Successfully reported this slideshow.
We use your LinkedIn profile and activity data to personalize ads and to show you more relevant ads. You can change your ad preferences anytime.

Ben Bridgewater: Measuring outcomes for surgery

Ben Bridgewater, Director of Clinical Audit, University Hospital of South Manchester NHS Foundation Trust, discusses how to measure outcomes for surgery, including the patient's perspective.

  • Be the first to comment

Ben Bridgewater: Measuring outcomes for surgery

  1. 1. Reducing unwarranted variations in health care Measuring outcomes for surgery: Including patient experience<br />The King’s Fund <br />14 September 2011<br />Ben Bridgewater<br />UHSM and Manchester Academic Health Science Centre<br />
  2. 2. Clinical outcomes in cardiac surgery<br />Detecting variance<br />Improving quality<br />Utilising patient experience<br />
  3. 3.
  4. 4.
  5. 5.
  6. 6. UK database<br />>400,000 operation records<br />patient characteristics<br />operative details<br />post-operative outcomes<br />mortality<br />complications<br />long-term mortality<br />www.scts.org<br />dendrite clinical systems ltd<br />
  7. 7. BMJ 2005;330:506-510 (5 March)<br />Mortality data in adult cardiac surgery for named <br />surgeons: retrospective examination of prospectively <br />collected data on coronary artery surgery and aortic <br />valve replacement <br />Ben Bridgewater, consultant surgeon1 on behalf of the adult <br />cardiac surgeons of north west England <br />
  8. 8.
  9. 9.
  10. 10. Public reporting<br />Since 2005<br />All NHS hospitals<br />mandatory<br />>70% surgeons<br />voluntary<br />Professional society in conjunction with organisational regulator<br />26,000 hits per month<br />
  11. 11.
  12. 12.
  13. 13. Benefits?<br />
  14. 14.
  15. 15.
  16. 16. CQC<br />GMC<br />Royal colleges<br />NCAS<br />trusts<br />individual<br />
  17. 17. Managing divergent performance<br />
  18. 18. Organisation quality improvement<br />
  19. 19.
  20. 20. Individual quality improvement<br />
  21. 21. Individual quality improvement<br />
  22. 22.
  23. 23. Domains of quality<br />Clinical outcomes<br />Patient safety<br />Patient experience<br />
  24. 24.
  25. 25.
  26. 26.
  27. 27. Findings<br />Range<br />
  28. 28.
  29. 29. Summary <br />Collecting and publishing clinical outcomes data drives quality<br />Cardiac surgery has shown it is possible with complete coverage<br />consider adverse negative consequences<br />Need to consider wider domains of quality from patient perspective<br />Robust methodologies are being developed<br />Professional revalidation should drive engagement<br />

    Be the first to comment

    Login to see the comments

  • jchdog

    Jun. 15, 2013

Ben Bridgewater, Director of Clinical Audit, University Hospital of South Manchester NHS Foundation Trust, discusses how to measure outcomes for surgery, including the patient's perspective.

Views

Total views

1,369

On Slideshare

0

From embeds

0

Number of embeds

205

Actions

Downloads

6

Shares

0

Comments

0

Likes

1

×