qipp national urgent care clinical dashboard
DESCRIPTION
QIPP National Urgent Care Clinical Dashboard. “From the outset it has been clear that the dashboard is a powerful tool to help clinicians understand - PowerPoint PPT PresentationTRANSCRIPT
QIPP National Urgent Care Clinical Dashboard
“From the outset it has been clear that the dashboard is a powerful tool to help
clinicians understandthe quality and effectiveness of their care, providing an invaluable tool to integrate and proactively manage care across our
local health economy”
Dr Anne Talbot, GP & Associate Medical Director, NHS Bolton
• Provides “real-time” information from local Acute Trust on A&E attendances, admissions and discharges combined with “real-time” information from Out of Hours and the Walk in Centre to each GP Practice.
• Displayed in a graphical, user-friendly way to help Practices to more pro-actively manage and co-ordinate patient’s healthcare, especially for the most vulnerable patients and those with long-term conditions.
• Doesn’t contain any more information than the Practice already receives, but presents the information in a timely way, displaying all of information together to present a more complete picture.
NHS Bolton Urgent Care Dashboard
A&E AttendancesPatient Attendance DatePatientA 01/02/2009PatientF 01/02/2009
PatientJ 02/02/2009PatientM 03/02/2009PatientJ 04/02/2009
PatientK 03/02/2009
AdmissionsPatient Admission DatePatientA 01/02/2009
PatientH 04/02/2009PatientK 08/02/2009
DischargesPatient Discharge DatePatientA 08/02/2009PatientK 08/02/2009
Walk in CentrePatient Attendance DatePatientM 01/02/2009PatientF 01/02/2009PatientJ 02/02/2009PatientM 03/02/2009PatientJ 04/02/2009
PatientK 08/02/2009
PatientK 03/02/2009
Out Of HoursPatient Contact DatePatientT 01/02/2009PatientY 01/02/2009PatientJ 02/02/2009
PatientM 03/02/2009PatientJ 04/02/2009
PatientK 02/02/2009
Practice Disease RegisterPatient RegisterPatientT Diabetes
PatientS CHD
PatientK COPD
Current Position
Information From Acute Trust
Information From Practice
Information received separately from multiple sources
within different time frames – making
identifying patterns difficult
Integration of information from multiple source systems
Patient Attendance DatePatientA 01/02/2009PatientF 01/02/2009
PatientJ 02/02/2009PatientM 03/02/2009PatientJ 04/02/2009
Patient Admission DatePatientA 01/02/2009
PatientH 04/02/2009
Patient Discharge DatePatientA 08/02/2009
Patient Attendance DatePatientM 01/02/2009PatientF 01/02/2009PatientJ 02/02/2009PatientM 03/02/2009PatientJ 04/02/2009
Patient Contact DatePatientT 01/02/2009PatientY 01/02/2009PatientJ 02/02/2009
PatientM 03/02/2009PatientJ 04/02/2009
Practice Disease RegisterPatient RegisterPatientT Diabetes
PatientS CHD
PatientK
Clinical Dashboard:Patient Drilldown - PatientK
Service Attendance Date Register?
PatientK
PatientK PatientK
PatientK
PatientK
PatientK
08/02/2009 03/02/2009
02/02/2009
08/02/2009
08/02/2009
03/02/2009
WiC
OOH
Discharge
Admission
A&EA&E
Admission
A&E
Discharge
OOH
WiC
COPD
COPD
COPD
COPD
COPD
COPD
COPD
Information From Acute Trust
Information From Practice
Integration of information: simple working example
Dashboard interface
Enables GPs, nurses and active case managers to monitor their own patients' recent attendances at A&E and out-of-hours services, and to highlight which of these patients are on disease registers.
1st stage patient level drill down
GPs, nurses and active case managers are able to access individual patient information including the care setting the patient presented at, frequency of contact and whether the patients is on a disease registers.
This information can highlight issues with the local delivery of care for specific types of disease management, providing pointers about where to focus local improvement efforts most effectively
2nd stage patient level drill down
Enables GPs, nurses and active case managers to see a more granular level of patient information including the symptoms the patient presented with and the outcomes.
Such information can greatly assist pro-active clinical intervention for patients with multiple presentations to unscheduled care settings. In particular, this level of information can help GPs and other healthcare staff to identify those patients in need of detailed Primary Care assessments, to then review existing management plans, and to establish new levels of care or assistance where this is needed.
Identifying patients regularly accessing unscheduled care services
This report shows urgent contacts, sorted in order by highest number of contacts. This enables practices to identify and focus on those patients that are regularly accessing unscheduled services.
Quality Benefits• Improved awareness about practice patients attending unscheduled care
services, enabled GPs and Practice Healthcare staff to proactively and better manage vulnerable patients and those ‘just below the clinical radar’
• The dashboard was used as an enabler and integrated alongside related initiatives to better channelling patient pathways and improving patient experience
Efficiency Benefits • Within the first pilot practices in Bolton, one practice reduced their A&E
attendance by 16.8%, compared to an increase of 3.85% in their peer practices. A second practice reduced their non-elective admissions in targeted areas of asthma, COPD, diabetes, falls and heart failure by 20.69%.
• Use of the dashboard combined with wider ‘joined-up’ initiatives and excellent clinical engagement across the PCT helped led to significant reductions in A&E attendances and non-elective admissions.
Benefits and levels of use
The Urgent Care Dashboard is now part of the QIPP Urgent Care workstream led by Sir John Oldham.
QIPP National Urgent Care Clinical Dashboard
High level aim - to make the Urgent Care Clinical dashboard (based on the NHS Bolton dashboard) available to all PCTs /GP Consortia across England over the next 2 years, starting with 12 locally led pioneer sites.
NHS Stoke on Trent and NHS North Staffordshire
NHS Devon
NHS TeesNE Lincolnshire Care Trust Plus / NHS North Lincolnshire / North Lincolnshire & Goole Hospitals NHS Foundation Trust
NHS Northamptonshire
NHS Cambridgeshire
NHS Oxfordshire
Central London Healthcare Pathfinder GP Consortium Newham Health Partnership / Newham Commissioning Group
South Cheshire and Vale Royal GP Commissioning Consortiums NHS Central Lancashire
NHS Brighton and Hove
QIPP Urgent Care dashboard - Pioneer Sites
Wider objectives• Inform the strategy and approach to the wider ‘local’
take-up of the Urgent Care dashboard• Development of Local SHA/PCT Cluster/GP Consortia
capability to become self-sufficient in supporting local deployment
• To create a toolkit to support wider take-up of the Urgent Care dashboard including Standards, Logical architecture, data feeds library, detailed design documentation, project management artifacts and updates to metrics repository
QIPP National Urgent Care Clinical Dashboard
Further information & contact
Resources NHS Networks - http://www.networks.nhs.uk/nhs-networks/qipp-urgent-care-gp-dashboard
Further informationBackground Information http://www.dh.gov.uk/en/Publicationsandstatistics/Bulletins/Medicaldirectorsbulletin/DH_122289DH QIPPhttp://www.dh.gov.uk/en/Healthcare/Qualityandproductivity/QIPP/index.htmNHS Institute for Innovation and Improvement http://www.institute.nhs.uk/cost_and_quality/qipp/cost_and_quality_homepage.htmlNHS Evidence http://www.evidence.nhs.uk/qualityandproductivityDetails relating to National Pilot (including case studies and toolkit) http://www.cfh.nhs.uk/clindash
Contacts Team Mailbox – [email protected]