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BMJ Group presentation Quality Forum 2013
- 4. Expert Networks Specialists Authors Peer reviewers TechnicalExperts Quality Assurance Clinical Editorial Peer review Transparent standards Primaryresearch Research quality Article selection Study design Evidence Based Medicine Systematic review Evidence Summary Health Economics Technology Multimedia delivery Clinical Audit Software Health Informatics Domain expertise Medical Education Decision Support Clinical Audit
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- 10. Back Help your cliniciansmake better decisions We can help with: • Referential knowledge to inform decisions at the point of care • Evidenced based orders sets that reduce cost and improve quality • Detailed systematic reviews to help plan and design services • Knowledge integrated into your clinical systems Support Decisions Systematic Review Evidence Synthesis Alert Design System Integration Study Grading
- 11. Back Case Studies Demo Evidence basedreference tool designed to be used at the point of care • Over 1000 monographs covering around 2500 clinical conditions • Evidence based and internationally peer reviewed • Has condition specific information, assessment of symptoms guidance and overviews • Include International guidelines and drug database links • Links to GRADE evidence and learning resources Understand Needs Support Decisions Learn Online Guide Qualify
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- 17. Back Case Studies Demo Evidence basedreference tool designed to be used at the point of care • Over 1000 monographs covering around 2500 clinical conditions • Evidence based and internationally peer reviewed • Has condition specific information, assessment of symptoms guidance and overviews • Include International guidelines and drug database links • Links to GRADE evidence and learning resources Design KPIs Support Decisions Identify Variation Guide Interpret Clinical Data
- 18. Back Help your cliniciansmake better decisions We can help with: • Referential knowledge to inform decisions at the point of care • Evidenced based orders sets that reduce cost and improve quality • Detailed systematic reviews to help plan and design services • Knowledge integrated into your clinical systems Support Decisions Systematic Review Evidence Synthesis Alert Design System Integration Study Grading
- 19. Back We can providea synthesis of the available evidence on any clinical topic • We use a robust evidence based medicine process to interpret available evidence • Develop search strategies and set condition specific criteria for the filtering of the studies • Create protocols for the appraisal of the evidence • Synthesise the evidence, interpreting it in the context of its relevance and quality • Generate evidence summaries which highlight changes in the available knowledge Evidence Synthesis Evidence Synthesis
- 20. Back Help your cliniciansmake better decisions We can help with: • Referential knowledge to inform decisions at the point of care • Evidenced based orders sets that reduce cost and improve quality • Detailed systematic reviews to help plan and design services • Knowledge integrated into your clinical systems Support Decisions Systematic Review Evidence Synthesis Alert Design System Integration Study Grading
- 21. Back In many cases,our products can be integrated into local systems. This facilitates usage by making them: • Fit with local workflow • Accessible at the point-of-care • Utilise common user-interfaces where able • Record usage to local data warehouses to enable tracking • This includes the integration of decision support as well as the consolidation of national and local data sources. System Integration Audit+ Analytics System Integration
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- 23. Back Highlight opportunities forclinical improvement We can give you better information on: • Variation between providers in your health system • Clinical areas where variation is greatest • Specific interventions to help reduce variance • Comparison of individual clinicians performance against quality measures • Sharing of comparative performance data between providers Identify Variation Alert Design Audit Software Data Analysis Performance Measures Audit+ Contract+ Analytics Clinical Dashboards
- 24. Back Our data analysiscapability, including statisticians, technologists and health economists, provides the ability to: • Baseline current performance and standards • Identify areas of concern to target • Develop meaningful KPI’s • Monitor change and performance to drive sustainable benefits • Show you where savings and quality improvements can be made Data Analysis Audit+ Data Analysis Analytics
- 25. Back Highlight opportunities forclinical improvement We can give you better information on: • Variation between providers in your health system • Clinical areas where variation is greatest • Specific interventions to help reduce variance • Comparison of individual clinicians QOF performance • Sharing of comparative performance data between providers Identify Variation Alert Design Clinical Dashboards Audit Software Data Analysis Performance Measures Audit+ Contract+ Analytics
- 26. Back Powerful clinical dashboardsare available to provide local clinicians and commissioners with visibility of difference process and outcome measures to facilitate: • Identification of variation • Targeting of services to where they are needed • Identification of problem areas to focus improvement strategies • Monitoring of quality, safety and efficiency Clinical Dashboards Audit+ Contract+ Prescribing+ Clinical Dashboards Analytics
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- 28. Back Enhance your cliniciansknowledge We can help you with: • Online learning modules to allow your clinicians to learn in their own time • A record of all of their learning activity • Reducing the number of face to face educational events • Delivering your organisation’s mandatory training Learn Online Learn Online Medical Writing Expert Authors Multimedia production Medical Education Curriculum Development
- 29. Back Case Studies Institutions The trustedindependent online learning service for medical professionals • Interactive, learner centric website designed to support personal development • Over 1,000 peer reviewed, evidence based modules • Link practice professional development planning with learning resources • Curriculum driven, editorially independent and up- to-date Qualify Learn Online Publish Understand Needs Current Awareness Modules Platform
