Clinicians driving clinical dashboards: <br />Making best use of data across boundaries <br />(integrating urgent care man...
Session content<br /><ul><li>Overview of the Urgent Care Clinical Dashboard
Identified benefits in the pilot dashboard site and developments in pioneer sites
How can dashboards support reduction in variation in primary care?</li></li></ul><li>?<br />?<br />?<br />?<br />?<br />?<...
What are clinical dashboards?<br />Good quality information is a driver of performance for clinical teams and helps ensure...
utilising multiple sources of existing data, even across organisational boundaries and providing information for use acros...
allowing flexibility for local configuration and comparison against national data sets and permitting regular changes to d...
Integration of information from multiple source systems<br />Information From Acute Trust<br />Walk in CentrePatient 	Atte...
Integration of information from multiple source systems<br />Information From Acute Trust<br />WiC<br />WiC<br />Patient 	...
NHS Bolton’s dashboard interface<br />Enables GPs, nurses and active case managers to monitor their own patients' recent a...
NHS Bolton: patient level drill downs<br />
NHS Bolton Urgent Care Dashboard: Role in reducing A&E attendance/non-elective admissions<br /><ul><li>Individual patient ...
Practice operational level − identifies issues of primary care access
PCT operational level − identifies poor patient pathways, areas of training need across professional groups
PCT strategic level − tool linked to strategic aims, objectives and plans; public media campaign</li></ul>     NHS Bolton ...
Pioneer and Pioneer Associate Sites<br />NHS TeesNHS Gateshead  <br />NE Lincolnshire Care Trust Plus / NHS North Lincolns...
Local innovations<br />Risk profiling/stratification – incorporated in NHS Devon and NHS Brighton and Hove dashboards. Adv...
Pioneer developments: NHS Devon<br />
A&E attendances over time – narrowing the range<br />
Upcoming SlideShare
Loading in …5
×

Anne Talbot: Clinicians driving Clinical Dashboards

1,740 views
1,629 views

Published on

Dr Anne Talbot, Clinical Director, Bolton Community Practice, National Clinical Lead, introduces the Urgent Care Clinical Dashboard, making the best use of data across boundaries.

Published in: Health & Medicine
0 Comments
0 Likes
Statistics
Notes
  • Be the first to comment

  • Be the first to like this

No Downloads
Views
Total views
1,740
On SlideShare
0
From Embeds
0
Number of Embeds
1
Actions
Shares
0
Downloads
13
Comments
0
Likes
0
Embeds 0
No embeds

