GS1 standards improving clinical effectiveness and patient safety
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Keith Jones, Clinical Director of Surgery, Derby Teaching Hospitals NHS Foundation Trust
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GS1 standards improving clinical effectiveness and patient safety
- 1. Keith Jones, Clinical Director of Surgery, Derby Teaching Hospitals NHS Foundation Trust GS1 standards improving clinical effectiveness and patient safety 12 April 2016
- 2. © GS1 2016 GS1 standards improving clinical effectiveness and patient safety Derby Teaching Hospitals NHS Foundation Trust
- 3. © GS1 2016 Clinical effectiveness • The degree to which a particular healthcare intervention does more good than harm • The application of best knowledge derived from research, clinical experience and patient preference to achieve optimum processes and outcomes of care for patients • The process involves a framework of informing, changing and monitoring practice.
- 4. © GS1 2016 Our world is barcodes
- 5. © GS1 2016
- 6. © GS1 2016 FMCG The whole system is based on: POINT OF USE What the customer buys So why not the patient?
- 8. © GS1 2016 Traceability So Why Is It So Important?
- 9. © GS1 2016 Benefits of GS1 in FMCG • Stock contamination identified • Traceability • Speed
- 10. © GS1 2016 Not in Healthcare? PIP breast implants; The medical devices manufactured by a French company, Poly Implant Prothèse (PIP). French regulator (AFSSAPS) Identified the manufacturer had used unapproved materials which may affect their safety and performance. Finding those patients affected?
- 11. © GS1 2016 Traceability, Patient Safety & Data Capture • Patient Scanned and Checked • Staff Scanned and Tracked • Track scopes/ Instrumentation to patients - CJD & AIDS • Tracked theatre & stock room consumption - Loan sets & Surgical trays tracked • Lot number captured – Product Recalls • Prevented expiry wastage & Warning Flag • Attribute cost to Scope/Instrumentation use • Track planned maintenance e.g. 100 uses
- 12. © GS1 2016 Selling The Idea How to get Clinical Engagement? • Start the rollout in a compliant area • Patient Safety - out of date stock • Traceability - Instruments /implants • Coding – Income Improvement/Reduce Cost Improvement Impact • Automatic update of external records – implants • Comorbidity recording – correct tariff and understanding Dr Foster data
- 13. © GS1 2016 hTrak Device Showing OPCS Codes Already Loaded
- 14. © GS1 2016 Coding Status
- 15. © GS1 2016 Coding Problem
- 16. © GS1 2016 Use Trust’s Own GS1 Codes
- 17. © GS1 2016 How the Coders receive hTrak data
- 18. © GS1 2016 “Big Steve” Co-Morbidities Recording
- 19. © GS1 2016 Coding Impact
- 20. © GS1 2016 Operational Changes Changes in Clinical and Operational Practice Addressing “false economies”
- 21. © GS1 2016 Synergy Tray – Screw Example
- 22. © GS1 2016 Individual And Multiple Screw Packs Individual Screw Pack Multiple Screw Pack
- 23. © GS1 2016 Efficiency Examples…
- 24. © GS1 2016 Efficiency Examples…
- 25. © GS1 2016 20 Hole Gold Plate Or 4 X 5 Hole Gold Plates?
- 26. © GS1 2016 Jaw Plates – Straight or Curved?
- 27. © GS1 2016 Additional Benefits Clinician Involvement The ability to address Clinical variation with detailed and owned undisputed information
- 28. © GS1 2016 Laparoscopic Cholecystectomy Consumable Costs and Consultant Variation Consultant Description Avg Consumable Cost Avg No of Products Avg No of Staff Avg Minutes No of Procedures Lower Quartile Upper Quartile Variance Std Deviation Mr S Lingam £285 82 5 181 1 £285 £285 £0 - S Awad £239 74 7 127 3 £232 £250 £37 £19 Mr A Awan £231 70 6 123 6 £192 £255 £160 £59 Mr P Leeder £227 70 6 98 9 £197 £248 £146 £45 Mr Z Khan £223 70 5 100 11 £216 £235 £120 £31 A Bohra £218 69 6 93 6 £203 £238 £60 £24 Ms C Thomas £209 62 6 79 8 £192 £231 £103 £38 Mr S Iftikhar £188 64 7 90 9 £164 £224 £149 £53
- 29. © GS1 2016 Reporting Data System
- 30. © GS1 2016 Reporting Data System HRG Procedure
- 31. © GS1 2016 Reporting Data System
- 32. © GS1 2016 Reporting Data System, Product Analysis/Variance…
- 33. © GS1 2016 SUI – Clinical Management
- 34. © GS1 2016 Nerve Stimulator
- 35. © GS1 2016 SUI – Clinical Management cont’d
- 36. © GS1 2016 SUI – Clinical Management cont’d
- 37. © GS1 2016 SUI – Clinical Management cont’d