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The most powerful thing we do is make decisions.
Today we will cover a new tool that can aid the region to make those decisions.
1
Facilitated by
2
3
4
5
6
7
- IT restrictions (different products in each DHB)
- System restrictions (built with best intentions in mind)
- Data dumps
- Constricted e.g. excel sizing
- Drilling and multi faceted questions (time to answer = days-weeks)
- Limited forecasting
- Lack of automation (burden of repotting)
- Multiple versions of the truth
8
9
10
- Clinical examples
- Business examples
- Population examples
The list goes on
11
12
- National ability e.g. CTAS
- Prototyping (pipelines)
- Automating
- Structure (data management)
- Quick wins
13
◦ Data quality
◦ Increase system knowledge
◦ Continued work with CTAS
and others as directed
◦ Expansion of knowledge
around what we have.
 Easy to share
 Easy to replicate
 Scalable
 Cheap
◦ Dissemination
14
- Multi regional Midland + CTAS
- Prototyping (pipelines)
- Clinical indicators
- Automating
15
 Don’t worry, you cannot identify who is listed on the following
sheets:
◦ We have huge datasets (50,000,000 records in some)
◦ We have multiple regions included (so no we have not only used Midland only
examples)
◦ We anonymise data anyway
◦ Qlikview (our BI tool) has a scramble function
That and it is just more fun to keep people guessing
16
17
18
19
20
21
Nice Try
22
Still
nothing
23
Keep
trying
24
Sorry
25
Still some
hope
26
SingularD
HB
27
Different
DHB
28
PHO 1000 Rates for three DHBs
29
PHO 1000 Rates for three DHBS
 The above led clinicians to look at IDFs (right) vs non IDF (left) at
Waikato by day of week
DHB
selected
Criteria
Selected
 When did they come in? from where (TLA)? what was their
deprivation? how many had “X” diagnostic?
We run out of time… Regularly
We get to help with:
Cohort analysis; based on these clinical symptoms with these
key factors Group A [age, ethnicity, condition, location] vs Group
B [age, ethnicity, condition, location]
Quick updates to clinical practice
A regional and multi-regional view of the world
Most importantly we get better engagement from an array of
stakeholders

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Midland regional collaborative approach: An Example of enabling regional decisions

  • 1. The most powerful thing we do is make decisions. Today we will cover a new tool that can aid the region to make those decisions. 1 Facilitated by
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  • 8. - IT restrictions (different products in each DHB) - System restrictions (built with best intentions in mind) - Data dumps - Constricted e.g. excel sizing - Drilling and multi faceted questions (time to answer = days-weeks) - Limited forecasting - Lack of automation (burden of repotting) - Multiple versions of the truth 8
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  • 11. - Clinical examples - Business examples - Population examples The list goes on 11
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  • 13. - National ability e.g. CTAS - Prototyping (pipelines) - Automating - Structure (data management) - Quick wins 13
  • 14. ◦ Data quality ◦ Increase system knowledge ◦ Continued work with CTAS and others as directed ◦ Expansion of knowledge around what we have.  Easy to share  Easy to replicate  Scalable  Cheap ◦ Dissemination 14
  • 15. - Multi regional Midland + CTAS - Prototyping (pipelines) - Clinical indicators - Automating 15
  • 16.  Don’t worry, you cannot identify who is listed on the following sheets: ◦ We have huge datasets (50,000,000 records in some) ◦ We have multiple regions included (so no we have not only used Midland only examples) ◦ We anonymise data anyway ◦ Qlikview (our BI tool) has a scramble function That and it is just more fun to keep people guessing 16
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  • 28. 28 PHO 1000 Rates for three DHBs
  • 29. 29 PHO 1000 Rates for three DHBS
  • 30.  The above led clinicians to look at IDFs (right) vs non IDF (left) at Waikato by day of week DHB selected Criteria Selected
  • 31.  When did they come in? from where (TLA)? what was their deprivation? how many had “X” diagnostic?
  • 32. We run out of time… Regularly We get to help with: Cohort analysis; based on these clinical symptoms with these key factors Group A [age, ethnicity, condition, location] vs Group B [age, ethnicity, condition, location] Quick updates to clinical practice A regional and multi-regional view of the world Most importantly we get better engagement from an array of stakeholders

Editor's Notes

  1. General notes re IP and aid of DHBs. This is not an advertisement for any particular tool more of a focus on the process, learnings and benefits attained. Information contained within these slide are for information purposes and omit a range of factors to maintain confidentiality while aiding in general discussion
  2. Three years ago Able to: Multifaceted drilling Clinical vs management discussions Forecasting Sizing and clinically pertinent detail (Excel and -> Qlik) Associative model
  3. Groups were streamlined, structures formed, delegations set Data requests and reporting were streamlined and resource requirements reduced National information became the normal start point to aid in standardisation Regional views have been formed and when successful shared Improvement of technology to reduce issues caused by distance Our region has been raised numerous times as innovative and working in a unique collaborative way COOs (Jan and Dale’s) presentation to the national electives forum Presentation to RANZCO Presentation to HINZ Collaborations with CTAS The list goes on
  4. Increased volumes for the same spend or less with the same or better outcomes Lower average length of stay Improved and increased clarity around clinical practice Sooner patient care Increase regional volumes (patients traveling to non-tertiary facilities for care) Increased clarity around the planned patient journey e.g. Map of Medicine pathways
  5. What happens on Thursdays? Why is it that IDF patients are most often needing allied Health at Waikato if they are admitted on a Thursday?
  6. What happens on Thursdays? Why is it that IDF patients are most often needing allied Health at Waikato if they are admitted on a Thursday?