Aridhia at NHS Scotland eHealth Conference 2011 presentation

eHealth Supporting The Quality Strategy Conference - February 2011

NHS Tayside and Aridhiap

Monitoring and improving quality and efficiency

Stakeholders within the joint venture

Aridhia is a health informatics company formed late 2007

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•improve patient care•improve patient safety•improve quality & service delivery

NHS Tayside Information Delivery Strategy aims to:

Link events into care pathways

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Systems linked into Aridhia Healthcare Domain Model

• GP Systems• Referral Management• Patient Administration System• A&E• Pharmacy• Labs• Cancer Audit• Speciality-based databases• CHI• Community based systems

Data capture & output

Patient Tracking

Infection Control

Long TermConditions

Management

QualityImprovement

Risk Stratification

Current projects/services

• Consortium production service - Tayside & Fife

• Includes RTT, Stage of Treatment, Prospective Tracking & Cancer Tracking

Cross-border Unified Patient Tracking

• Including Diabetes & Cancer Informatics

• Projects run in conjunction with the University of Dundee & Dundee Cancer Centre

Long Term Conditions Management

• Near real-time monitoring, reporting and analysis

Infection Control

• 180 user configurable performance metrics

• Patient-centred web-based data collection tools

Clinical Dashboards

• PEONY scoring of patients based on primary care information

• Multiple algorithms available (PEONY 2, SPARRA)

Risk Stratification

• Aridhia anonymised sandbox for researchers

Virtual Secure Room

• Data Driven Quality Improvement in Primary Care

• Aim to improve primary care prescribing quality & safety

Quality Improvement in Primary Care

DASHBOARDS, DISEASE SPECIFIC PATIENT MONITORING AND RISK STRATIFICATION

Clinical Dashboard views

Click to view trend line

View trends over time

Hover over data point for details

Data table

View more details

Drill down for more detail

Previous position

Variation

Links to relevant guidelines and process documentation

NHS Tayside web-based generic data entry tool

Metrics within current clinical dashboard

•Real-time Bed Management, e.g. available/occupied beds

•Service/Resource Utilisation, e.g. boarding patients, same day surgery,

outpatient dna rates

•Waiting Times & Access, e.g. 18 weeks RTT, inpatient/daycase/new outpatient

•Patient Safety, e.g. anti-biotic policy, early warning scores, compliance with

central line insertion, daily safety briefings compliance, Clinical Quality

Indicators, e.g. nutrition, pressure ulcers, falls

•Infection Control, e.g. hospital acquired infection, hand washing, cleanliness

+ Developing: Clinical Outcome Measures

Statistical Process Control Chart - example

High level perspective of patient pathways statistics

Overview of current situation for all cancer patients

Select from several selection criteria to narrow your patient list

Cancer patient monitoring

Sort & drill down for more detail

Patient-centred summary data

Display patient specific disease, test results and treatment information

Select patient’s requiring intervention

See all patienttest results

Patient’s broader healthcare contextPatient-centred detailed data

Risk stratification

Patient specific risk factors

Aridhia & future innovations

Continual improvement relies on a continuous feed of accurate, validated information that complements the skills of the healthcare professional, allowing them to do their job more effectively and more safely.

Patient Access & Participation•delivering access to their own data•allowing patients to submit their own data•enabling access to specific advice

Communication & Collaboration•investigating how much groupware communication tools can help•disease specific and localised/customised information

Visualisation & Analysis of Information•ability for end users to create their own analysis applications•patient CRM: patient centric electronic service•enhanced risk stratification for large, diverse populations

Questions?

For more information about NHS Tayside and the Information Delivery Strategy, please contact Ian Fenton (e-mail: ian.fenton@nhs.net)

For more information about Aridhia visit www.aridhia.com