better information --> better decisions --> better health 8 th october 2014 david baird,...
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better information --> better decisions --> better health
8th October 2014
David Baird, Service ManagerAndrew Lee, Principal Information Analyst,
Health & Social Care Information
ISD, Public Health & Intelligence
Joint Strategic Commissioning
Static reports
Database queries
Forecasting
Predictive Modelling
Evaluation
Good Data
Va
lue
Difficulty
Information
Knowledge
Intelligence
Information to IntelligenceFor Improved Outcomes
What’s available Now
What’s coming next and How we Can help
The Future
The Challenge
• 2012 – Population aged 65+
50%61%
• 2035 – Population aged 65+
17%25%
40%£4.6bn
• Total spend aged 65+
• Hospital Spend (£2.3bn)
• Emerg adm (£1.4bn)
48%20% • Had multiple admissions
• Stay < 2 days
491,000£93m
51,14531%
• Days lost to delays
• Cost of delays
• Aged 65+ rec HC
• Rec 10+ hours HC
The Future
• Strategic Plan established
• Co-Productive ApproachAnalyse
• Aware of Current and Future Demands •Service User Pathways •Risk Prediction
Plan•Identify areas for Service Change• Quantify Cost Impact•Investment and Dis-Investment• Scenario Planning
Review• Evaluating Service Impact
Do• Developed Skill Sets• Identified Areas for Building Capacity
• Personal Outcomes Approach (at the heart of your decisions)
• Evidence Based Decisions
Information: What’s Available Now• CHP Profiles• Hospital Admissions and A & E• Delayed Discharges• SPARRA and ACP Planning• Prescribing & Polypharmacy• Efficiency & Productivity Scorecard• NASA linkage• Workforce and Workload• Care Homes• Social Care Census • Respite survey• Mental Health and Learning Disabilities• Care Inspectorate
Health & Social Care Data Integration & Intelligence project (HSCDIIP)
Key Objective• To develop a nationally linked Health and Social care file
at an individual service user level (Activity & Costs)
Four Key Work streams• Inputs
• Information Governance
• IT solution
• Outputs
Information: What’s Coming Next
Information: What’s Coming Next
Paint the current picturePopulation Projections Resource Consumption
Admission Practice Delayed Discharges
Home Care
Information: What’s Available Now
Paint the current picture
Home Care Care Homes
Local Data Sets
Information: What’s Available Now
Population Projections
Admission Practice Delayed Discharges
Home Care
Information: What’s Coming Next
Population Projections
Admission Practice Delayed Discharges
Home Care
Information: What’s Coming Next
“Analysis is one of the most important activities in the commissioning cycle.
Poor analysis of past or future trends will result in flawed commissioning decisions and wasted
resources”
Social Work Inspection Agency (SWIA) Guide to Strategic Commissioning
All Partnerships (All Ages) per weighted capita
Understand Variation in Spend
Information – How we Can Help
Understand Resource Use for Cohorts of Clients
Information – How we Can Help
J F M A M J J A S O N D
J F M A M J J A S O N D
J F M A M J J A S O N D
Year 2009
Year 2010
Year 2011
Added to WLAdded to WL
OP assessment (ophthalmology; £70) Treatment (DC;
ophthalmology; procedure; £976)
Added to WLTreatment (DC; ophthalmology; procedure; £976)
A&E (£103)
Em admission(gen med; 3 days;
£1,323)
Prescriptions (£1,159)
Diagnosed CHD
Added to QoF Dementia Register
Em admission(resp med; procedure; 4 days; £1721)
Em admission(gen med; 24 days; £8,042)
Delayed Discharge (Home)
A&E (£103)
A&E (£103)Em admission
(gen med; 2 days; £882)Transfer Geriatrics(40 days; £15,640)
Homecare (364hrs; £6,137)
No record of Homecare
Discharge to Care Home;
Prescriptions £1,159
Prescriptions £1,179
73 Days in acute setting at cost of £27,711
42 Days in acute setting at cost of £16,522
HC + ACP
IC
Service User X: female, age 72, lives alone, diabetic since 68
Information – How we Can Help
Identify areas of high resource use to help first year of planning
Information – How we Can Help
Hospital & GP prescribing resources 2012/13
102,628
£2.6bn
4,322,546
£2.6bn
0%
10%
20%
30%
40%
50%
60%
70%
80%
90%
100%
Forecast resource impact based on a ‘do nothing’ Scenario
See Andrew - example
Information – How we Can Help
Example: West Dunbartonshire ACPs Information – How we Can Help
• Predictive Analysis / Scenario Planning
• Releasable costs / PBMA
‒ Modelling Impact of Service Redesign‒ Model various scenario's‒ Establish potential options
‒ Understand ‘Real’ financial implication of service change‒ PBMA‒ Evidence Based Decisions
Information – How we Can Help
Performance Monitoring
Evaluation Assessment
Outcomes
Impact Analysis
What Works
Outcomes
Indicators
Benchmarking
Evaluation
Static reports
Database queries
Forecasting
Predictive Modelling
Evaluation
Good Data
Va
lue
Difficulty
Information
Knowledge
Intelligence
Information to IntelligenceFor Improved Outcomes
Guidance
Public Health Expertise
Analytical Support
Our Website: http://www.isdscotland.org/Products-and-Services/
Health-and-Social-Care-Integration/
Our DetailsEmail: [email protected]
Tel: 0131 275 7594Email: [email protected]
Tel: 0131 275 6040
Questions Questions