not found

    Event cannot overlap existing event An event already exists for these

    dates

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    Keep Calm and Carry On

    What did we do to resolve?

    Worked out what the problem was

    For all open mental health events we either sent

    an event end date or the event start time.

    When events prior to 1 July 2011 are submitted on this new version

    of the file, the time portion of the datetime field must be populated

    with 00:00 if the time has not been collected for those events

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    Learnings

    The importance of Ministry forums

    Ask a lot of questions

    Be prepared for the unexpected it will happen

    Importance of positive working relationships

    No leave for DQ staff from 1st July for 6 weeks

    C&C DHB has a fantastic Data Quality team

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    Questions??