- 30. Back Enhance your cliniciansknowledge We can help you with: • Online learning modules to allow your clinicians to learn in their own time • A record of all of their learning activity • Reducing the number of face to face educational events • Delivering your organisation’s mandatory training Learn Online Medical Writing Curriculum Development Expert Authors Multimedia production Medical Education
- 31. Back Our experience inmedical education can be applied in your organisation. We can help you with: • The principles of adult learning in healthcare professionals • Planning and delivering a curriculum • Small and large group teaching • Teaching practical skills • Problem based learning • The principles of assessment • How to evaluate your teaching and quality assurance in medical education Curriculum Development Curriculum Development
- 32. Back Enhance your cliniciansknowledge We can help you with: • Online learning modules to allow your clinicians to learn in their own time • A record of all of their learning activity • Reducing the number of face to face educational events • Delivering your organisation’s mandatory training Learn Online Medical Writing Curriculum Development Expert Authors Multimedia production Medical Education
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- 34. Identify variation KPI Design Audit‘Screening’ prompt ‘Assessment’ prompt Patient lists Portfolio Reference Decision Support eLearning modules ‘Management’ prompt Bespoke decision tree Reference Decision Support eLearning modules Link to local pathways Performance monitoring Patient information Relevant articles Performance
- 39. EBM ContentArticlesEducation Back Identify variation KPIDesign Audit ‘Screening’ prompt ‘Assessment’ prompt Patient lists Portfolio Reference Decision Support eLearning modules ‘Management’ prompt Bespoke decision tree Reference Decision Support eLearning modules Link to local pathways Performance monitoring Clinical RulesServices Relevant articles Patient information
- 40. Back Audit ‘Screening’ prompt ‘Assessment’ prompt Patient lists Portfolio Reference DecisionSupport eLearning modules ‘Management’ prompt Bespoke decision tree Reference Decision Support eLearning modules Link to local pathways Performance monitoring Relevant articles Patient information KPI Design Identify variation
- 41. End Back Consultation with theCCG, clinical leads and GPs enabled identification of key priorities and design of KPIs. Bespoke audits were designed in Audit+ using a combination of National Guidelines, QOF and local priorities. Data from these audits allowed us to identify variation. KPI Design Audit Identify Variation Audit+ Analysis Audit KPI Design Identify variation Performance Measures System Integration Audit Software Data Analysis Rule Design
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- 43. Use of diagnostictests. Prescribing in BPSD.Anti-dementia prescribing. Prevalence of Dementia and use of softer codes. Audit+
- 44. Back Audit ‘Screening’ prompt ‘Assessment’ prompt Patient lists Portfolio Reference DecisionSupport eLearning modules ‘Management’ prompt Bespoke decision tree Reference Decision Support eLearning modules Link to local pathways Performance monitoring Relevant articles Patient information KPI Design Identify variation
- 45. Back Audit ‘Screening’ prompt ‘Assessment’ prompt Patient lists Portfolio Reference DecisionSupport eLearning modules ‘Management’ prompt Bespoke decision tree Reference Decision Support eLearning modules Link to local pathways Performance monitoring Relevant articles Patient information KPI Design Identify variation
- 46. Back A wide rangeof reference materials are provided at the point-of-care from prompts and bespoke web pages: • These aim to help the GPs with case-finding, diagnosis, management and prescribing • Web pages have been designed which contain links to relevant resources • These include BMJ resources and local care pathways and services. Systematic Review Evidence Synthesis Alert Design System Integration Study Grading Reference Decision Support Decision Support
- 50. Back Audit ‘Screening’ prompt ‘Assessment’ prompt Patient lists Portfolio Reference DecisionSupport eLearning modules ‘Management’ prompt Bespoke decision tree Reference Decision Support eLearning modules Link to local pathways Performance monitoring Relevant articles Patient information KPI Design Identify variation
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- 53. Making healthcare improvementsimple Dr Ashley McKimm Head of BMJ Quality
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- 56. Amount of medical informationdoubles every 5 years1 1. Mattox DE. Welcome to ARCHIVES CME. Arch Otolaryngol Head Neck Surg. 2000;126:914
- 57. 1. Balas EA,Boren SA. Managing clinical knowledge for health care improvement In: Bemmel J, McCray AT, editors. Yearbook of Medical Informatics 2000 On average it takes 17 years for clinical research to become routine practice
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- 59. 1. Help identifyarea for improvement 2. Find out how others have solved it – and what didn’t work 3. Support step-by-step through the improvement process 4. Get advice from mentors, experts and the global community 5. Publish and share your work
- 60. BMJ Quality ImprovementReports • Aims to become the world’s largest repository of quality improvement evidence • A standardised SQUIRE guideline template • Made it searchable to help clinicians find what works - and what doesn’t - work before they start
- 61. • Step-by-step guidefor everyone – whether a beginners or expert • Over 20+ tools and resources to help you along the way • Worked examples and advice from experts • One-click submission with rapid peer review and publication
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- 65. • Australia andNew Zealand customised versions (June 2013) • Programme for organisations • PDF mini-journal showcasing all the work by your staff annually
- 66. BMJ Publishing GroupLimited 2013. All rights reserved. Visit the BMJ Stand for a live demonstration Web: quality.bmj.com Email: quality@bmj.com Twitter: @bmjquality Find out more Join us for breakfast! Friday 8am Breakfast session