eHealth Supporting The Quality Strategy Conference - February 2011 NHS Tayside and Aridhia p Monitoring and improving quality and efficiency
Nov 03, 2014
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: [email protected])
For more information about Aridhia visit www.aridhia.com