tim straughan, chief executive [email protected] assist national conference 2009 “quality...
TRANSCRIPT
Tim Straughan, Chief Executive
ASSIST National Conference 2009“Quality Informatics: your role in delivering the NHS
Next Stage
The big three - across the world
1. Quality of care
2. Economic downturn
3. Information to help address 1 and 2!
NSR Review
Set out ambitious commitments for making quality the organising principle of the NHS
We can only be sure to improve what we can actually measure" Lord Darzi, High Quality Care for All, June 2008
Informatics Challenges
• Clinical quality • World Class Commissioning• Payment by Results• Improving efficiency• Audit, inspection and assurance
For which we need to: Measure the right things Measure them right Use the measures right…
Vision:
To be the recognised source of relevant health and social care information
Mission:
To drive the use of information to improve decision making and deliver
better care
The Information Centre has a primary aim to become a key enabler of improved patient care
The NHS Information Centre for health & social care
2009/10 NHSIC Programmes
Data Sources
Information for Commissioning
Clinical programme
Information forFinance & Performance
Information for Workforce Planning and Productivity
Information forSocial Care Services
Information for PatientsNHS Choices content
NHS Information Reporting Service ( include. GPES)
Data Quality Programme Syndication of Information Honest Broker Signposting of Information
Information Services and AnalysisNHS IC Organisational Development & Capacity
Building frontline information management capacity/professional development
NHS Spine Data
Care outcomes data
Research DataFinance Data
Workforce + ESR Data
Primary Care
Other Data Sources
Data Standards Programme
Frontline Programmesenabling better care
Information management programmes
Streamlining Data Collections
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Measure the right things – NHS IC Programmes
• Clinical:– Indicators for Quality Improvement, Public
Health, Clinical Audit & research
Indicators for Quality Improvement (IQI)
• What– details of over 200 quality of care indicators – see
www.ic.nhs.uk/mqi • Purpose
– resource for local clinical teams providing a set of robust indicators which they can use as the basis for local quality improvement
– source of indicators which can be used to benchmark and compare providers
• Criteria for indicators– clear evidence base– clear, unambiguous definition– robust calculation methodology (appropriately defined,
standardised and risk-adjusted to avoid perverse incentives, gaming and misinterpretation)
– support from professionals
Measure the right things – NHS IC Programmes
• Clinical:– Indicators for Quality Improvement, Public
Health, Clinical Audit & research
• Information for Patients – NHS Choices
• Information for Commissioning
Commissioning Cycle
NHS Comparators Local in/outpatient disease area activity, costs, outcomes, and identifying prescribing activity.
Quality and Outcomes Framework Resourcing healthcare based on practice-level prevalence data.
Clinical Audit Compare clinical conditions and treatment received for cancer, heart disease, diabetes and renal services.
General Practice & DentistryStatistics providing insight into earnings, expenses, levels and types of activity
Health Survey for England Annual snapshot of the nation’s health and health needs.
Over 120 health and social care publications Comprehensive insight into disability, older people, child health and measurement, screening, eye care, maternity, general practice, and mental health.
Joint strategic needs assessment (JSNA)JSNA core dataset focussing on a list of indicators, cross-tabulated against Vital Signs and the National Indicator Set.
Health Poverty IndexCompare the indicators that influence health inequalities between different areas.
Neighbourhood Statistics ServiceUnderstand the factors involved in reducing neighbourhood deprivation levels.
Social Care publications and statisticsHow much is being spent on social care services locally?
Healthcare Resource Groups (HRGs)Supports determining of service provision based on measuring current and future treatments.
Lifestyle PublicationsInsight into alcohol consumption, obesity, smoking, drug misuse, and specialist surveys relating to young people.
iView WorkforceOnline resource enabling NHS workforce planning, using statistics on NHS staff numbers, earnings, turnover, and vacancies.
Hospital Episode Statistics (HES) Records of all admissions to NHS hospitals in England.
http://www.ic.nhs.uk/commissioning
Measure the right things – NHS IC Programmes
• Clinical:– Indicators for Quality Improvement, Public
Health, Clinical Audit & research
• Information for Patients – NHS Choices
• Information for Commissioning
• Information for Social Care
National Adult Social Care Information System (NASCIS)
Measure the right things – NHS IC Programmes
• Clinical:– Indicators for Quality Improvement, Public Health, Clinical Audit &
research• Information for Patients – NHS Choices• Information for Commissioning• Information for Social Care• Information for Workforce Planning and Productivity• Information for Finance and Performance:
– new performance regime: operational standards and targets, quality and safety, User experience & Board capability
• Data Standards: – Community, Social Care, Maternity…
• Streamlining Data Collections
Measure things right: NHS IC Programmes
• NHS Information and Reporting Services (NIRS)
La
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Data Collation and Processing
NHS Analysisand
ReportingService
Data submitted byall providers ofNHS “acute” andMental Health Care
Extracts for Non NHSorganisations
User access
ClinicalAudit
Data from primary care
GPExtractServer
reports
User access
ClinicalDashboards
User access
NationalApplications
(e.g. PDS, CAB,EPS, ESR etc.)
QMAS
User access
NHAIS
User access
GPExtractService
ResearchCapability
Programme
Analysis and Presentation
Data Sources
Universal DataWarehouse
NHS Information Reporting: Future Vision
• Framework for the processing datasets for analysis and reporting
• Construction and presentation of indicators, across datasets, to NHS-wide standards
• Information presented via multiple channels• Three phases:
1. National PbR Analysis & Reporting2. HES Replacement & NHS Comparators3. Future additions, e.g. Patient Reported
Outcome Measures, other datasets etc
Analysis & Reporting Services within NIRS – “NARS”
Objectives for NARS:to focus on analysis and presentation NHS Analysis
and Reporting
Service
Extracts for Non NHSorganisations
User access
reports
User access
ClinicalDashboards
User access
User access
User access
GPExtractService
ResearchCapability
Programme
Analysis and Presentation
Use measures right: NHS IC Programmes
• Honest broker
• Syndication
• Signposting
• Building frontline IM capacity– Shared solutions to shared problems– Providing practical guidance and advice– Supporting skills development
For further information
• Attend today’s workshops
• Visit the NHS IC stand
• Talk to NHS IC staff here today
• Visit our website