No notes for slide

Anne Talbot: Clinicians driving Clinical Dashboards

  1. 1. Clinicians driving clinical dashboards: <br />Making best use of data across boundaries <br />(integrating urgent care management)<br />Dr Anne Talbot,<br />National Clinical Lead, Urgent Care Clinical Dashboard <br />
  2. 2. Session content<br /><ul><li>Overview of the Urgent Care Clinical Dashboard
  3. 3. Identified benefits in the pilot dashboard site and developments in pioneer sites
  4. 4. How can dashboards support reduction in variation in primary care?</li></li></ul><li>?<br />?<br />?<br />?<br />?<br />?<br />?<br />?<br />?<br />?<br />What is wrong with urgent care? <br />
  5. 5. What are clinical dashboards?<br />Good quality information is a driver of performance for clinical teams and helps ensure the best possible care for patients.<br />Clinical dashboards help to drive this process by:<br /><ul><li>providing timely, relevant information for clinical teams, as real-time as possible and presented in easy to understand formats, with high visual impact
  6. 6. utilising multiple sources of existing data, even across organisational boundaries and providing information for use across multidisciplinary teams
  7. 7. allowing flexibility for local configuration and comparison against national data sets and permitting regular changes to displays as is locally relevant</li></li></ul><li>The Urgent Care Clinical Dashboard concept<br />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. <br />Displayed in a graphical, user-friendly way to help practices to manage and co-ordinate patients’ health care more proactively, especially for the most vulnerable patients and those with long-term conditions. <br />Doesn’t contain any more information than the practice already receives, but presents the information in a timely way, displaying all of the information together to present a more complete picture.<br />
  8. 8. Integration of information from multiple source systems<br />Information From Acute Trust<br />Walk in CentrePatient Attendance DatePatientM 01/02/2009<br />PatientF 01/02/2009<br />PatientJ 02/02/2009<br />PatientM 03/02/2009PatientJ 04/02/2009<br />A&E AttendancesPatient Attendance DatePatientA 01/02/2009<br />PatientF 01/02/2009<br />PatientJ 02/02/2009<br />PatientM 03/02/2009PatientJ 04/02/2009<br />PatientK 03/02/2009<br />Information received separately from multiple sources within different time frames – making identifying patterns difficult<br />PatientK 03/02/2009<br />PatientK 08/02/2009<br />Out Of HoursPatient Contact DatePatientT 01/02/2009<br />PatientY 01/02/2009<br />PatientJ 02/02/2009<br />PatientM 03/02/2009PatientJ 04/02/2009<br />AdmissionsPatient Admission DatePatientA 01/02/2009<br />PatientH 04/02/2009<br />PatientK 08/02/2009<br />PatientK 02/02/2009<br />DischargesPatient Discharge DatePatientA 08/02/2009<br />Information From Practice<br />PatientK 08/02/2009<br />Practice Disease RegisterPatient RegisterPatientT Diabetes<br />PatientS CHD <br />PatientK COPD<br />Current Position<br />
  9. 9. Integration of information from multiple source systems<br />Information From Acute Trust<br />WiC<br />WiC<br />Patient Attendance DatePatientM 01/02/2009<br />PatientF 01/02/2009<br />PatientJ 02/02/2009<br />PatientM 03/02/2009PatientJ 04/02/2009<br />A&E<br />A&E<br />A&E<br />Patient Attendance DatePatientA 01/02/2009<br />PatientF 01/02/2009<br />PatientJ 02/02/2009<br />PatientM 03/02/2009PatientJ 04/02/2009<br />Clinical Dashboard:Patient Drilldown - PatientK<br />PatientK <br />03/02/2009<br />PatientK<br />02/02/2009<br />PatientK<br />08/02/2009<br />OOH<br />OOH<br />COPD<br />Patient Contact DatePatientT 01/02/2009<br />PatientY 01/02/2009<br />PatientJ 02/02/2009<br />PatientM 03/02/2009PatientJ 04/02/2009<br />Admission<br />Admission<br />COPD<br />Patient Admission DatePatientA 01/02/2009<br />PatientH 04/02/2009<br />COPD<br />PatientK <br />03/02/2009<br />PatientK<br />08/02/2009<br />COPD<br />COPD<br />Discharge<br />Discharge<br />Information From Practice<br />Patient Discharge DatePatientA 08/02/2009<br />COPD<br />Practice Disease RegisterPatient RegisterPatientT Diabetes<br />PatientS CHD <br />PatientK<br />08/02/2009<br />PatientK<br />COPD<br />
  10. 10. NHS Bolton’s dashboard interface<br />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. <br />
  11. 11. NHS Bolton: patient level drill downs<br />
  12. 12. NHS Bolton Urgent Care Dashboard: Role in reducing A&E attendance/non-elective admissions<br /><ul><li>Individual patient level
  13. 13. Practice operational level − identifies issues of primary care access
  14. 14. PCT operational level − identifies poor patient pathways, areas of training need across professional groups
  15. 15. PCT strategic level − tool linked to strategic aims, objectives and plans; public media campaign</li></ul> NHS Bolton achieved a reduction in A&E attendance of 3.14% and a reduction in non-elective admissions of 4.19% over 12 months, equating to an efficiency saving of > £600,000<br />
  16. 16. Pioneer and Pioneer Associate Sites<br />NHS TeesNHS Gateshead <br />NE Lincolnshire Care Trust Plus / NHS North Lincolnshire / North Lincolnshire & Goole Hospitals NHS Foundation Trust <br />South Cheshire and Vale Royal GP Commissioning Consortiums<br />NHS Central Lancashire<br />NHS Liverpool <br />NHS Manchester<br />NHS Northamptonshire<br />NHS Stoke on Trent and NHS North Staffordshire <br />NHS Cambridgeshire<br />NHS Luton<br />NHS North Essex<br />NHS Devon<br />Central London Healthcare Partnership<br />Newham Health Partnership / Newham Commissioning Group<br />NHS Oxfordshire<br />NHS Southampton<br />NHS Brighton and Hove<br />KEYPioneer site live <br />Pioneer site scheduled to go live by Oct 2011 <br />Pioneer associate site livePioneer associate site scheduled to go live by Oct 2011<br />
  17. 17. Local innovations<br />Risk profiling/stratification – incorporated in NHS Devon and NHS Brighton and Hove dashboards. Advanced predictive risk modelling data flags up patients at higher risk of further admissions, joining up information relevant to urgent care and long-term conditions work. <br />Urgent care attendances by time – NHS Tees displays attendances at urgent care settings by two-hour time bands, showing demand levels and also potentially picking up inappropriate attendances.<br />Variance – NHS Devon highlights practice activity levels compared to their consortia average and variance over time.<br />
  18. 18. Pioneer developments: NHS Devon<br />
  19. 19. A&E attendances over time – narrowing the range<br />
  20. 20. Dashboard-enabled change<br />
  21. 21. Promoting good variation: minimising bad<br />
  22. 22. Promoting good variation: minimising bad<br />
  23. 23. Promoting good variation: minimising bad<br />
  24. 24. System gearing<br />95% of urgent care is accessed in primary care with 5% in secondary care<br />As a result a 1% increase in primary care causes a 20% decrease in secondary care <br />Dr Jay Banerjee, University Hospital of Leicester<br />

×