‘If you are completing a KIS – make sure it’s a good KIS’ Paul Baughan, GP, Dollar Health Centre, Clackmannanshire Steven Ebsworth, Practice Manager, Dollar HC, Clackmannanshire
‘If you are completing a KIS – make sure it’s a good KIS’ Paul Baughan, GP, Dollar Health Centre, Clackmannanshire Steven Ebsworth, Practice Manager, Dollar.
Jan 02, 2016
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‘If you are completing a KIS – make sure it’s a good KIS’
Paul Baughan, GP, Dollar Health Centre, Clackmannanshire
Steven Ebsworth, Practice Manager, Dollar HC, Clackmannanshire
- Share findings from audit about quality of KIS
- Explore what components of a KIS make it good or bad
- Suggest ways that you could improve the quality of KISs within your practice
Overview of session
Background
-57 GP practices in NHS Forth Valley
-All use EMIS
-Started using KIS in June 2012, with all GP practices using it by December 2012
- now have 5800 patients (1.9% of FV population) with a KIS
Population 31000, therefore 1.9% now have a KIS
Total number of KISs in NHS FV
0
1000
2000
3000
4000
5000
6000
7000
March April May June July Aug Sept
Month
Nu
mb
er
-In June 2013 we audited the quality of 174 KISs
- 2 GPs, 1 DN and 1 Hospital specialist nurse assessed quality and usefulness of each of these KISs
Audit – How good are our KISs
How useful would you find this KIS?
3035
2114
0
20
40
60
80
100
Extremely Quite Of some Of little
Perc
enta
ge
2013% KIS
Results of audit of 174 KISs
How useful would you find this KIS?
3035
2114
0
20
40
60
80
100
Extremely Quite Of some Of little
Perc
enta
ge
2013% KIS
Results of audit of 174 KISs
35%
‘If you are completing a KIS – make sure it’s a good KIS’
What makes a good KIS?
1. Look at the 6 KISs
2. Rate them from most useful to least useful.
3. What makes the useful ones useful?
What makes a good KIS?
How useful would you find this KIS?
3035
2114
0
20
40
60
80
100
Extremely Quite Of some Of little
Perc
enta
ge
2013% KIS
Results of audit of 174 KISs
Q3 Is the main diagnosis documented? (n=174)
98
2
0
20
40
60
80
100
Yes No
Perc
enta
ge
Results of audit of 174 KISs
Q4 Is there information about the patient's past medical history? (n=174)
67
32
10
20
40
60
80
100
Yes No N/R
Perc
enta
ge
Results of audit of 174 KISs
Q5 Is there information about the patient's current clinical status? (n=174)
79
19
1 10
20
40
60
80
100
Yes No Unsure N/R
Perc
enta
ge
Results of audit of 174 KISs
KEY INFORMATION SUMMARY(KIS)
Dr Paul Baughan
September 2013
Q6 Are any anticipated problems documented? (n=174)
48 51
10
20
40
60
80
100
Yes No Unsure
Perc
enta
ge
Results of audit of 174 KISs
Q7 Is there a proposed management or care plan? (n=174)
51 48
10
20
40
60
80
100
Yes No Unsure
Perc
enta
ge
Results of audit of 174 KISs
Q9 Are carer/NOK details documented? (n=174)
72
26
1 10
20
40
60
80
100
Yes No Unsure N/R
Perc
enta
ge
Q10 Is it stated if other professionals are involved? E.g. DN/CNS/Social Work/Hospice (n=174)
71
29
10
20
40
60
80
100
Yes No Unsure
Perc
enta
ge
Q11 Is the patients preferred place of care documented?(n=174)
63
36
10
20
40
60
80
100
Yes No Unsure
Perc
enta
ge
Q12 Is the resuscitation status documented? (n=174)
5346
10
20
40
60
80
100
Yes No Unsure
Perc
enta
ge
How useful would you find this KIS?
3035
2114
0
20
40
60
80
100
Extremely Quite Of some Of little
Perc
enta
ge
2013% KIS
Results of audit of 174 KISs
But – big improvement on ePCS
How useful would you find this KIS?
2
4032
2630
35
2114
0
20
40
60
80
100
Extremely Quite Of some Of little
Perc
enta
ge
2011% ePCS
2013% KIS
A suggested approach to improving the quality of a KIS
At this time in your life what is it that makes you happy or unhappy?
Do you have any special requests or preferences regarding your future care?
If your condition gets worse, where would you most like to be cared for eg hospital, hospice, home, nursing home?
What thing (s) would you like to avoid happening to you?
What are your wishes regarding resuscitation ie CPR?
Do you have any comments, wishes or concerns, about any thing or any one, that you would like others to know about?
Is there anything that you would like to know more about? eg benefit advice
Have we missed anything?
I consent to sharing a summary of the information in this document with my GP practice and for it to be made available to key medical professionals who may need to care for me in an emergency (e.g. GP out of hours service, NHS 24, Scottish Ambulance Service)
Questions in Thinking Ahead Document
Summary:
- Not difficult to create KIS for patients
- Important to spend a little time thinking about quality
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